En el interesante libro del Dr. Richard Bohmer titulado "Designing Care" se desarrolla un capítulo titulado "Evidence-Creating Medicine" , concepto interesante porque plantea que la actividad médica debe "aprender" de la práctica y expone ejemplos concretos de Instituciones de Estados Unidos. Aunque su exposición va de lo concreto a cambios en la organización este término y sus conceptos pueden ser básicos para una nueva actitud en la práctica clínica.

Dr. Richard Bohmer on his book "Designing Care" expose in a chapter the concept of "Evidence-Creating Medicine" as an attitude of generate new knowledge with the potential to reshape medical practice. He shows some particular examples that allows to change organizational aspects related to clinical practice.This concept is very attractive for future changes in Medicine

Se presenta la radiografía de un paciente oncológico recuperándose de una neutropenia. Después de un período afebril comienza con fiebre que obliga a nueva radiografia. Si miramos la toma PA es difícil ver patología, pero hay otra importante vista...la lateral

We present here the pulmonary PA X-ray from an oncological patient recovering from neutropenia after chemotherapy. After some days with normal temperature fever started again. If we look at the X-ray showed here it is difficult to find abnormal data, but we have a lack of information if we don,t search for the lateral view

A small lump at the eyelid usually is related with an infection of the meibomian glands. But sometimes important problems can have the origin here.
Un pequeño nódulo en el párpado se debe habitualmente a una infección de las glándulas de Meibomio. Pero a veces problemas importantes pueden pasar de largo si no se conocen.

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A fall during the stay in a hospital is not an uncommon accident. Many times there are not consequences but in other occasions an important harm is evident. Can we still see these problems as something very far from medical practice? What woul be our first reaction if a member of our family is involved? 
You can acces to a practical analysis in a presentation here