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Sketchy EBM
เข้าร่วมเมื่อ 20 พ.ย. 2014
Sexual Abuse Awareness and Prevention – Sensitive Professional Practice Approaches
In this video we outline what constitutes sexual abuse, warning signs, ways we can empower, protect and help our patients feel safe.
Further resources:
www.cno.org/en/protect-public/preventing-harm/sexual-abuse-prevention/
www.crto.on.ca/pdf/PPG/Abuse.pdf
www.integration.samhsa.gov/clinical-practice/handbook-sensitivve-practices4healthcare.pdf
www.ohrc.on.ca/sites/default/files/policy%20on%20preventing%20sexual%20and%20gender-based%20harassment_2013_accessible_1.pdf
www.cpso.on.ca/admin/CPSO/media/Documents/physician/polices-and-guidance/policies/maintaining-appropriate-boundaries-preventing-sexual-abuse.pdf
www.cno.org/en/learn-about-standards-guidelines/magazines-newsletters/the-standard/may-2018/Sexual-abuse-Act-steps-up-patient-protection/
www.collegept.org/members/practice-advice/boundaries-and-sexual-abuse-faqs
www.health.harvard.edu/blog/trauma-informed-care-what-it-is-and-why-its-important-2018101613562
thischangedmypractice.com/aces-adverse-childhood-experiences/
trauma-informed.ca/trauma-informed-organizationssystems/organizational-self-assessment/
Further resources:
www.cno.org/en/protect-public/preventing-harm/sexual-abuse-prevention/
www.crto.on.ca/pdf/PPG/Abuse.pdf
www.integration.samhsa.gov/clinical-practice/handbook-sensitivve-practices4healthcare.pdf
www.ohrc.on.ca/sites/default/files/policy%20on%20preventing%20sexual%20and%20gender-based%20harassment_2013_accessible_1.pdf
www.cpso.on.ca/admin/CPSO/media/Documents/physician/polices-and-guidance/policies/maintaining-appropriate-boundaries-preventing-sexual-abuse.pdf
www.cno.org/en/learn-about-standards-guidelines/magazines-newsletters/the-standard/may-2018/Sexual-abuse-Act-steps-up-patient-protection/
www.collegept.org/members/practice-advice/boundaries-and-sexual-abuse-faqs
www.health.harvard.edu/blog/trauma-informed-care-what-it-is-and-why-its-important-2018101613562
thischangedmypractice.com/aces-adverse-childhood-experiences/
trauma-informed.ca/trauma-informed-organizationssystems/organizational-self-assessment/
มุมมอง: 2 819
วีดีโอ
COVID vaccination for children and consent
มุมมอง 8933 ปีที่แล้ว
In this short video, Dr. Anthony Crocco describes how consent is always obtained before vaccination.
UPDATED VIDEO AT: www.youtube.com/watch?v=BjWkZmpL1sM
มุมมอง 40K4 ปีที่แล้ว
Updated video at: th-cam.com/video/BjWkZmpL1sM/w-d-xo.html
Information transfer at care transitions
มุมมอง 3.3K5 ปีที่แล้ว
In this Sketchy video we review why information transfer at care transitions is important, what the terms mean and how this can be done safely every time.
Patient Identification
มุมมอง 42K6 ปีที่แล้ว
In this video we review proper patient identification, also known as client identification. Why is this important, what is acceptable and not acceptable, why two identifiers are required, and when are the riskiest times for patient identification.
Surgical Safety Data Reports
มุมมอง 1.2K6 ปีที่แล้ว
In this video we explain some of the nuances of surgical safety data reports. We review odds ratio, centile boxes, your data and more! Enjoy!
SBAR+ Communication Tool
มุมมอง 19K8 ปีที่แล้ว
In this video we discuss the SBAR communication tool that can help clinicians communicate better! Better communication = better care! Please evaluate at: www.surveyshare.com/s/AYACG7D Enjoy!
