Users' Guides to the Medical Literature
Guyatt G, Rennie D, Meade MO, Cook DJ
Part D Diagnosis
Chapter 17.4. Clinical Prediction Rules
Thomas McGinn, Peter Wyer, Juan Wisnivesky, P. J. Devereaux, Ian Stiell, Scott Richardson, Gordon Guyatt
Clinical Scenario
Topics Discussed:
clinical prediction/decision rules, ottawa ankle rules, radiography of ankle
Excerpt:
"You are the medical director of a busy inner-city emergency department.
Faced with a limited budget and pressure to improve efficiency,
you have conducted an audit of radiologic procedures ordered for
minor trauma and have found that the rate of radiographs ordered
for ankle and knee trauma is high. You are aware of the Ottawa Ankle
Rules, which are guidelines that identify patients for
whom it is safe to omit ankle radiographs without adverse consequences
(Figure 17.4-1).1,2 In addition, you are aware
that only a small number of faculty and residents currently rely
on these guidelines to make quick frontline decisions in the emergency
department...."
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