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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

System level innovations such as the electronic health platform, including order entry, were intended to improve efficiency but may result in the unintended consequence of making it easier to order a chest radiograph without substantiating the need or in conflict with best clinical practice guidelines.

Asthma 52
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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 127
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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. So now it’s just POLST, the word POLST, Portable Medical Orders. We changed our name. Alex: National POLST Collaborative.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. And the classic case that we often hear of is the poor old person who got a whole lot of medical treatment they wouldn’t have wanted an ICU flog.

Families 113
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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Eric: And how did you do that? Alex: We had you on just recently, the podcast. Kate: Sounds right.

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Jumpstarting Goals of Care Convos: Erin Kross, Bob Lee, and Ruth Engelberg

GeriPal

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

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Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

GeriPal

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Outcomes are typically assessed from available records.