MedMalRx.com
Your prescription in determining the standards of care and
clinical guidelines applicable to your cases


Medical standards of care and clinical practice guidelines are established by a consensus of
health care professionals as diagnostic and therapeutic actions or behaviors that are considered
the most favorable in affecting the patient’s health outcome.


The Internet offers a wide variety of expert consensus and
evidence-based standards and guidelines, which provide
insight, on a national level, to a broad scope of medical practice.  
Additionally, standards of care are established through, state
and federal regulations, institutional policy & procedures, expert
witnesses and literature.
MEDICAL STANDARDS & GUIDELINES  ««

Evidenced-Based Medical Resource Center - clinical practice guidelines, all specialties

American College of Rheumatology - treatments & guidelines

American Academy of Otolaryngology  - head and neck surgery - physician resources

American Diabetes Association - clinical practice recommendations

The Endocrine Society - website

National Heart, Lung, and Blood Institute - clinical practice guidelines

American Association of Clinical Endocrinologists - medical guidelines for clinical practice

American Association of Neurological Surgeons - clinical practice guidelines

The Internet Stroke Center - comprehensive professional  guidelines & consensus statements

The American Geriatrics Society - guidelines & position statements

American Society of Anesthesiologists - practice guidelines, standards, & statements

GASNet - anesthesia point of care

Society of Critical Care Medicine - guidelines & practice parameters

American College of Chest Physicians - clinical practice guidelines

Association of Emergency Physicians - policy & position statements

American College of Emergency Physicians - clinical policies

Family Practice Notebook - a family medicine resource -all specialties

American College of Cardiology - clinical statements & guidelines

Cardiosource - Amercian College of Cardiology  website to guidelines by topic

Antithrombotic and Thrombolytic Therapy: evidence-based guidelines - American College of Chest
Physicians-2004

AHA/ASA Guidelines for Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack

Clot Care   anticoagulant guidelines

European Society of Cardiology - guidelines

The Society for Cardiovascular Angiography and Interventions - guidelines

Society for Vascular Ultrasound - position statements and guidelines

American Thoracic Society - scientific statements and practice guidelines

American Association of Respiratory Care - clinical practice guidelines

American College of Physicians - clinical guidelines

Society of Hospital Medicine - hospital intensivists/hospitalist clinical pathways

American Urological Association - clinical guidelines

National Kidney Foundation - clinical practice guidelines

American Psychiatric Association - practice guidelines

American Society of Therapeutic Radiology and Oncology - clinical practice tools

American Society of Clinical Oncology - clinical guidelines

Association for Professionals in Infection Control and Epidemiology - guidelines

Infectious Disease Society of America
standards,practice guidelines, and statements developed and/or endorsed by IDSA

Society of Interventional Radiology - clinical practice guidelines

American College of Radiology - appropriateness criteria, diagnostic testing

CSI - best clinical practices  - over 50 current clinical guidelines

Wheeless' Orthopaedics - Duke University orthopedic surgery online medical textbook

Spine Universe - back pain, pathology & treatment

Spinal Cord Injury Information Network - website

Paralyzed Veterans of America - clinical guidelines

ChrioWeb.com - chiropractic care

American Academy of Physical Medicine and Rehabilitation - clinical practice issues

Reflex Sympathetic Dystrophy / Complex Regional Pain Syndrome (RSD/CRPS) - clinical guidelines

College of American Pathologists - practice resources, laboratory standards

American Gastroenterological Association - medical position statements

The Society for Surgery of the Alimentary Tract -  guidelines

American Association for the Study of Liver Disease - guidelines

American College of Obstetricians and Gynecologists - website

Diseases of the Breast - guidelines, reviews, position statements, recommendations, standards

American Academy of Pediatrics - policies & clinical practice guidelines

North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition - position statement

