Understanding health from a complex systems perspective.

abstract：RATIONALE, AIMS, AND OBJECTIVES:Measures of safety climate are increasingly used to guide safety improvement initiatives. However, cost and respondent burden may limit the use of safety climate surveys. The purpose of this study was to develop a 15- to 20-item safety climate survey based on the Patient Safety Climate i...

journal_title：Journal of evaluation in clinical practice

authors： Benzer JK,Meterko M,Singer SJ

更新日期：2017-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Little is known about the quality of occupational health care provided to National Health Service (NHS) staff. We designed the first national clinical audits of occupational health care in England. We chose to audit depression and back pain as health care workers have high levels of both ...

journal_title：Journal of evaluation in clinical practice

authors： Williams S,Rogers C,Peel P,Harvey SB,Henderson M,Madan I,Smedley J,Grant R

更新日期：2012-04-01 00:00:00

abstract：RATIONALE AND AIMS:Among the problems to the publicly funded national health services are the waiting lists. Patients who need elective surgery generally have long waiting times before treatment. We aimed to develop a new prioritization tool for primary hip and knee replacement. METHODS:Criteria were developed using a...

journal_title：Journal of evaluation in clinical practice

authors： Escobar A,Quintana JM,Bilbao A,Ibañez B,Arenaza JC,Gutiérrez L,Azkárate J,Güenaga JI,Vidaurreta I

更新日期：2007-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Malnutrition screening is essential to detect and to treat patients with stunting or wasting. The aim was to evaluate the subjective perception of frequency and assessment of malnutrition by health care professionals. RESEARCH METHODS AND PROCEDURES:In a paediatric university hospital, a...

journal_title：Journal of evaluation in clinical practice

authors： Restier L,Duclos A,Jarri L,Touzet S,Denis A,Occelli P,Kassai-Koupai B,Lachaux A,Loras-Duclaux I,Colin C,Peretti N

更新日期：2015-10-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Human brain connectome is a new and rapidly developing field in neuroscience. The pattern of structural and functional connectivity in the brain is not fixed but is continuously changing in response to experiences. Exploring these phenomena opens a powerful arsenal of analyses and comput...

journal_title：Journal of evaluation in clinical practice

authors： Popova F,Kovacheva A,Garov P,Sivkov S,Kandilarova S,Sirakov N,Stoeva M,Velkova KG

更新日期：2018-08-01 00:00:00

abstract：:Some of the weaknesses of the randomized controlled trial (RCT) are pointed out, among them unavoidable biases, the possibility of coming to erroneous conclusions by the 'luck of the draw' and the fact that most such experiments lack a doctor/patient relationship and are of little assistance in clinical decision makin...

journal_title：Journal of evaluation in clinical practice

authors： Herman J

更新日期：1997-08-01 00:00:00

abstract：INTRODUCTION:Recently, some leaders of the evidence-based medicine (EBM) movement drew attention to the "unintended" negative consequences associated with EBM. The term 'cognitive biases plus' was introduced in part I to encompass cognitive biases, conflicts of interests, fallacies and certain behaviours. HYPOTHESIS:'...

journal_title：Journal of evaluation in clinical practice

authors： Seshia SS,Makhinson M,Young GB

更新日期：2014-12-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Loss of situation awareness (SA) by health professionals during handover is a major threat to patient safety in perinatal care. SA refers to knowing what is going on around. Adequate handover communication and process may support situation assessment, a precursor of SA. This study describ...

journal_title：Journal of evaluation in clinical practice

authors： Poot EP,de Bruijne MC,Wouters MG,de Groot CJ,Wagner C

更新日期：2014-04-01 00:00:00

abstract：BACKGROUND:Unattended home sleep studies have been implemented to minimize the cost and delay in establishing obstructive sleep apnoea syndrome (OSAS) diagnosis and therapy. However, their accuracy and validity remain disputed. The purpose of our study is to assess their effectiveness (i.e. their technical reliability ...

journal_title：Journal of evaluation in clinical practice

authors： Domingo C,Vigil L

更新日期：2011-02-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Quantifying the impact of health care-associated infections (HAIs) on medical resource utilization is necessary for payers and providers to appropriately allocate limited resources for interventions. However, previous studies tend to involve single institutions and do not take into accoun...

journal_title：Journal of evaluation in clinical practice

authors： Lee J,Imanaka Y,Sekimoto M,Ishizaki T,Hayashida K,Ikai H,Tetsuya O

更新日期：2010-02-01 00:00:00

abstract：RATIONALE:Virtues are an important component in the practice of clinical medicine. Prudence or wisdom and charity or love are often viewed as crucial for virtuous practice. Generally, the two virtues are discussed separately, with no connection between them; however, a synergy exists between the two virtues as a compou...

journal_title：Journal of evaluation in clinical practice

authors： Marcum JA

更新日期：2011-10-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Focusing on the implementation of clinical practice guidelines (CPGs) for the management of adult cancers, the objectives of this study were to (a) describe the intrinsic elements known to influence CPG use; (b) identify the ways in which CPGs are implemented; and (c) explore how CPG cha...

journal_title：Journal of evaluation in clinical practice

authors： Urquhart R,Woodside H,Kendell C,Porter GA

更新日期：2019-08-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVE:Accrediting health care organizations against standards is a recognized safety and quality intervention. The credibility of an accreditation programme relies on surveying reliability. We investigated accreditation survey coordinators' perceptions of reliability issues and their continued r...

journal_title：Journal of evaluation in clinical practice

authors： Greenfield D,Hogden A,Hinchcliff R,Mumford V,Pawsey M,Debono D,Westbrook JI,Braithwaite J

