Abstract：
:The aim of this study was to determine whether a brief Internet-based education programme could improve physicians' abilities to manage pigmented skin lesions. A pre-test-post-test assessment was used of subjects' knowledge of skin cancer, confidence in their management abilities and actual ability to recommend appropriate treatment for 20 hypothetical patients with pigmented skin lesions. The setting was the general medicine service of an academic medical centre. Seventeen volunteer medical students, house officers and faculty members took part in the study. Following the pre-test, subjects completed a 1-hour computer-based educational programme, distributed via the Internet, presenting a guideline for recognizing and managing potentially malignant pigmented skin lesions. The guideline was based on the ABCD rule and the Glasgow seven-point checklist. The educational programme had a positive effect on the subjects' overall skin cancer knowledge and had significantly positive effects on their confidence and ability to apply the management guideline. Based on the guideline criteria, the subjects made the correct management decision on the clinical scenarios 63.2% of the time before the programme and 74.1% of the time after the programme (P = 0.002). We were able to teach melanoma management guidelines to physicians and medical students using a brief, interactive computer programme distributed via the Internet. Such an approach is more cost-effective than classroom teaching and could be used to improve the clinical skills of practising physicians to recognize and manage early melanomas. This approach to distributed learning could also be used to teach other clinical guidelines to physicians.
journal_name
J Eval Clin Practjournal_title
Journal of evaluation in clinical practiceauthors
Harris JM Jr,Salasche SJ,Harris RBdoi
10.1046/j.1365-2753.1999.00194.xsubject
Has Abstractpub_date
1999-05-01 00:00:00pages
199-211issue
2eissn
1356-1294issn
1365-2753journal_volume
5pub_type
杂志文章abstract：RATIONALE, AIMS AND OBJECTIVES:Surgical site infections are the most common healthcare-associated infections. Appropriate surgical antimicrobial prophylaxis (SAP), which is an integral part of surgical site infection SSI prevention, is one of the major preventable risks to surgical patient safety. Several clinical prac...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12658
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of protocol-based care on nursing roles, practice and service delivery. DESIGN:Case study evaluation informed by realistic evaluation methodology. Qualitative data collection methods were used including non-participant observation, post-observation interviews with nurses and patients, ...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2008.01015.x
更新日期：2008-10-01 00:00:00
abstract：:I discuss the lack of precision in the term 'clinical reasoning' and its relationship to evidence-based medicine and critical thinking. I examine critical thinking skills, their underemphasis in medical education and successful attempts to remediate them. Evidence-based medicine (and evidence-based psychiatry) offer m...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12324
更新日期：2015-06-01 00:00:00
abstract：RATIONALE, AIMS AND OBJECTIVES:It has been proposed that delivery should be accomplished within 30 minutes after diagnosis of fetal distress. The objective of this study was to determine the decision-to-delivery interval (DDI) in emergency caesarean delivery for non-reassuring fetal heart rate (FHR). METHODS:A total o...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12613
更新日期：2016-12-01 00:00:00
abstract：RATIONALE AND OBJECTIVES:Quality of life has emerged as a crucial concept for the assessment of health and the planning of health care. Desirable features for the evaluation of quality of life include comprehensiveness, self-ratedness, cultural sensitivity, practicality and psychometric soundness. An attempt to meet th...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2010.01609.x
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVES:Outcome of the first-trimester Down syndrome screening in younger population was less reported before. We present the outcome of this screening in Taiwanese women younger than 35 years old. We also test whether or not the first-trimester Down syndrome screening of women <35 years of age and women >35 years o...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2008.01095.x
更新日期：2009-10-01 00:00:00
abstract：RATIONALE, AIMS AND OBJECTIVES:Complex problems require strategies to engage diverse perspectives in a focused, flexible manner, yet few options exist that fit with the current health care and public health system constraints. The Complex Network Electronic Knowledge Translation Research model (CoNEKTR) brings together...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2010.01534.x
更新日期：2010-10-01 00:00:00
abstract：RATIONALE, AIMS AND OBJECTIVES:The extent to which best practice for falls prevention is being routinely delivered by health care providers for community-dwelling older adults is unclear. We investigated falls prevention practice among Hospital Admission Risk Programs (HARP) that provide and coordinate specialized heal...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12119
更新日期：2014-06-01 00:00:00
abstract：RATIONALE, AIM AND OBJECTIVE:As the prescribing of drugs in secondary care is known to influence prescribing in primary care and because an understanding of prescribers' reasoning is essential for evaluating prescribing appropriateness, the aim of this study was to investigate secondary care doctors' views of appropria...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2008.00963.x
更新日期：2009-02-01 00:00:00
abstract：RATIONALE, AIMS AND OBJECTIVES:Patients can play an important role in reducing health care harm. Finding strategies to encourage patients to take on an active role in issues related to the quality and safety of their care is therefore essential. The aim of this study was to examine patients' and health care professiona...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2011.01688.x
更新日期：2012-08-01 00:00:00
abstract：:There have been considerable political and organizational moves to involve 'consumers' (patients, carers, service users, potential users, local communities and the public at large) in the provision, planning and monitoring of health services. Such developments beg the question 'what constitutes good practice in user i...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2753.1996.tb00034.x
更新日期：1996-05-01 00:00:00
abstract：:Work on resilience in health and illness has been approached from a number of perspectives. These are the biological and psychosocial with a focus on the individual's responses to cope and adapt to changing circumstances wrought by changing physical health states. This we argue has a place but is far too narrow emphas...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12955
更新日期：2018-12-01 00:00:00
abstract：:Clinical guidelines are essential in promoting the implementation of evidence-based practice within the NHS. But there are two broad schools of thought about their development and implementation: the first argues that guidelines should be entirely evidence-based and tolerates a degree of complexity which may make the ...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.1998.tb00088.x
