Changing Practice and the Bedside Nurse: The EvidenceBased Practice Perspective Florence Nightingale, an early user of evidence-based data, asked important clinical questions and changed practices that had contributed to high mortality rates. During the Crimean War, she collected data on infection rates, changed practices, and substantially decreased mortality rates. In the twenty-first century...

Objective: By integrating the rational laboratory system into hospital processes with evidencebased medicine applications, it is ensured that resources are used more effectively and
 efficiently by preventing unnecessary test requests and reducing operation costs.
 Methods: The data in this qualitative study primary were obtained through
 document review focus group (physician) i...

Received March 2009 Accepted May 2009 INTRODUCTION While caring for patients, urologists have to make several clinical decisions. To counsel and give appropriate care for a single patient, various aspects including prevention, natural history, diagnosis, treatment options, prognosis and health economics may need to be addressed. For informed and shared decision making to arrive at the treatment...

assistance of the anesthesiologist(s) involved, most adverse events were self-reported by that practitioner. Also, the involved anesthesiologist(s) were generally present for the discussion and error analysis. Finally, the suggestion by Gauge that this peer review mechanism would be corrupted, if it were applied to patient compensation, is an interesting speculation. Perhaps, Gauge would be mor...

We summarize information on quality indicators related to laboratory testing from published literature and Internet sources to assess current gaps with respect to stages of the laboratory testing process, the Institute of Medicine (IOM) health care domains, and quality measure evaluation criteria. Our search strategy used various general and specific terms for clinical conditions and laboratory...

Mentoring has been an essential component of my training and my career in gastroenterology. I have enjoyed a wonderful experience in gastroenterology and, as a woman, have a somewhat different perspective on the role of mentorship in medicine and gastroenterology. However, complex professional and personal situations are not unique to women and the general principles of mentorship are broadly a...

BACKGROUND The U.S. Food and Drug Administration has approved four distinct formulations of botulinum toxin (BoNT) serotypes A and B (BoNTA and BoNTB) for medical use. These four products are indicated for many medical applications, but the three BoNTA formulations are the most widely used worldwide and are the only products approved for aesthetic use. The latest approval of a BoNTA with no com...

Objective • The aim of this review is to identiiy, critically evaluate, and summarize the laughter literature across a number of fields related to medicine and health care to assess to what extent laughter health-related benefits are currently supported by empirical evidence. Data Sources and Study Selection • A comprehensive laughter literature search was performed. A thorough search of the gr...

By reviewing hundreds of original articles from journals published throughout the world, The Journal of EvidenceBased Dental Practice will provide readers with the best, most current clinical information available—information that will improve the outcomes of clinical procedures. The Journal of Evidence-Based Dental Practice will advocate the use or rejection of a procedure on the basis of expl...