Pediatrics on the Internet - pediatric health from A-Z

Neonatology - guidelines

Air and Cruise Ship Travel Guidelines/Statements
Medical Guidelines for Airline travel-Aerospace Medical Association

Federal Aviation Administration - Medical Topics

International Council of Cruise Lines - Medical Facilities

Health Care Guidelines for Cruise Ship Medical Facilities- ACEP - sorry, no longer available on line
INSTITUTIONAL / GOVERNMENT STANDARDS & GUIDELINES  ««

National Guideline Clearinghouse - news, advisories, & clinical guidelines

National Institute of Neurological Disorders and Stroke - brain & nervous system disorders

National Library of Medicine - worlds largest medical library

National Comprehensive Cancer Network - clinical practice guidelines: detection and treatment

American Cancer Society Guidelines for Cancer Prevention and Early Detection

Center for Disease Control (CDC) - US government health information on disease,injury, & disability

Agency for Healthcare Research and Quality - agency for healthcare research & quality

National Institute of Health - primary Federal agency for conducting and supporting medical research

Medline Plus - authoritative information from NLM, the National Institutes of Health (NIH), and other    
government agencies and health-related organizations.

National Library of Medicine (NLM) Health Services/Technology Assessment

National Eye Institute - website

National Institute of Arthritis and Musculoskeletal and Skin Diseases - health topics

National Institute of Dental and Craniofacial Research - diseases & conditions

National Institute of Diabetes & Digestive & Kidney Diseases  - health topics

National Kindey Foundation K/DOQI Guidelines - clinical practice guidelines

National Kidney and Urological Diseases Information Clearinghouse - website

Pain and the Law - clinical guidelines

Veterans Administration: Office of Quality & Performance -  VA clinical guidelines

Federal Drug Administration - US food & drug administration

FDA Drug Information Pathfinder -  division of drug information - comprehensive search

Manufacturer and User Facility Device Experience Database  -  products database (FDA)

American Academy of Physician Assistants - practice issues

Ontario Guideline Advisory Committee - recommended clinical guidelines, all specialties

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - setting the standards of care

JCAHO National Patient Safety
JCAHO Sentinel Events - Policy & Procedure
JCAHO Sentinel Events - Alerts
JCAHO Public Policy
JCAHO is considered the gold standard for
quality and safety in today's healthcare
Accreditation is the process by which a recognized organization
assesses and acknowledges that a health care organization
meets applicable
pre-determined and published standards of
care
. These standards are  regarded as optimal and achievable,
and are designed to encourage continuous quality of care within
accredited organizations.
Accreditation is voluntary; however,  accreditation by a nationally
recognized agency qualifies the health care organization in meeting the federal
standards with the Conditions of Participation in receiving Medicare and Medicaid
payments
. JCAHO have been deemed as meeting the federal Conditions of Participation
for the Medicare and Medicaid programs. Therefore, organizations that achieve
JCAHO
certification
are  not subject to Medicare’s survey.

Vigilance: The Essence of Nursing
NURSING STANDARDS & GUIDELINES  ««

National Council of State Boards of Nursing - nursing boards of regulation

American Academy of Nurse Practioners - publications, position statements

John Hartford Institute for Geriatric Nursing  - news,research, resources

American Association of Critical Care Nurses - clinical issues in advance practice

AACN_Progressive care/telemetry - practice resources

Association of PeriOperative Registered Nurses - news, practice,policy

Emergency Nurses Association - position statements

National Flight Nurses Association - position papers

American Association of Nurse Anesthetists - scope & standards of practice

Wound, Ostomy & Continence Nurses Society - position statements

Online Journal of Issues in Nursing - current topics in nursing practice

NurseLinx - news, nursing articles all specialties

Nursing calculators - medication dosage, IV rates, etc.