Ontario pay for performance - 90%
มุมมอง 1.9K8 ปีที่แล้ว
Please evaluate at: www.surveyshare.com/s/AYAEV4B Also see: www.sketchyebm.com In this video I explain how the Ontario government uses "90%" to decide if a mid to large ED is performing well. What do we have to do to beat this "90%"? Watch and find out!
Simple Regression (with minor error at 5:55 - residual line should be vertical!)
มุมมอง 36K8 ปีที่แล้ว
FYI: Minor error at 5:55 (the residual line should be VERTICAL!). Thanks @Alan! In this video we look at what is meant by regression analysis and specifically at simple linear regression and simple logistic regression. Enjoy!
Lost (to follow-up)
มุมมอง 18K9 ปีที่แล้ว
Evaluate at: www.surveyshare.com/s/AYAUE4A Please visit: www.sketchyebm.com In this video we review the concept of "lost to follow-up". What is the potential effect and what is attrition bias? Enjoy!
Four Horsemen (Discharge instructions)
มุมมอง 1.4K9 ปีที่แล้ว
Please evaluate at: www.surveyshare.com/s/AYA9EHC See: www.sketchyebm.com In this Eminence-based medicine video we discuss important discharge instructions!
N = 1 Studies
มุมมอง 17K9 ปีที่แล้ว
Please evaluate at: www.surveyshare.com/s/AYA9UGC See also: www.sketchyebm.com In this Sketchy EBM video we review the BEST RESEARCH METHODOLOGY EVER! The N = 1 study! Never heard of it? Well, it is almost never done, because of the logistical issues... but good to know about anyways... Enjoy!
Clinical Decision Instruments - Episode III (IMPACT ANALYSIS)
มุมมอง 3K9 ปีที่แล้ว
Please evaluate at: www.surveyshare.com/s/AYAMETC Please see website at: www.sketchyebm.com In this episode of Sketchy EBM we look at the final stage of development of clinical decision instruments - impact analysis. Why we do them and how they're done is explained. Enjoy!
Clinical Decision Instruments - Episode II (VALIDATION)
มุมมอง 3.6K9 ปีที่แล้ว
Please evaluate at: www.surveyshare.com/s/AYAMEMB Please see website at: www.sketchyebm.com In this episode we look at validation of clinical decision instruments. Why is this important? How are the done? What we should look at to make sure they're done well?
Clinical Decision Instruments - Episode I (DERIVATION)
มุมมอง 5K9 ปีที่แล้ว
Please evaluate at www.surveyshare.com/s/AYAKE9D Sketchy EBM is found at: www.sketchyebm.com In this episode we look at the process of deriving clinical decision instruments (CDIs). The major limitation of this type of research is discussed. Enjoy!
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this is incorrect... ALL noncompliant patients are excluded in per protocol, not just the ones from the experimental group
This is great information. Thank you
Isn't it sad that evidence-based medicine is ignored in favor of political will?
Perfect !!!!
Best ever !! Thank you
This helps with learn how to read some photos of Ariana grande
Thank you, i finally understood those terms for the first time.
Bro I am searching for "Electronic beam machining" and I got this video 😑
how can a lowst to follow up be bigger than the effect size? They are different kind of numbers.
Does lost to follow up harm the internal validity of a study? Does an intention to treat analysis correct this internal validity flaw?
It does impact the internal validity and ITT doesn't correct it but, rather, is the 'least worst' way of dealing with it. Researchers need to make a decision about what to do about non-compliance data and sometimes other techniques will be used that inadvertently (or intentionally!) distort the results...
Bro i clicked on this for electric Body Music /:
Sorry about that... in another universe I mix music...
@@sketchyebm3043 Okay
Is this the same as 'N = 1 Studies' and the commonly seen 'N-of-1 trials' in current journals? In the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence, N=1 is classified as Level One (N-of-1 trial with the patient you are raising the question about, or observational study with dramatic effect). Does this mean there is currently a higher chance of publication in journals? What are the prerequisites for its publication? For instance, does it require not only visual analysis but also statistical analysis? thanks
Great question - I have not seen an N=1 trial published, but have only heard of them used in the clinical environment to help with individual case decision-making... It uniqueness to the individual is it's greatest strength but would likely preclude any meaningful generalizability to a broader group.
