Non-linearity in clinical practice.

abstract：:Recent years have witnessed the rising star of evidence-based medicine (EBM) as an approach towards rationalizing clinical practice in the face of an exponentially growing body of knowledge. Along with it, however, a sense of unease is rising among practising doctors, as they feel that well-intentioned principles may ...

journal_title：Journal of evaluation in clinical practice

authors： Porta M

更新日期：2004-05-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Smoking during pregnancy can cause several maternal and neonatal health risks, yet a considerable number of pregnant women continue to smoke. The objectives of this study were to test the factorial structure, validity and reliability of the Dutch version of the Modified Reasons for Smokin...

journal_title：Journal of evaluation in clinical practice

authors： De Wilde KS,Tency I,Boudrez H,Temmerman M,Maes L,Clays E

更新日期：2016-06-01 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

authors： Boriboonhirunsarn D,Watananirun K,Sompagdee N

更新日期：2016-12-01 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

authors： Chou CY,Hsieh FJ,Cheong ML,Lee FK,She BQ,Tsai MS

更新日期：2009-10-01 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

authors： Day L,Trotter MJ,Hill KD,Haines TP,Thompson C

更新日期：2014-06-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Monash Watch (MW) aims to reduce potentially preventable hospitalisations in a cohort above a risk "threshold" identified by Health Links Chronic Care (HLCC) algorithms using personal, diagnostic, and service data. MW conducted regular patient monitoring through outbound phone calls usin...

journal_title：Journal of evaluation in clinical practice

authors： Martin C,Hinkley N,Stockman K,Campbell D

更新日期：2018-12-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Little attention has been given to perceptions of pharmacist availability and role in the community setting following policy changes. The Pakistani model is particularly interesting as it encompasses three different pharmacy practice licensure types with major differences in credentials,...

journal_title：Journal of evaluation in clinical practice

authors： Qadeer G,Amin MEK

更新日期：2020-04-22 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

authors： Wheeler A

更新日期：2009-08-01 00:00:00

abstract：:Hepatocellular carcinoma (HCC) is the commonest primary hepatic malignancy and the third most common cause of cancer-related death worldwide. Incidence remains highest in the developing world and is steadily increasing across the developed world. The majority of HCC occurs on a background of cirrhosis, principally cau...

journal_title：Journal of evaluation in clinical practice

authors： Patel M,Shariff MI,Ladep NG,Thillainayagam AV,Thomas HC,Khan SA,Taylor-Robinson SD

更新日期：2012-04-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:We aim to determine the prevalence of reconciliation errors (REs) at admission to surgery departments, report their potential clinical impact and analyse possible risk factors. METHODS:Prospective observational study was conducted for 8 months in a regional public hospital in Spain. The ...

journal_title：Journal of evaluation in clinical practice

authors： González-García L,Salmerón-García A,García-Lirola M,Moya-Roldán S,Belda-Rustarazo S,Cabeza-Barrera J

更新日期：2016-02-01 00:00:00

abstract：RATIONALE AND OBJECTIVES:The effect of the presence of pressure ulcers on burden of caregivers is unknown. We investigated the relationship between the state of pressure ulcers in vulnerable elderly patients and the burden on their informal caregivers. METHODS:This cross-sectional study enrolled 137 patients aged > or...

journal_title：Journal of evaluation in clinical practice

authors： Yamamoto Y,Hayashino Y,Higashi T,Matsui M,Yamazaki S,Takegami M,Miyachi Y,Fukuhara S

更新日期：2010-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Second-generation antipsychotic agents have varying propensities to cause weight gain, elevated lipid levels and associated long-term complications. This study evaluates the cost-effectiveness of four second-generation antipsychotic agents used in Canada for the treatment of schizophrenia...

journal_title：Journal of evaluation in clinical practice

authors： McIntyre RS,Cragin L,Sorensen S,Naci H,Baker T,Roussy JP

更新日期：2010-08-01 00:00:00

abstract：OBJECTIVE:Models for the structured delivery of care rely on organizational attributes of practice teams. The Survey of Organizational Attributes for Primary Care (SOAPC) is known to be a valid instrument to measure this aspect in the primary care setting. The aim of this study was to determine the validity of a transl...

journal_title：Journal of evaluation in clinical practice

authors： Ose D,Freund T,Kunz CU,Szecsenyi J,Natanzon I,Trieschmann J,Wensing M,Miksch A

更新日期：2010-12-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:This study aimed to apply the 'systems approach' to patient safety in order to identify causes for delays and errors in lung cancer diagnoses following an abnormal chest radiograph. METHODS:In the first part of this study, the systems approach to patient safety was comprehensively review...

journal_title：Journal of evaluation in clinical practice

authors： Bhaludin BN,Shelmerdine SC,Arora S,Senbanjo T,Parthipun A

更新日期：2014-08-01 00:00:00

abstract：:The final years of life present challenges for care. In middle-/high-income countries, the percentage of people of advanced age in the population is growing, and the dying process continues to become more complex and protracted. We propose that a new understanding of care, 'teleological care', be considered as an impo...

journal_title：Journal of evaluation in clinical practice

authors： Cellarius V,Upshur R

更新日期：2014-12-01 00:00:00

abstract：:In recent years there has been an explosion of interest in Artificial Intelligence (AI) both in health care and academic philosophy. This has been due mainly to the rise of effective machine learning and deep learning algorithms, together with increases in data collection and processing power, which have made rapid pr...

