A Tool for Simple and Efficient Clinical Protocol Evaluation

2014 ◽  
Author(s):  
Hanna Farah ◽  
Daniel Amyot ◽  
Khaled El Emam
Keyword(s):  
Clinical Protocol ◽  
Protocol Evaluation

Roles of Trust and Cross-Cultural Miscommunication in Clinical Decision-Making

2003 ◽  
Vol 1 (2) ◽  
pp. 198-207
Author(s):  
H. Mabel Preloran ◽  
Silvia Balzano
Keyword(s):  
Medical Education ◽  
Los Angeles ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Severe Disabilities ◽  
Cross Cultural ◽  
Emotional Engagement ◽  
Test Results ◽  
Clinical Protocol ◽  
Emotional Detachment

This paper explores the emotional world of a recent Mexican immigrant who lives in Los Angeles and is awaiting the results of the amniocentesis she has ambivalently agreed to. She is 45 years old and has given birth to two children with severe disabilities and two who are apparently normal. We focus our analysis on the woman's reactions and feelings during the nine days she spends waiting for the test results. We show that the standard prenatal genetic clinical protocol aimed at providing medical education and requiring professional neutrality and emotional detachment left the woman feeling rejected and subsequently unwilling to seek information or support from her clinicians. We find that while the intent of a protocol of neutrality is to enable patients to make informed decisions without feeling pressure from clinicians, some women want greater emotional engagement. We argue that professional neutrality can inhibit patient-clinician communication, hamper medical education, and ultimately detract from patients' ability to make informed medical choices. / El presente artículo explora el mundo emocional de Rocío, una inmigrante mexicana, quien se encuentra esperando los resultados de una amniocentesis que aceptó hacerse, a pesar de las dudas sobre la credibilidad y utilidad de la misma. Rocío, de 45 años, tenía ya otros hijos, dos con anormalidades severas y dos aparentemente sanos. Centramos nuestro análisis en los sentimientos y reacciones durante los nueve días que transcurren mientras espera el diagnóstico. En este trabajo mostramos cómo la forma de presentar la información médica puede llegar a entorpecer la toma de decisión de un paciente. El protocolo genético tiene por meta proveer información médica manteniendo una cierta distancia profesional y emocional. Estas condiciones hacen que, en nuestro estudio de caso, la paciente se sienta rechazada y sin deseos de acercarse al personal médico, ya sea en busca de apoyo emocional o información que aclararía sus dudas. Creemos que, mientras el objetivo de la neutralidad profesional es asegurar que el paciente decida con los conocimientos adecuados y, a la vez, sin sentirse presionado, algunas mujeres preferirían un mayor acercamiento emocional por parte del personal médico cuando deben decidir sobre pruebas o tratamientos. Creemos que la neutralidad profesional puede llegar a inhibir la comunicación médico-paciente, dificultar la comprensión de la información y, por último, obstaculizar la habilidad de tomar decisiones informadas por parte de los pacientes.

Shoulder pain in rehabilitation setting: from a standardized ultrasound protocol evaluation to specific subacromial disorders

2018 ◽  
Vol 10 (4) ◽  
Author(s):  
Marcos Edgar Fernández-Cuadros, ◽  
María Jesús Albaladejo-Florín ◽  
Laura Cabrera-Rodríguez ◽  
Carmen Ramos-González ◽  
Rubén Algarra-López ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Protocol Evaluation

AUDIT RESULTS OF COMPLINCE WITH THE UNIFIED CLINICAL PROTOCOL FOR RENDERING MEDICAL AID TO PATIENTS WITH ACUTE ISCHEMIC STROKE

2019 ◽  
Vol 15 (68) ◽  
pp. 091
Author(s):  
V. D. Pariy ◽  
S. M. Hryshchuk ◽  
N. M. Korneychuk ◽  
A. M. Harlinska ◽  
L. V. Horokhova
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Clinical Protocol ◽  
Medical Aid

Considerations for Translating Medical Devices Under Development From the Clinic to the Home: A Case Study in Providing Chronic Wound Care