Health Canada - clinical practice guidelines for nurses in primary care, excellent resource

Clinical Guidance for the  assessment and implementation of bed rails in Hosptials,Long term care
facilities and home care settings - .pdf report

Clinical practice guideline for the assessment and prevention of falls in older people - summary

National Pressure Ulcer Advisory Panel - gold standards in pressure ulcer prevention &
management

American Nephrology Nurses' Association - position statements

The Licensed Practical Nurse Workforce - practice, work, demand for, and/or efficient utilization of
the licensed practical nurse

Unlicensed Assistive Personnel - ANA  position statement on nursing assistants, technicians, etc.
State Boards of Nursing must ensure that bedside
RNs and LPNs, nurse managers, hospital and long
term care executives have a common and accurate
understanding of the scopes of practice of RNs and
LPNs. Employers should clarify for their employees
the differences between State scopes of practice
and individual institutional policy.
The Licensed Practical Nurse Workforce
An estimated 30 percent of acute care patients
and 20 percent of chronically ill patients receive
care that is contraindicated.
National Quality Forum
PATIENT SAFETY  ««

Joint Commission International Center for Patient Safety

Institute for Safe Medication Practices

Institute for Healthcare Improvement

FDA - Patienty Safety News

Anesthesia Patient Safety Foundation

AHRQ - Patient Safety Network

Agency of Healthcare Research and Quality

National VA Center for Patient Safety

National Patient Safety Group

The Leapfrog Group
The Poor State of HealthCare Quality in the U.S.: is
Malpractice Liability Part of the Problem or Part of
the Solution?
Building on research, such as the Harvard Medical
Practice study, the author argues that malpractice
exposure likely decreases the risk of harm to patients
and that the real debate should focus on poorly
aligned incentives to providers who fail to promote
safety and quality in patient care.
Making Patient Safety the Centerpiece of
Medical Liability Reform

New England Journal of Medicine
Hillary Rodham Clinton, and Barack Obama
SEARCH  ««

Merck Medicus  - comprehensive medical resource

MedScape - comprehensive news, resource, medical education

Medical Board State Directories - research MD license, state medical borad regulations

Amedco  - medical literature guide, journal - article subject search

Google Scholar - search for specific  scholarly literature or search by author

Medical Journals from around the World - free

Law Firm Directory - Law Firm Directory and Attorney Search includes nurse consultants

eICD9.com  - medical procedure and diagnostic code reference

Pub Med - the ultimate database of biomedical references

E Medicine - up to date articles from MD authors in all medical specialties

Medical Abbreviations - understanding medical acronyms

Acronym Finder - comprehensive dictionary of acronyms,abbreviations, and initialisms

Health Pages - search  national database of over 500,000 physicians

Oncolink - understanding cancer types, symptoms, diagnosis & appropriate treatments

Cancer Control Planet - comprehensive cancer resources

Factfind - US public records, State and County

isearchlegal - legal search

HIPAA Guidelines -  Federal protection for the privacy of personal health information
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The links below, when ever possible, will lead directly to the
pertinent sections on standards, guidelines, or position
statements.
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MISCELLANEOUS ««

Lab Tests Online - understanding laboratory testing

Clinical Laboratory Improvement Amendments (CLIA) - regulations & laws

CDC:Division of Laboratory Systems - laboratory guidelines and standards

Health Hippo - a collection of health care policy and regulatory materials

American Health Care Association - advocating quality in long term care

Perfusion Technology - guidelines & protocols

MedCalc - clinical calculations

Multi-Drug interaction checker - input different drugs to elicit potential interactions

US Pharmacopeia - establishes public standards in assuring quality medicines, dietary
supplements, and related products

Global RPh.com - comprehensive drug therapy guidelines

RxList - quick and easy drug lookup

National Academies Press - 1000's of "read on-line" free books on health care and health care
policy

Journal of the American Physical Therapy Association - professional resources

Medical Illustrations - worldwide comprehensive reference site

Ed's Pathology Notes - a bit wacky but educational on pathology issues

CDC National Center for Health Statistics - health statistics information about America's health