journal_title：Journal of evaluation in clinical practice

authors： Begley K,Begley C,Smith V

更新日期：2020-11-13 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

authors： Yeager VA,Menachemi N,Brooks RG

更新日期：2010-12-01 00:00:00

abstract：RATIONAL, AIMS, AND OBJECTIVES:Registries are a powerful tool to assess specific performance measurements and quality of care in acute coronary syndromes (ACSs). In Portugal, ProACS is a nationwide registry of ACS that has been active for the past 15 years, and our objective was to assess specific quality indicators fo...

journal_title：Journal of evaluation in clinical practice

authors： Timóteo AT,Mimoso J,ProACS Investigators.

更新日期：2018-04-01 00:00:00

abstract：:A previous study (Stanhope et al. 1998) established that staff in two obstetric units reported less than a quarter of designated incidents to the units' risk managers. A questionnaire was administered to 42 obstetricians and 156 midwives at the same two obstetric units, exploring the reasons for low rates of reporting...

journal_title：Journal of evaluation in clinical practice

authors： Vincent C,Stanhope N,Crowley-Murphy M

更新日期：1999-02-01 00:00:00

abstract：INTRODUCTION:Non-routine events (NREs) are atypical or unusual occurrences in a pre-defined process. Although some NREs in high-risk clinical settings have no adverse effects on patient care, others can potentially cause serious patient harm. A unified strategy for identifying and describing NREs in these domains will ...

journal_title：Journal of evaluation in clinical practice

authors： Alberto EC,Jagannath S,McCusker ME,Keller S,Marsic I,Sarcevic A,O'Connell KJ,Burd RS

更新日期：2020-08-16 00:00:00

abstract：:Nosology is the science of defining and classifying diseases. Meta-nosology is the study of how we do this, on what principles nosological practices are based, the quality of the resulting medical taxonomy, and primarily whether/how diseases can be defined better than they are now. In modern Western medicine, there ar...

journal_title：Journal of evaluation in clinical practice

authors： Livingstone-Banks J

更新日期：2018-10-01 00:00:00

abstract：:Statistical tests of heterogeneity and bias, in particular publication bias, are very popular in meta-analyses. These tests use statistical approaches whose limitations are often not recognized. Moreover, it is often implied with inappropriate confidence that these tests can provide reliable answers to questions that ...

journal_title：Journal of evaluation in clinical practice

authors： Ioannidis JP

更新日期：2008-10-01 00:00:00

abstract：:Most clinicians take for granted a simple, reductionist understanding of medical knowledge that is at odds with how they actually practice medicine; routine medical decisions incorporate more complicated kinds of information than most standard accounts of medical reasoning suggest. A better understanding of the struct...

journal_title：Journal of evaluation in clinical practice

authors： Henry SG

更新日期：2010-04-01 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

authors： Lee MS,Lee EN,Kim JI,Ernst E

更新日期：2010-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Predictors of intimate partner violence (IPV) include husband, wife and relational characteristics. However, we know little about the proximal, day-to-day triggering of abusive events. The purpose of the study was to analyse the daily temporal relationships among environmental, relational...

journal_title：Journal of evaluation in clinical practice

authors： Katerndahl D,Burge S,Ferrer R,Becho J,Wood R

更新日期：2014-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:We developed a novel Internet-based blended learning programme that allows busy health care professionals to attain core competency in clinical research. This study details the educational strategies and learning outcomes of the programme. METHOD:This study was conducted at Kyoto Univers...

journal_title：Journal of evaluation in clinical practice

authors： Tsugihashi Y,Kakudate N,Yokoyama Y,Yamamoto Y,Mishina H,Fukumori N,Nakamura F,Takegami M,Ohno S,Wakita T,Watanabe K,Yamaguchi T,Fukuhara S

更新日期：2013-04-01 00:00:00

abstract：OBJECTIVE:The obvious gap between evidence and practice in health care is unfavourable for patient care and requires the promotion of a scientific attitude among health care professionals. The aim of the present study was to determine the utilization of knowledge of and interest in research and development among primar...

journal_title：Journal of evaluation in clinical practice

authors： Morténius H,Marklund B,Palm L,Fridlund B,Baigi A

更新日期：2012-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Health-care professions have long been considered prone to work-related stress, yet recent research in Bulgaria indicates alarmingly high levels of burnout. Cloninger's inventory is used to analyse and evaluate correlation between personality characteristics and degree of burnout syndrome...

journal_title：Journal of evaluation in clinical practice

authors： Tilov B,Dimitrova D,Stoykova M,Tornjova B,Foreva G,Stoyanov D

更新日期：2012-12-01 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

authors： Sequeira RP,Jassim KA,Damanhori AH,Mathur VS

更新日期：2002-11-01 00:00:00

abstract：RATIONALE:Psychological factors are acknowledged to impact on pregnancy, birth, neonatal outcomes and maternal mental health. The importance of psychological well-being is now recognized within maternity care and UK maternity policy advocates choice and control, equating this to increased quality of experience and impr...

journal_title：Journal of evaluation in clinical practice

authors： Jomeen J,Martin CR

更新日期：2008-06-01 00:00:00