2021 ◽  
Vol 10 (1) ◽  
pp. 238-242
Author(s):  
Ellen J. Bass ◽  
Justine S. Sefcik ◽  
Elease McLaurin ◽  
Rose Ann DiMaria-Ghalili
Keyword(s):  
Medical Devices ◽  
Chronic Wound ◽  
Wound Care ◽  
Clinical Protocol ◽  
Structured Interviews ◽  
Home Setting ◽  
Ultrasound Application ◽  
Research Assistants ◽  
Current Device

A prototype medical device and protocol that work well in a clinic would not necessarily work reliably in the home setting. The goal of this work is to identify factors to consider when translating a device evaluated in a clinic for use by home caregivers providing chronic wound care for persons living with dementia. One must consider the current device, the associated bundle, the protocol and how they may need to be modified. Semi-structured interviews with the research assistants who have applied a prototype device were conducted to generate a list of known issues with the current clinical protocol in terms of ultrasound application The researchers performed a set of specified tasks by following the current device protocol and explaining any difficulties with use\execution. They embellished the descriptions with details about what had happened with actual patients in the clinic. Using thematic analysis, analysts identified themes and subthemes. Issues potentially relevant to translating medical devices to the home are discussed.

scholarly journals Thoracic Point-of-Care Ultrasound: A SARS-CoV-2 Data Repository for Future Artificial Intelligence and Machine Learning

2021 ◽  
pp. 155335062110186
Author(s):  
Abdel-Moneim Mohamed Ali ◽  
Emran El-Alali ◽  
Adam S. Weltz ◽  
Scott T. Rehrig
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Point Of Care ◽  
Prognostic Indicators ◽  
Data Repository ◽  
Point Of Care Ultrasound ◽  
Ultrasound Images ◽  
Clinical Protocol ◽  
Improved Outcomes ◽  
Current Experience

Current experience suggests that artificial intelligence (AI) and machine learning (ML) may be useful in the management of hospitalized patients, including those with COVID-19. In light of the challenges faced with diagnostic and prognostic indicators in SARS-CoV-2 infection, our center has developed an international clinical protocol to collect standardized thoracic point of care ultrasound data in these patients for later AI/ML modeling. We surmise that in the future AI/ML may assist in the management of SARS-CoV-2 patients potentially leading to improved outcomes, and to that end, a corpus of curated ultrasound images and linked patient clinical metadata is an invaluable research resource.

The ECG Belt for CRT response trial: Design and clinical protocol

2020 ◽  
Vol 43 (10) ◽  
pp. 1063-1071 ◽  
Author(s):  
John Rickard ◽  
Kevin Jackson ◽  
Mauro Biffi ◽  
Kevin Vernooy ◽  
Alan Bank ◽  
...  
Keyword(s):  
Trial Design ◽  
Clinical Protocol ◽  
Crt Response ◽  
Response Trial

Clinical Assessment of Oropharyngeal Motor Development in Young Children

1987 ◽  
Vol 52 (3) ◽  
pp. 271-277 ◽  
Author(s):  
JoAnne Robbins ◽  
Thomas Klee
Keyword(s):  
Clinical Application ◽  
Clinical Assessment ◽  
Motor Development ◽  
Structural Integrity ◽  
Vocal Tract ◽  
Developmental Change ◽  
Clinical Protocol ◽  
Motor Functioning ◽  
Motor Abilities ◽  
Speech Motor

A clinical protocol was developed for the purpose of assessing the oral and speech motor abilities of children. An 86-item test was administered to 90 normally developing children aged 2:6–6:11. Evaluations of the structural integrity of the vocal tract did not show developmental change, although evaluations of oral and speech motor functioning changed significantly with age. The functional portion of the protocol was most sensitive to developmental change up to age 3:6, with an asymptote in performance thereafter. Clinical application of the protocol is discussed.

Clinical protocol

1990 ◽  
Vol 10 (4) ◽  
pp. 461-477 ◽  
Author(s):  
James L. Fosshage
Keyword(s):  
Clinical Protocol
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