Making the Right Thing Easier to Do.

نویسنده

  • Paul Wallace
چکیده

Making the Right Thing Easier to Do t the Care Management Institute (CMI), our guiding philosophy is to make the right thing easier to do, and the implementation of KP HealthConnect expands dramatically the possibilities for us to make this philosophy a reality. With the advent of KP HealthConnect, we have at our disposal new tools to answer our perennial question: How can we most effectively support clinicians and members in having the best possible information they need, when they need it? Assembling and clearly presenting the right clinical information and knowledge—what's known as well as what isn't—is the core of evidence-based medicine (EBM). CMI has been able to benefit from and complement decade-old efforts within the KP Regions to rigorously engage in developing and disseminating EBM. Our multiple and evolving efforts seek always to improve health outcomes through the identification, implementation , and evaluation of nationally consistent , evidence-based, population-oriented , cost-effective health care programs. To the extent that we bring the right information to the right people at the right point in a clinical encounter , clinicians and members can be optimally prepared to make key decisions. The process of knowledge management is vital to providing content for KP HealthConnect, and the input and experiences of practicing clinicians in the KP Regions are foundational at every step. Knowledge management assembles existing knowledge in medicine and identifies concerns and inquiries that are critical to clinicians. We investigate the degree to which evidence exists to answer these pivotal clinical questions and identify key elements of evidence that should be available during practice. Once knowledge has been assembled and distilled into core elements, it must be " triaged " into an appropriate level of decision support. What point in the clinical encounter is the right one at which to present the evidence? Is it appropriate to " intrude " in the visit with alerts, reminders, and redirection of care? What information needs to be just " a click away " ? The answers are evolving out of an increasingly clear understanding of the process of clinical decision-making. Clinical decision-making involves understanding the evidence and interpreting its implications depending on individual circumstances as well as on the preferences and values of the involved parties. When rigorous evidence is readily available at the right time and in the right way, clinicians are liberated to address preferences and values—theirs and those of members—in clinical …

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Integrating Evidence Into KP HealthConnect: Making the Right Thing Easier to Do.

Clinicians make countless decisions every day regarding diagnosis and treatment, relying principally upon personal experience and clinical judgment. What is also needed—and often lacking—is current, relevant evidence that can inform and strengthen decision making at the point of care. With the ever-increasing body of medical literature, the ability for any individual clinician to stay abreast o...

متن کامل

Shared Decision Making & Medical Costs

The strongest argument for shared decision making is that patients have a fundamental right to understand all the reasonable medical options and the arguments for and against each option. Simply put, informing and involving patients in medical decisions is the right thing to do. The majority of people want to make decisions about their health care -rather than be told what to do or make decisio...

متن کامل

“Calling People to do Good Deeds” and “Commanding Right and Forbidding Wrong” [Amr Bil Ma'ruf and Nahi 'Anil Munkar] and its Effect on Institutionalization in the Legal System of Islamic Republic of Iran

The holy Quran has put “calling people to do good deeds” [or calling people to an act of benevolence] besides and prior to “commanding rightand forbidding wrong”, [or commanding beneficence and forbidding maleficence]. However in many interpretive and jurisprudential books, no sufficient effort has been made to elaborate the difference features between these two and their results, whose  manife...

متن کامل

Right Thing: a Qualitative Study

Despite an abundance of theoretical literature on virtue ethics in nursing and health care, very little research has been carried out to support or refute the claims made. One such claim is that ethical nursing is what happens when a good nurse does the right thing. The purpose of this descriptive, qualitative study was therefore to examine nurses’ perceptions of what it means to be a good nurs...

متن کامل

Doing the right thing for one's children: deciding whether to take the genetic test for Huntington's disease as a moral dilemma.

This is a qualitative examination of candidates' decision-making in relation to the genetic test for Huntington's disease. Semi-structured interviews were conducted with nine participants who were asked about factors influencing their decision whether to take up predictive genetic testing. Transcripts of interviews were subjected to interpretative phenomenological analysis to elicit emergent th...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Permanente journal

دوره 8 4  شماره 

صفحات  -

تاریخ انتشار 2004