TY - CHAP M1 - Book, Section TI - Clinical Prediction Rules A1 - McGinn, Thomas A1 - Wyer, Peter A1 - McCullagh, Lauren A1 - Wisnivesky, Juan A1 - Devereaux, PJ A1 - Stiell, Ian A1 - Richardson, W. Scott A1 - Agoritsas, Thomas A1 - Guyatt, Gordon A2 - Guyatt, Gordon A2 - Rennie, Drummond A2 - Meade, Maureen O. A2 - Cook, Deborah J. Y1 - 2015 N1 - T2 - Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed AB - CLINICAL SCENARIOYou 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 help identify patients for whom it is safe to omit ankle radiographs without adverse consequences (Figure 19.4-1).1,2 You are aware that only a small number of your institution's faculty and residents currently use the Ottawa Ankle Rules in the emergency department.You are interested in knowing the accuracy of the Ottawa Ankle Rules, whether they are applicable to the population of patients in your hospital, and whether you should implement them in your own practice. Furthermore, you wonder whether implementing these rules can change clinical behavior and reduce costs without compromising quality of care. You decide to consult the original medical literature and assess the evidence for yourself. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - jamaevidence.mhmedical.com/content.aspx?aid=1183877475 ER -