How do you do that?
Is Intention to Treat becoming a "buzz word" in data science? A team in my analytics department at a large insurance company claimed they'd conducted an "ITT" study. After reading their paper, it was clear they had run a case-control analysis on observed data, not an ITT RCT. Maybe "Intent to Treat" sounds fancier?
Sorry to hear - hopefully it's not becoming a buzz word! In medical research it does imply sticking to a certain methodology.
nbme 20 hahaha
Epic Bacon man
You can't skip the Intro because the last paragraph includes the hypothesis, the outcomes, etc.!
that's a great point, and i would agree that the video does kind of gloss over it
EBM is well explained with illustration..lots of regards from chennai india
Great video! But why an intention-to-treat group is better than a per-protocol group in minimizing biases of protocol-violating subjects is asserted but not explained. On its face, the opposite would seem more likely. If half of the controls used the treatment and half of the treatment group didn't use the treatment, any efficacy of the treatment should be undetectable in the intention-to-treat groups but could be uncovered in the per-protocol group. No?
👉Y was it in per protocol, just 75% instead 100%, and the experimental group get 100%, wen it was the experimental group affected and 1 fall out from experimental group happened? Pls explain
This is a great channel! 5 videos in so far, huge help! Great work!
I am still confused how if we don't know the "satisfaction" (the outcome in this video) of the dropped out subjects? In this video, you explain like the researchers know about the dropped out subjects outcome. For example, 100 subjects in control group vs 100 subjects in experimental group are followed for survival after 5 years. If there are 10 dropped out subjects in experimental group and (for the sake of simplicity) the rest of them is alive, how should we calculate the survival rate of experimental group? PP analysis: 90/90 = 100% ITT analysis: 90/100? And how about if I study their mortality rate? PP analysis: 0/90 = 0% ITT analysis: 10/100 = 10% (we count the dropped out subjects as "failure") or 0/100 (because we only include the dropped out as they were randomized, without any outcome)? Thank you
You've asked an excellent question. ITT helps with non-compliance and directs us as what to do with the data that is generated with non-compliance. My examples illustrate how, depending on their data, ITT minimizes (but does not eliminate) the impact of non-compliance. Missing data is another problem altogether, which is a disaster because it really undermines the validity of the research. For this reason we often put (arbitrary) limits on how much data can go missing before we forfeit the results of the study. I hope this helps!
Excellent explanation. Thanks!
Great sketch and info! I am here from The University of Maryland School of Pharmacy with the MS in Medical Cannabis Science and Therapeutics program. So intrigued to be learning about this. I liked that you mentioned the risks as well. Thank you.
genius
I came here cuz I thought he was gonna talk about Electronic Body Music.
Is there a difference between evidence-based medicine and evidence-based practice?
Very good and clear explanation
Can you please make more videos on clinical trials concepts? Your explanation is super simple and comprehensive.
Extremely helpful. thankyou so much!
Thank you
What does this have to do with Electronic Body Music?!
Still not a straight answer
THANK YOU FOR THE VALUABLE INFORMATION. I HAVE A QUESTION REGARDING THE FIRST AND SECOND EXAMPLE. IN THE FIRST ONE 50% CHANCE OF GETTING A FATAL MI : IS THIS A 2 NNH NUMBER NEEDED TO HARM FOR THAT DRUG. OR IS THERE IS ANOTHER TERM ? IN EXAMPLE 2 IS THERE A TERM THAT DESCRIBES THE HIGH COST FOR A TREATMENT? . THANK YOU SO MUCH
BASED BASED BASED REEEEEEE
This helped ALOT for my assignment this wk thank u dr!!!!
Omg thank u so much dr
So helpful! Sketchy EBM you may get me through my doctoral program
wow! thanks for the great video!!!!!!!! :) I have to subscribe!!!!!!!!!!!!!!!!\( ̄︶ ̄*\) (づ ̄3 ̄)づ╭❤~ (○` 3′○ ) ༼ つ ◕_◕ ༽つ
are there specific names for the bias you mentioned in each example?