ASMBS pediatric committee best practice guidelines Marc Michalsky, M.D., F.A.C.S., F.A.A.P.*, Kirk Reichard, M.D., F.A.C.S., F.A.A.P., Thomas Inge, M.D., F.A.C.S., F.A.A.P., Janey Pratt, M.D., F.A.C.S., Carine Lenders, M.D., F.A.A.P. Chair, American Society for Metabolic and Bariatric Surgery Pediatric Committee, Gainesville, Florida Co-Chair, American Society for Metabolic and Bariatric Surger...

Practice Guideline for the Promotion of Perioperative Normothermia Vallire D. Hooper, PhD, RN, CPAN, FAAN, Robin Chard, PhD, RN, CNOR, Theresa Clifford, MSN, RN, CPAN, Susan Fetzer, PhD, RN, Susan Fossum, BSN, RN, CPAN, Barbara Godden, MHS, RN, CPAN, CAPA, Elizabeth A. Martinez, MD, MHS, Kim A. Noble, PhD, RN, CPAN, Denise O’Brien, MSN, RN, ACNS-BC, CPAN, CAPA, FAAN, Jan Odom-Forren, PhD, RN, C...

Performance measurement and payment are increasingly linked to goals established by practice guidelines. The best guidelines are based on systematic reviews and patient-oriented evidence, use an evidence-rating system such as the Strength of Recommendation Taxonomy, and are prospectively validated. The guidelines also should have a transparent development process, identify potential conflicts o...

Surgical ablation of atrial fibrillation (AF) is currently performed in many major hospitals throughout the world. This paper reviews the development of surgical procedures for AF ablation. It is hoped that the paper can provide a foundation for those involved with ablation of AF to improve patient care. AF is triggered by a rapidly firing focus and could be treated with a localized ablation pr...

We propose a probabilistically based incentive payment system for guideline implementation that provides rewards for physicians who follow practice guidelines and additional remuneration for physician leaders who engage in information sharing. All payments are based on observed outcomes of patient treatment. A fixed base payment forms the core of the system with probabilistic offsets calculated...

Department of Nephrology, Princess Alexandra Hospital, Brisbane, Australian Practice Nurses Association, The Family Practice, Bundaberg, Queensland, Department of Renal Medicine, Centre for Transplant and Renal Research, Westmead Hospital, Department of Nutrition and Dietetics, The St George Hospital, Department of General Practice, Sydney Medical School – Westmead, University of Sydney, Sydney...

BACKGROUND Clinical practice guidelines are systematically developed statements designed to assist in patient and physician clinical decision making for specific clinical circumstances. In order to establish which guideline topics are priorities, practitioners were surveyed regarding their current practice. METHODS One hundred ninety-seven practitioners in Ontario, Canada were mailed a survey...

The traditional bioethical approach to addressing clinical ethical dilemmas is to apply ethical principles to analyse the dilemma to reach an ethically acceptable course of action. This paper will address the problem of what to do when the patient or patient’s proxy disagree with this advice. I will argue that ethical principles have limitations in a culturally diverse world, and that best prac...

BACKGROUND The Joint Theater Trauma System (JTTS) was developed with the vision that every soldier, marine, sailor, and airman injured on the battlefield would have the optimal chance for survival and maximum potential for functional recovery. In this analysis, we hypothesized that information diffusion through the JTTS, via the dissemination of clinical practice guidelines and process improvem...