当前位置： SCI文献检索 > JOURNAL OF EVALUATION IN CLINICAL PRACTICE期刊下所有文献 > Practice guideline adherence and health care outcomes--use of prophylactic antibiotics during surgery in Taiwan.

Practice guideline adherence and health care outcomes--use of prophylactic antibiotics during surgery in Taiwan.

Abstract：

RATIONALE, AIMS AND OBJECTIVES:To evaluate adherence to guidelines for prophylactic antibiotic use in total knee replacement (TKR) and total hip replacement (THR) procedures and to examine the associations between guideline adherence and health care outcomes. METHODS:Using nationwide health insurance claims data, all adult inpatients undergoing TKR or THR procedures at teaching hospitals from 2002 to 2006, were included. Guideline adherence rates were assessed every year according to the national guidelines introduced in 2004. Multiple regression analyses with generalized estimating equations models were used to examine the relationships between the deliberate variables. RESULTS:The guideline adherence rates stably increased from 14.07% in 2002 to 28.34% in 2006. The 2006 dataset included 12 863 observations. The results revealed that guideline adherence was negatively associated with length of stay and health care expenses with beta = -0.0207 and -0.0087, respectively (P < 0.0001). The 30-day readmission rate was 1.54% among the patients seen in 2006, and it was significantly different between the two groups, with 0.90% of the adherence group and 1.82% of the non-adherence group being readmitted (P = 0.0002). CONCLUSIONS:The guideline adherence for prophylactic use of antibiotics is improving in Taiwan and is associated with a shorter length of stay, fewer medical expenses and lower 30-day readmission rates. Promoting evidence-based practice guidelines may be beneficial to patients and health care providers.

journal_name

J Eval Clin Pract

journal_title

Journal of evaluation in clinical practice

authors

Hsu C,Cheng SH

doi

10.1111/j.1365-2753.2009.01182.x

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1091-6

issue

6

eissn

1356-1294

issn

1365-2753

pii

JEP1182

journal_volume

15

pub_type

杂志文章

相关文献

JOURNAL OF EVALUATION IN CLINICAL PRACTICE文献大全
  • Selective prevention of cardiometabolic diseases in general practice: attitudes and working methods of male and female general practitioners before and after the introduction of the Prevention Consultation guideline in the Netherlands.

    abstract：RATIONALE, AIMS AND OBJECTIVES:In 2011 the module cardiometabolic risk of the Prevention Consultation guideline was introduced in the Netherlands in order to prevent cardiometabolic diseases. We aimed to compare attitudes and working methods of Dutch general practitioners (GPs) towards selective prevention of cardiomet...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12179

    authors： Vos HM,Van Delft DH,De Kleijn MJ,Nielen MM,Schellevis FG,Lagro-Janssen AL

    更新日期：2014-08-01 00:00:00

  • An interactive education session and follow-up support as a strategy to improve clinicians' goal-writing skills: a randomized controlled trial.

    abstract：BACKGROUND:Recent research indicates that allied health clinicians have difficulty articulating client needs and priorities into specific and measurable goals. As a result, a number of strategies to facilitate improvement in allied health clinicians' goal-setting skills have been recommended in the literature. In order...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1365-2753.2008.01104.x

    authors： Marsland E,Bowman J

    更新日期：2010-02-01 00:00:00

  • Comparison of the metabolic and economic consequences of long-term treatment of schizophrenia using ziprasidone, olanzapine, quetiapine and risperidone in Canada: a cost-effectiveness analysis.

    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

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2009.01189.x

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

    更新日期：2010-08-01 00:00:00

  • Keeping vulnerable elderly patients free from pressure ulcer is associated with high caregiver burden in informal caregivers.

    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

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2009.01171.x

    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

  • Clinical pharmacist home visits and 30-day readmissions in Medicare Advantage beneficiaries.

    abstract：RATIONALE, AIMS & OBJECTIVES:A variety of transition of care interventions has been evaluated to date to reduce readmissions. No studies evaluated effectiveness of clinical pharmacist's home-visits to recently discharged Medicare Advantage patients with the goal of preventing subsequent readmissions and urgent care use...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12495

    authors： Shcherbakova N,Tereso G

    更新日期：2016-06-01 00:00:00

  • Delays and errors in abnormal chest radiograph follow-up: a systems approach to promoting patient safety in radiology.

    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

    pub_type： 杂志文章

    doi：10.1111/jep.12178

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

    更新日期：2014-08-01 00:00:00

  • Patients' and health care professionals' attitudes towards the PINK patient safety video.

