Identifying Issues in Medical Guidelines to Improve Decision
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IDENTIFYING ISSUES IN MEDICAL GUIDELINES TO IMPROVE DECISION MAKING Presented by: Sumaiya Sarawat Fatima Faisal Advisor: Dr. Tara F. Bishop, M.D. August 6 th , 2014 Travelers Summer Research Fellowship Program
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Transcript of Identifying Issues in Medical Guidelines to Improve Decision
IDENTIFYING ISSUES IN MEDICAL GUIDELINES TO IMPROVE DECISION MAKING
Presented by:Sumaiya SarawatFatima FaisalAdvisor: Dr. Tara F. Bishop, M.D.August 6th, 2014Travelers Summer Research Fellowship Program
LET US “GUIDE” YOU THROUGH THIS Introduction:
What is a Guideline? Problems with Guidelines What’s Out There Right Now? What We Want to Know
Hypothesis Methods Results Discussion and future directions:
Why Is This Important? Hopes for the Future
E-Cigarettes Project Acknowledgments
WHAT IS A GUIDELINE? Documents and published papers whose
purpose is to educate doctors and patients into making the best-informed decisions and requirements regarding diagnoses, treatments, and management for multiple aspects of health care.
PROBLEMS WITH GUIDELINES
Accessibility Navigation Excessive Information Too much medical jargon No Attraction
WHAT’S OUT THERE RIGHT NOW If guideline users had a mechanism to
immediately identify high quality, trustworthy clinical practice guidelines, their health-related decision making would be improved—potentially improving both health care quality and health outcomes
WHAT WE WANT TO KNOW Is there a way to construct alternative sites
that could potentially reinvent the way guidelines are perceived?
Will modifying sites help increase patient understanding of guidelines and encourage them to use these websites for personal health benefits?
Will an increase in knowledge due to sufficient guidelines augment the patient’s health as whole?
HYPOTHESIS By modifying online guidelines to become
patient-centered we hope to gravitate a larger patient populace to begin using these websites to become more willing to be well informed about their health.
METHODOLOGY:
http://www.guideline.gov/content.aspx?id=37958&search=pap+smear
http://www.thennt.com/lr/aortic-dissection/
SITES CONTAINING RECOMMENDATIONS
SITES CONTAINING SYMPTOMS FEATURE
RESULTS
RESULTS
Organiz
ation
Naviga
tion
No Exce
ssive
Inform
ation
Summary
Option
Tutor
ials
Advance
d Sea
rchDeta
il
User Fr
iendly
Medica
l Layou
t
Disease
Likelih
ood
Sympto
ms View
er
Review
Option
Color C
odes
Recommen
datio
ns
Method
ology
Public
Access
Effect
ivene
ss of
Treatm
ent
0
1
2
3
4
5
6
7
8
9
10
8
9
5
7
2
4
8
9
8
5
3
7
1
8
5
7
8
Common Attributes Among Medical Guidelines
Variables of Quality
Tota
l Sco
re f
or E
ach
Inde
x
RESULTS
44.44%
33.33%
22.22%
Table 1: Characteristics of Sites
Contains guideline ar-ticlesContains symptoms fea-tureContains recommenda-tions based on lifestyle
HOPES FOR THE FUTURE
Yearof
Birth
M FChoose Language
Title of Web Page
Enter Symptoms
Age Related
Recommendations Get Enough Folic Acid
Learn why women your age need folic acid.
Get Tested For HIVGet tested for HIV at least once. You may need to get tested more often depending on your risk.
Get Your Well-Woman Visit Every Year
See a doctor or nurse for a checkup once a year.
Get Important ShotsGet important adult shots (vaccinations).
Get Your Blood Pressure Checked
Get your blood pressure checked at least once every 2 years.
Get Seasonal Flu ShotGet a flu shot every year to protect yourself and others from the flu.
WHY IS THIS IMPORTANT? Opportunity for MANY Preventing a breach in Autonomy of the four
basic moral principles of medical ethics Can serve a tool of preventative medicine
& WE’RE NOT
DONE YET
!!!!!!
EFFECT OF LAW REGULATIONS ON THE USE OF E-CIGARETTESFatima FaisalSumaiya SarawatDr. Michael Pesko, Ph.D.
WHAT ARE E-CIGARETTE’S E-cigarettes are vaporizers Run on lithium battery Smoke-free, tobacco free, but not nicotine-
free Not sure about the safety of these devices New Laws
WHAT IS OUT THERE There isn’t much research out there about e-
cigarettes and their affects because they just became popular, which is essentially why the laws regarding them have just recently been putting into affect
Some argue that it is safe while others say it is not
METHODOLOGY
WHAT I AM TRYING TO FIND… Effect e-cigarette age purchasing restrictions
at the state level have had on adolescent smoking rates at the state level and adolescent marijuana use rates at the state level as well.
ACKNOWLEDGEMENTS Dr. Tara F. Bishop Dr. Michael Pesko, Dr. Joseph Murray Dean Elizabeth Anstey Sahira Torres Program Assistants Guest Speakers
ANY QUESTIONS?
