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Evolving Recommendations for Scoliosis Screening

Evolving Recommendations for Scoliosis Screening Editorial Opinion integrated as an automated decision support tool. In a case- tional ad hoc and unstructured fashion that did not provide control study of 2341 cases of intraoperative hyperglycemia, the appropriate communication of necessary information. the use of such an alert system was associated with treat- If health care continues to conduct handovers in the same man- ment of intraoperative hyperglycemia (odds ratio [OR], 1.55 ner as in the past, there is little likelihood that any meaning- [95% CI, 1.23-1.95]; P < .001]) and recheck of blood glucose ful and sustainable improvement will occur. The underlying (OR, 1.44 [95% CI, 1.14-1.81]; P = .002). problem is not handovers, it is poor communication among the The common thread in efforts to improve communica- patient care team during transitions in care. Significant ad- tion and patient safety is that planning and action are needed. vancement in patient safety and transitions in health care will Even if this information is made available, it will require cli- require acceptance of standardized methodologies, tools, nicians willing to modify their way of practice. The increased and techniques that improve communication and adoption patient harm associated with complete handovers in the cur- of newer technologies http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Evolving Recommendations for Scoliosis Screening

JAMA , Volume 319 (2) – Jan 9, 2018

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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2017.20190
pmid
29318262
Publisher site
See Article on Publisher Site

Abstract

Editorial Opinion integrated as an automated decision support tool. In a case- tional ad hoc and unstructured fashion that did not provide control study of 2341 cases of intraoperative hyperglycemia, the appropriate communication of necessary information. the use of such an alert system was associated with treat- If health care continues to conduct handovers in the same man- ment of intraoperative hyperglycemia (odds ratio [OR], 1.55 ner as in the past, there is little likelihood that any meaning- [95% CI, 1.23-1.95]; P < .001]) and recheck of blood glucose ful and sustainable improvement will occur. The underlying (OR, 1.44 [95% CI, 1.14-1.81]; P = .002). problem is not handovers, it is poor communication among the The common thread in efforts to improve communica- patient care team during transitions in care. Significant ad- tion and patient safety is that planning and action are needed. vancement in patient safety and transitions in health care will Even if this information is made available, it will require cli- require acceptance of standardized methodologies, tools, nicians willing to modify their way of practice. The increased and techniques that improve communication and adoption patient harm associated with complete handovers in the cur- of newer technologies

Journal

JAMAAmerican Medical Association

Published: Jan 9, 2018

References