    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

    authors： Davis RE,Pinto A,Sevdalis N,Vincent C,Massey R,Darzi A

    更新日期：2012-08-01 00:00:00

  • Effects of occupational violence on Australian general practitioners' provision of home visits and after-hours care: a cross-sectional study.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Occupational violence is increasingly recognized as a problem in general practice, and has been suggested as adversely affecting general practitioners' (GPs) provision of services to patients. The aim of this study was to investigate the association of experiences of violence and percepti...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2007.00864.x

    authors： Magin PJ,Adams J,Sibbritt DW,Joy E,Ireland MC

    更新日期：2008-04-01 00:00:00

  • Introducing the Learning Practice--III. Leadership, empowerment, protected time and reflective practice as core contextual conditions.

    abstract：RATIONALE, AIMS AND OBJECTIVES:This paper is the third of three related papers exploring the ways in which the principles of Learning Organizations (LOs) could be applied in Primary Care settings at the point of service delivery. METHODS:Here we provide a systematic literature review of contextual factors that either ...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,评审

    doi：10.1111/j.1365-2753.2004.00466.x

    authors： Rushmer R,Kelly D,Lough M,Wilkinson JE,Davies HT

    更新日期：2004-08-01 00:00:00

  • Gating the holes in the Swiss cheese (part I): Expanding professor Reason's model for patient safety.

    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

    authors： Seshia SS,Bryan Young G,Makhinson M,Smith PA,Stobart K,Croskerry P

    更新日期：2018-02-01 00:00:00

  • Accuracy of administrative coding in identifying hip and knee primary replacements and revisions.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Hospital discharge notes can be used to identify rates of revisions in hip and knee arthroplasty surgeries if such administrative codes are accurate. In order to trust the data taken from the hospital discharge abstracts it is important to assess their reliability. The purpose of this stu...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1365-2753.2010.01622.x

    authors： Daneshvar P,Forster AJ,Dervin GF

    更新日期：2012-06-01 00:00:00

  • Risk-adjusted increases in medical resource utilization associated with health care-associated infections in gastrectomy patients.

    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

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1365-2753.2009.01121.x

    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

  • The patient safety climate in healthcare organizations (PSCHO) survey: Short-form development.

    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

    pub_type： 杂志文章

    doi：10.1111/jep.12731

    authors： Benzer JK,Meterko M,Singer SJ

    更新日期：2017-08-01 00:00:00

  • The role of prudent love in the practice of clinical medicine.

    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

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2011.01719.x

    authors： Marcum JA

    更新日期：2011-10-01 00:00:00

  • Continuous training as a key to increase the accuracy of administrative data.

    abstract：:The aim of this study was to evaluate the impact of a program of training, education and awareness on the accuracy of the data collected from hospital discharge abstracts. Four random samples of hospital discharge abstracts relating to four different periods were studied. The evaluation of the impact of systematic tra...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1046/j.1365-2753.2000.00265.x

    authors： Lorenzoni L,Da Cas R,Aparo UL

    更新日期：2000-11-01 00:00:00

  • Therapist self-disclosure and the problem of shared-decision making.

    abstract：:Therapist self-disclosure is one of the most controversial topics in the history of psychotherapy. The controversies reflect some basic discussions regarding the nature of psychotherapy practice. In psychotherapy practice, a particular concern is the interaction between the psychotherapist and the patient. The expert-...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.13289

    authors： Berg H,Bjornestad J,Våpenstad EV,Davidson L,Binder PE

    更新日期：2020-04-01 00:00:00

  • The Multicultural Quality of Life Index: presentation and validation.

    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

    authors： Mezzich JE,Cohen NL,Ruiperez MA,Banzato CE,Zapata-Vega MI

    更新日期：2011-04-01 00:00:00

  • From MARS to MAGIC: The remarkable journey through time and space of the Grading of Recommendations Assessment, Development and Evaluation initiative.

    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

    authors： Wyer PC

    更新日期：2018-10-01 00:00:00

  • Importance of the type of provider seen to begin health care for a new episode low back pain: associations with future utilization and costs.

    abstract：RATIONALE, AIMS AND OBJECTIVE:Low back pain (LBP) care can involve many providers. The provider chosen for entry into care may predict future health care utilization and costs. The objective of this study was to explore associations between entry settings and future LBP-related utilization and costs. METHODS:A retrosp...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12464

    authors： Fritz JM,Kim J,Dorius J

    更新日期：2016-04-01 00:00:00

  • Sublingual or subcutaneous immunotherapy for seasonal allergic rhinitis: an indirect analysis of efficacy, safety and cost.

    abstract：RATIONALE, AIMS AND OBJECTIVES:The standard of preventive care for poorly controlled seasonal allergic rhinitis (AR) is subcutaneous immunotherapy (SCIT) with allergen extracts, administered in a physician's office. As an alternative to SCIT, sublingual immunotherapy (SLIT) is now an option for patients with seasonal A...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,评审

    doi：10.1111/jep.12112

    authors： Dranitsaris G,Ellis AK

    更新日期：2014-06-01 00:00:00

  • Individualized care scale - nurse version: a Finnish validation study.

    abstract：RATIONALE:Nurses' work is inextricably linked to the evaluation of the quality of care provision in health care. Within this evaluation, individualized care is a topical theme in western countries. Currently, there is no suitable instrument to measure the level of individualized care from the nurses' point of view. AI...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1365-2753.2009.01168.x

    authors： Suhonen R,Gustafsson ML,Katajisto J,Välimäki M,Leino-Kilpi H

    更新日期：2010-02-01 00:00:00

  • Assessment of quality performance measures in patients with acute coronary syndromes: Data from the Portuguese Registry of Acute Coronary Syndromes (ProACS), a nationwide registry.

