Evidence-based medicine

Administration launched Precision Medicine Initiative (PMI) in 2015, which aims to provide individualized treatment based on a patient’s genetic, biomarker, phenotypic, or psychosocial characteristics. (Larry Jameson & Longo, 2015) This great vision only becomes possible thanks to the research and application of big data analytics in healthcare. So far, big data analytics has been widely researched and applied in diverse aspects in healthcare: such as evidence-based medicine, genomic…

During the 18th century around the time when bedside medicine shifted to hospital medicine and then consequently laboratory medicine, Nicholas Jewson wrote a paper that addresses the issue of how this shift affected the doctor-patient relationship, that ultimately the patient has disappeared in the equation. The tone of the paper suggested that the disappearance of the sick-man (as a catalyst that began the reductionism in medicine) would lead medicine in the wrong direction, somewhere…

One of the primary reasons for the successful TB intervention at Rush-Copley Medical Center can be attributed to strong collaboration between the staff in the ED, infection prevention professionals, and the county, state, and federal public health departments. This collaborative effort allowed successful management of 45 active and 350 latent TB patients in the homeless population over the course of four years (Homan, 2013). Rush-Copley also was in direct communication with the Centers for…

her treatment. I would helplessly watch her struggling to defeat this disease. I witnessed the stages of life to death and it exposed me to the world of medicine. When my mom passed away, I felt more helpless because I needed more answers then I was able to get. This feeling of helplessness was my motivating force to enter the world of medicine to make a difference. My biggest role model in life was my mother, even though she did not have that much time, she made sure to properly use it, which…

researchers performed care delivery, the improvement was implemented and the number of fatalities was reduced by 50 percent. Furthermore, the six subcultures that are critical and identified to achieve patient safety are teamwork, leadership, evidence-based standardized processes, learning from mistakes and integrating performance improvement, structured communication and patient-centered. Patient safety is now recognized in almost every country and promoted by WHO. The four areas of patient…

of poverty medicine and working with the underserved population became more meaningful and…

identification, communication, medication safety, alarm safety, healthcare associated infection, falls, pressure ulcers, risk management and universal protocol (TJC, 2016). Within each goal are sub-goals that further address the concerns and identify evidence based practices to ensure success in the prevention of patient harm in each of these areas. During tracers, the auditors focus on these goals and are looking to validate that each of these goals is achieved through implementation of…

Evidence-based practice (EBP) has changed nursing significantly. EBP contributes to safe, quality nursing standards. Utilizing the most up to date research in the nursing field can assist in enhancing the care environment and nursing practices. In this portion of my educational training, I learn how to assess the validity of research studies. I learned how to be an independent judge of the information, and the methods researcher use to obtain information. Nursing has always centered on the…

Stroke in a young woman who was later diagnosed to be caused by emboli secondary to infective endocarditis and Cushing’s syndrome as a paraneoplastic syndrome secondary to Renal Cell Carcinoma. Thus, the spectrum of medicine is extensive and offers tremendous learning opportunities. I also got an opportunity to closely interact with patients and to know the stories of their lives. I showed empathy and support. I explained to them our management protocol. It made me felt…

Advances in medicine such as the use of telemedicine have ensured that doctors can provide their services to their patients far away from each other, a fact which minimizes the rush during emergencies to get to where the doctors…