更新日期：1998-11-01 00:00:00
abstract：:Given the growing concern for the safety, cost and adequacy of blood supply, there is an increasing need for appropriate blood product utilization. Despite a number of consensus guidelines for the transfusion of allogeneic blood products, inappropriate blood transfusion continues. We discuss the quality assurance proc...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1046/j.1365-2753.1998.00010.x
更新日期：1998-05-01 00:00:00
abstract：RATIONALE, AIMS AND OBJECTIVES:Artificial intelligence and big data are more and more used in medicine, either in prevention, diagnosis or treatment, and are clearly modifying the way medicine is thought and practiced. Some authors argue that the use of artificial intelligence techniques to analyze big data would even ...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.13528
更新日期：2020-12-23 00:00:00
abstract：:Doctors often use theory to inform medical practice. The current bio-psycho-social model of health may be advanced still further with theoretical rigour. Traditional fields of thermodynamics and newer fields of non-linear dynamics including chaos theory and complex systems science can inform our understanding of the c...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2009.01227.x
更新日期：2009-08-01 00:00:00
abstract：:The aim was to determine whether there are differences among family physicians (FPs) and general practitioners (GPs) in terms of their preference for different classes of antihypertensives, either alone or in combinations, in uncomplicated cases of hypertension and to determine the extent of adherence to WHO/ISH guide...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1046/j.1365-2753.2002.00370.x
更新日期：2002-11-01 00:00:00
abstract：RATIONALE, AIMS, AND OBJECTIVES:Several studies have found that about half of research results from clinical trials are never published. Until now, there has been little information on the views that funding agencies of biomedical research in Europe have regarding this issue and its possible solutions. METHODS:An elec...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12692
更新日期：2018-02-01 00:00:00
abstract：:The objectives of this study were to present a short history of the Critical Care Research Network (CCR-Net), describe its approach to health services research and to summarize completed and current research projects. In doing this, we explored the question is this research network accomplishing its goals? We reviewed...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2753.2000.00214.x
更新日期：2000-02-01 00:00:00
abstract：:Outcomes assessment holds great promise to improve the quality and efficiency of health care. By subjecting practices to rigorous and systematic analysis, we should be in a position to make judgments about what does and does not work in clinical practice. However, the outcomes of outcomes assessment themselves should ...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.1998.tb00098.x
更新日期：1998-11-01 00:00:00
abstract：INTRODUCTION:Although patient safety has improved steadily, harm remains a substantial global challenge. Additionally, safety needs to be ensured not only in hospitals but also across the continuum of care. Better understanding of the complex cognitive factors influencing health care-related decisions and organizationa...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12847
更新日期：2018-02-01 00:00:00
abstract：AIMS AND OBJECTIVES:We report findings from a qualitative study to identify patient views of community hospital care. We consider how far these were in accord with the hospital staffs' views. This constituted part of a wider randomized controlled trial (RCT). The methodological challenges in seeking to identify patient...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1365-2753.2006.00653.x
更新日期：2007-02-01 00:00:00
abstract：OBJECTIVE:To use structured implicit review following large-scale explicit audit of antipsychotic polyprescribing to: (1) determine the true rate of antipsychotic polytherapy that deviated from best practice for schizophrenia treatment; and (2) assess whether explicit antipsychotic polytherapy criterion was appropriate...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2008.01084.x
更新日期：2009-08-01 00:00:00
abstract：:The use of process measures in the assessment of the quality of care has been neglected of late. The outcomes movement has gathered momentum and process measurement appears to have been left trailing in the wake. Yet process measures can be sensitive indicators of the quality of care and have many advantages over outc...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2753.1998.t01-1-00003.x
更新日期：1998-02-01 00:00:00
abstract：OBJECTIVES:The purpose of this study is to examine Electronic Health Record (EHR) adoption among Florida doctors who treat the elderly. This analysis contributes to the EHR adoption literature by determining if doctors who disproportionately treat the elderly differ from their counterparts with respect to the utilizati...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2009.01277.x
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:Trauma prevention starts with to find out the extent of the problem and who it affects. Insight into morbidity figures is therefore necessary. AIM:To explore sex differences in traumatology and secondary medical care utilization in primary care related to age and socio-economic status (SES). METHODS:Data w...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/j.1365-2753.2009.01172.x
更新日期：2010-08-01 00:00:00
abstract：:For over 30 years, "evidence-based" clinical guidelines remained entrenched in an oversimplified, design-based, framework for rating the strength of evidence supporting clinical recommendations. The approach frequently equated the rating of evidence with that of the recommendations themselves. "Grading Recommendations...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.13019
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVES:To assess the evidence for tai chi in reducing resting blood pressure (BP) in the elderly. METHODS:Databases were searched up to February 2009. All randomized clinical trials (RCTs) testing the effects of tai chi on resting BP in the elderly were considered. The selection of studies, data extraction and val...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2753.2009.01210.x
更新日期：2010-08-01 00:00:00
abstract：:In clinical medicine, a balance needs to be struck between reductionism (the view that a system can be fully understood in terms of its isolated parts) and holistic complexity appreciation (the view that the whole may not be discernible from knowledge of its parts). Reductionism, which currently is associated with ren...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1046/j.1365-2753.1999.00188.x
更新日期：1999-05-01 00:00:00
abstract：:A small percentage of emergency department (ED) visitors account for a disproportionate portion of ED visits. Little is known about their relationships with their primary care providers (PCPs). This study compares frequent and infrequent ED visitors' primary care utilization and perceptions of primary care access, con...
journal_title：Journal of evaluation in clinical practice
pub_type： 杂志文章
doi：10.1111/jep.12672
更新日期：2017-06-01 00:00:00