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:Metaphors are central to the human understanding of complex issues; through the immediate associations they evoke and frame problems and suggest solutions. Our suggestion of Music in the Park as a metaphor for health systems reform brings to the forefront the environmentally diverse but bounded spaces of hea...

journal_title：Journal of evaluation in clinical practice

authors： Sturmberg JP,Martin CM,O'Halloran D

更新日期：2010-06-01 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

authors： Gunderman R

更新日期：1998-11-01 00:00:00

abstract：OBJECTIVES:The efficiency of a hospital's operating room (OR) management can affect its overall profitability. However, existing indicators that assess OR management efficiency do not take into account differences in hospital size, manpower and functional characteristics, thereby rendering them unsuitable for multi-ins...

journal_title：Journal of evaluation in clinical practice

authors： Tanaka M,Lee J,Ikai H,Imanaka Y

更新日期：2013-04-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Following increased interest in having inter-professional (IP) health care teams engage patients in decision making, we developed a conceptual model for an IP approach to shared decision making (SDM) in primary care. We assessed the validity of the model with stakeholders in Canada. METH...

journal_title：Journal of evaluation in clinical practice

authors： Légaré F,Stacey D,Gagnon S,Dunn S,Pluye P,Frosch D,Kryworuchko J,Elwyn G,Gagnon MP,Graham ID

更新日期：2011-08-01 00:00:00

abstract：:Sturmberg et al write about multimorbidity as "several diagnosable diseases within the same individual." They posit that this syndrome is the result of multiple interconnected disturbances reflecting scale-free, fractal signs of pathology ranging from biochemical/hormonal alterations at one end of a spectrum to commun...

journal_title：Journal of evaluation in clinical practice

authors： Cohn J

更新日期：2018-12-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Current meta-analysis was conducted aiming to assess the efficacy and safety of recombinant human interleukin-11 (rhIL-11) in the treatment of acute leukaemia (AL) patients with chemotherapy-induced thrombocytopenia (CIT). METHODS:We searched PubMed, Embase, Chinese National Knowledge I...

journal_title：Journal of evaluation in clinical practice

authors： Liu Z,Wang Y,Yan J,Liu J,Chen B,Zhang L,Cheng L

更新日期：2020-02-01 00:00:00

abstract：INTRODUCTION:The patient-centred medical home (PCMH) is an important part of health care reform. While there is hope, the PCMH model can facilitate the provision of higher quality care, the extent to which organizational climate within the PCMH supports the implementation of evidence-based practices (EBPs) is unknown. ...

journal_title：Journal of evaluation in clinical practice

authors： Sklar M,Hatch MR,Aarons GA

更新日期：2019-08-01 00:00:00

abstract：:In modern philosophy, the concept of truth has been problematized from different angles, yet in evidence-based health care (EBHC), it continues to operate hidden and almost undisputed through the linked concept of "bias." To prevent unwarranted relativism and make better inferences in clinical practice, clinicians may...

journal_title：Journal of evaluation in clinical practice

authors： Wieringa S,Engebretsen E,Heggen K,Greenhalgh T

更新日期：2018-10-01 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：BACKGROUND:Shared decision making (SDM) is very important from patients' perspective. This process has not yet been evaluated in Romania. The study aims to evaluate SDM from the patients' perspective and to evaluate patients' characteristics that associate with SDM. MATERIAL AND METHODS:A cross-sectional multicentric ...

journal_title：Journal of evaluation in clinical practice

authors： Baicus C,Balanescu P,Zeh S,Oprisan E,Lapadatu R,Gurghean A,Padureanu V,Rezus C,Mitu F,Jurcut R,Balanescu AR,Daha I,Balanescu E,Bojinca M,Pinte L,Constantin AM,Dima N,Floria M,Leon-Constantin MM,Roca M,Mitu M,Chi

更新日期：2019-12-01 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：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：:Experience of knowledge management initiatives in non-health care organizations can offer useful insights, and strategies, to implement evidence-based practice in health care. Knowledge management offers a structured process for the generation, storage, distribution and application of knowledge in organizations. This ...

journal_title：Journal of evaluation in clinical practice

authors： Sandars J,Heller R

更新日期：2006-06-01 00:00:00

abstract：RATIONALE, AIMS, AND OBJECTIVES:Local health administrators implemented chronic obstructive pulmonary disease and heart failure admission order sets to increase guideline adherence. We explored the impact of these order sets on workflows and guideline adherence in the internal medicine specialty in two Canadian teachin...

journal_title：Journal of evaluation in clinical practice

authors： Lander B,Balka E

更新日期：2019-06-01 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：INTRODUCTION:Several international studies have been conducted on student burnout. To contribute to the clinical examination as well as research on the mental health of students, the MBI-SS (Maslach Burnout Inventory-Student Survey) has been validated and used in different countries but not in French. OBJECTIVE:The ai...

journal_title：Journal of evaluation in clinical practice

authors： Faye-Dumanget C,Carré J,Le Borgne M,Boudoukha PAH

更新日期：2017-12-01 00:00:00

abstract：:It is common for primary care providers (PCPs) to manage complex multimorbidity. When caring for patients with multimorbidity, PCPs face challenges to tackle several issues within a short consultation in order to address patients' complex needs. Furthermore, some PCPs may lack access to a multidisciplinary team and ne...

journal_title：Journal of evaluation in clinical practice

authors： Ng CJ,Lee YK,Abdullah A,Abu Bakar AI,Tun Firzara AM,Tiew HW

更新日期：2019-12-01 00:00:00