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Step therapy, also called step protocol or a fail first requirement, is a managed care approach to prescription. It is a type of prior authorization requirement that is intended to control the costs and risks posed by prescription drugs. The practice begins medication for a medical condition with the most cost-effective drug therapy and ...
Critical incident debriefing is a widespread approach to counseling those in a state of crisis. This technique is done in a group setting 24–72 hours after the event occurred, and is typically a one-time meeting that lasts 3–4 hours, but can be done over numerous sessions if needed.
ICU quality and management tools. The intensive care unit (ICU) is one of the major components of the current health care system. The advances in supportive care and monitoring resulted in significant improvements in the care of surgical and clinical patients. Nowadays aggressive surgical therapies as well as transplantation are made safer by ...
A clinical pathway is a multidisciplinary management tool based on evidence-based practice for a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimized and sequenced either by hour (ED), day (acute care) or visit (homecare).
Critical incident stress management (CISM) was a controversial process of psychological first aid which focused solely on an immediate and identifiable problem. It included pre-incident preparedness and acute crisis management through post-crisis follow-up. The purpose of CISM is to decrease the likelihood of post-traumatic stress disorder ...
[196] [197] A study assessing an online version of CBT for people with mild-to-moderate PTSD found that the online approach was as effective as, and cheaper than, the same therapy given face-to-face. [ 198 ] [ 199 ] A 2021 Cochrane review assessed the provision of CBT in an Internet-based format found similar beneficial effects for Internet ...
Intensive care medicine, also called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. [1] It includes providing life support, invasive monitoring techniques, resuscitation, and end-of-life care. [2]
Peter J. Pronovost[2] (born February 22, 1965) is Chief Quality and Transformation Officer at University Hospitals Cleveland Medical Center, the main affiliate of the Case Western Reserve University School of Medicine. He previously served as an intensive care physician and director of the Armstrong Institute for Patient Safety at the Johns ...