    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

    pub_type： 杂志文章,多中心研究

    doi：10.1111/jep.12881

    authors： Timóteo AT,Mimoso J,ProACS Investigators.

    更新日期：2018-04-01 00:00:00

  • Thiele massage as a therapeutic option for women with chronic pelvic pain caused by tenderness of pelvic floor muscles.

    abstract：AIMS AND OBJECTIVES:Musculoskeletal system has been found to be involved in genesis and perpetuation of chronic pelvic pain (CPP) and has strong evidences that up to 80% of women with CPP present dysfunction of the musculoskeletal system. In this study, we report a series of women with CPP caused by tenderness of pelvi...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2009.01202.x

    authors： Montenegro ML,Mateus-Vasconcelos EC,Candido dos Reis FJ,Rosa e Silva JC,Nogueira AA,Poli Neto OB

    更新日期：2010-10-01 00:00:00

  • Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.

    abstract：RATIONALE, AIMS AND OBJECTIVES:Wristbands are essential for accurate patient identification. Some evidence suggests that missing wristbands is not an infrequent occurrence in acute hospitals. The National Patient Safety Agency (NPSA) has developed guidance on patient identification for hospitals in England and Wales. H...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2008.01004.x

    authors： Sevdalis N,Norris B,Ranger C,Bothwell S,Wristband Project Team.

    更新日期：2009-04-01 00:00:00

  • User involvement in clinical audit: a review of developments and issues of good practice.

    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

    authors： Kelson M

    更新日期：1996-05-01 00:00:00

  • Structuring student learning in the primary care setting: where is the evidence?

    abstract：:Over the past two decades, the majority of medical schools in the USA have embarked upon curricular initiatives to enhance the teaching of ambulatory or office-based primary care. Identifying characteristics of these primary care experiences that make for the most effective learning is a top priority in medical educat...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章,评审

    doi：10.1046/j.1365-2753.2001.00288.x

    authors： Kurth RJ,Irigoyen MM,Schmidt HJ

    更新日期：2001-08-01 00:00:00

  • Values-based practice and phenomenological psychopathology: implications of existential changes in depression.

    abstract：:Values-based practice (VBP), developed as a partner theory to evidence-based medicine (EBM), takes into explicit consideration patients' and clinicians' values, preferences, concerns and expectations during the clinical encounter in order to make decisions about proper interventions. VBP takes seriously the importance...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.12313

    authors： Fernandez AV,Wieten S

    更新日期：2015-06-01 00:00:00

  • Current treatment of chronic heart failure in primary care; still room for improvement.

    abstract：UNLABELLED:RATIONAL AND AIMS: In recent years, guidelines for treatment of patients with chronic heart failure (CHF) have been updated. Insight in current pharmacological and non-pharmacological treatment of CHF in primary care, which was non-optimal in earlier studies, is limited. We aim to describe current pharmacolo...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/j.1365-2753.2010.01455.x

    authors： Bosch M,Wensing M,Bakx JC,van der Weijden T,Hoes AW,Grol RP

    更新日期：2010-06-01 00:00:00

  • Treatment selection and medication adherence for stable angina: The role of area-based health literacy.

    abstract：RATIONALE, AIMS, AND OBJECTIVES:Clinical studies show equivalent health outcomes from interventional procedures and treatment with medication only for stable angina patients. However, patients may be subject to overuse or access barriers for interventional procedures and may exhibit suboptimal adherence to medications....

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1111/jep.13341

    authors： Savitz ST,Bailey SC,Dusetzina SB,Jones WS,Trogdon JG,Stearns SC

    更新日期：2020-12-01 00:00:00

  • On the buzzword approach to policy formation.

    abstract：:This article draws attention to an absurd feature of contemporary political life that significantly affects health service policy and calls for an urgent explanation. Policies are formed by a process that privileges rhetoric over reality, producing policies that are conceptualized at a later date. Two influential arti...

    journal_title：Journal of evaluation in clinical practice

    pub_type： 杂志文章

    doi：10.1046/j.1365-2753.2002.00361.x

    authors： Loughlin M

    更新日期：2002-05-01 00:00:00