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The intervention includes education, audit and feedback regarding appropriateness of therapy, and automated electronic reminders regarding appropriate choice and duration of therapy.
However, the use of EPM on a global scale may lead to an array of questions regarding appropriateness and effectiveness of this procedure in different cultural contexts.
Objectives. To assess 1) parental opinion regarding appropriateness of triage, 2) utilization outcomes, and 3) the frequency of underreferral with subsequent hospitalization for children triaged by nurses at pediatric call centers.
Decisions regarding appropriateness were made separately by two of the authors (GD and validated by BS).
Tanner staging by physical examination by a qualified clinician can raise practical issues regarding appropriateness and convenience.
To achieve the secondary objective regarding appropriateness of quinolone prescribing, we undertook a chart review in primary care physician offices.
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In addition, our review found that conclusions regarding decision appropriateness differ depending on how appropriateness is assessed: in comparison to guidelines, studies using other methods potentially overestimate decision appropriateness.
Nearly all surgeons or nurse practitioners agreed that primary care was not the appropriate place (7 of 8) because questions regarding the appropriateness of surgery could not be reliably answered in that setting.
Dr. Miller emphasized that the CDS should be part of the Computerized Physician Order Entry (CPOE) systems, so when a referring physician orders a test, instant feedback regarding the appropriateness is provided and the alternatives are suggested if a test demonstrates low appropriateness.
The RAND® / University of California at Los Angeles (UCLA) appropriateness method is developed to combine scientific evidence with the collective judgment of experts to yield a statement regarding the appropriateness of performing a procedure at the level of patient-specific symptoms, medical history and test results [ 21].
For validation purposes, experts evaluated the test items regarding their appropriateness and relevance for accounting lessons.
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