Though slightly less than one-third of military hospitals use a +POx, there is a greater interest in its use. More reliable consultative services and a robust telemedicine system may aid its implementation.
types of activities are permissible and may be beneficial or harmful to recovery in this window. Further studies looking at exercise, energy expenditure, and the effect of other specific activities are needed to better understand an ideal prescription for the first 48 hours after concussion. Given the need to capture patients immediately after sustaining a head injury to study the immediate recovery period, these studies are best performed from the emergency department shortly after presentation from a head injury. We hope our study continues to draw interest to treatments delivered within the earliest time points after injury and thereby serve as a design model for future research.
The medical transition of children and adolescents with gender dysphoria remains highly debated and there is significant divergence in policy internationally. [1][2][3][4][5][6][7] Mills and colleagues' review the interventions that comprise the "gender-affirmative" care pathway, an approach currently promoted by many medical organizations in North America. [6][7][8] We strongly agree with the authors that pharmacists have
Introduction: Variation in practice patterns among physicians is well-documented despite professional guidelines and increasingly uniform medical training. Variations may lead to improper utilization of healthcare resources, misdiagnosis, overdiagnosis, unnecessary treatments, and forgoing of needed interventions. One area of clinical variation and overuse of particular interest is the prescribing of antibiotics, which can lead to eventual antibiotic resistance and other negative consequences. Variations in antibiotic prescribing along with other practice patterns have been studied previously but no attempt has been made to examine the correlation between multiple practice patterns. The purpose of this study was to determine if a correlation existed between the provider behaviors studied.
Methods: A small area network of 39 pediatric providers was analyzed to determine if antibiotic prescription percentages varied. Antibiotic prescription percentages were further broken down by visit type (sick versus well). Two other practice measures, in-office lab utilization and diagnoses of food and drug allergies, were then analyzed. Data were explored primarily with Spearman’s correlation tests.
Results: Strong positive correlation was seen between a provider's antibiotic prescription percentage at sick and well visits. Strong positive correlation was seen between the antibiotic prescribing percentage and the number of in-office labs ordered. Moderate positive correlation was seen between antibiotic prescribing percentage and the percentage of a provider’s empaneled patients with any allergy diagnosis (medication, food, or seasonal).
Conclusion: This retrospective study demonstrates that variation in provider practice patterns continues to exist despite established practice guidelines from national organizations. It also demonstrates a linear correlation between multiple provider behaviors that have not previously been explored together. The presence of a correlation between clinical behaviors may suggest an underlying practice philosophy and present an opportunity for personalized, provider-specific education and quality improvement.
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