Medicine's perception of reality - a split picture: critical reflections on apparent anomalies within the biomedical theory of science.

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

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

更新日期：2018-02-01 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, AIMS AND OBJECTIVES:Invasive pneumococcal diseases (IPD) are associated with substantial burden in adults (≥50 years). Moreover, adults with vascular, metabolic or respiratory diseases have been shown to have a 3-6 times higher risk of IPD when compared with their healthy controls. These persons at higher ri...

journal_title：Journal of evaluation in clinical practice

authors： Martikainen JA,Soini EJ,Laine J,Ahman H,Postila V,Klemets P

更新日期：2014-08-01 00:00:00

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

authors： Fritz JM,Kim J,Dorius J

更新日期：2016-04-01 00:00:00

abstract：AIMS AND OBJECTIVES:The role of pharmacists in chronic disease state management has been shown to significantly improve patient health outcomes and reduce overall health care costs. The current study is designed to assess the roles and attitudes of West Virginia (WV) pharmacists toward diabetes, evaluate services provi...

journal_title：Journal of evaluation in clinical practice

authors： Shatnawi A,Latif DA

更新日期：2017-06-01 00:00:00

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

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

更新日期：2009-04-01 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

authors： Wyer PC

更新日期：2018-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Guidelines for stroke management should improve quality of care. Dissemination of guidelines, however, does not guarantee guideline adherence. The aim of this paper is to investigate barriers for guideline adherence to bring about suggestions for possible implementation strategies. METHO...

journal_title：Journal of evaluation in clinical practice

authors： Van Der Weijden T,Hooi JD,Grol R,Limburg M

更新日期：2004-05-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Explicit criteria have been used worldwide to identify suboptimal prescribing such as potentially inappropriate prescriptions (PIPs). The objective of our study was to determine prevalence, types and factors associated with PIPs in older people discharged from an Albanian hospital. METHO...

journal_title：Journal of evaluation in clinical practice

authors： Hudhra K,Beçi E,Petrela E,Xhafaj D,García-Caballos M,Bueno-Cavanillas A

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are widely performed to cure obesity and obesity-related diseases. Our aim was to compare these two procedures. MATERIALS AND METHODS:An electronic literature search was performed from inception to December 2018. The cli...

journal_title：Journal of evaluation in clinical practice

authors： Zhao K,Liu J,Wang M,Yang H,Wu A

更新日期：2020-02-01 00:00:00

abstract：:Cartwright and Munro argued that extrapolation of findings from randomized controlled trials to other settings can be difficult because information about the underlying causal structure and subgroups is often not available. They advocated the use of 'capacities' - that is fixed causal contributions - in predicting eff...

journal_title：Journal of evaluation in clinical practice

authors： Hubbeling D

更新日期：2012-10-01 00:00:00

abstract：:Evidence-based health care (EBHC), previously evidence-based medicine (EBM), is considered by many to have modernized health care and brought it from an authority-based past to a more rationalist, scientific grounding. But recent concerns and criticisms pose serious challenges and urge us to look at the fundamentals o...

journal_title：Journal of evaluation in clinical practice

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

更新日期：2017-10-01 00:00:00

abstract：RATIONALE:Variability in indications for total hip replacement (THR) and unequal waiting times may limit health care access. OBJECTIVE:To analyse the relationship between appropriateness and previously developed surgical priority instruments. METHOD:Multicentre cross-validation study of patients placed on the waiting...

journal_title：Journal of evaluation in clinical practice

authors： Allepuz A,Quintana JM,Espallargues M,Escobar A,Moharra M,Arostegui I

更新日期：2011-02-01 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：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, AIM AND OBJECTIVE:Factors influencing doctors in prescribing of drugs have mostly been studied in primary care. Studies performed in hospital care have primarily focused on new drugs, not prescribing in general. An in-depth understanding of the prescribing process in the more specialized secondary care is no...

journal_title：Journal of evaluation in clinical practice

authors： Ljungberg C,Lindblad AK,Tully MP

更新日期：2007-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Mortality prediction models using logistic regression analysis play a pivotal role in intensive care quality evaluation, allowing a hospital's performance to be compared with a standard. However, when a difference between predicted and observed mortality exists, that is, the numerator of ...

journal_title：Journal of evaluation in clinical practice

authors： Foltran F,Berchialla P,Giunta F,Malacarne P,Merletti F,Gregori D

更新日期：2010-10-01 00:00:00

abstract：:Obese people consume significantly greater amounts of health resources. This study set out to determine if health resource utilization by obese people decreases after losing weight in a comprehensive medically supervised weight management programme. Four hundred and fifty-six patients enrolled in a single-centred, mul...

journal_title：Journal of evaluation in clinical practice

authors： van Walraven C,Dent R

更新日期：2002-02-01 00:00:00

abstract：:Access to appointments in primary care is not routinely measured, and there is no one standardized method for doing so. Any measurement tool has to take account of the dynamic status of appointment availability and the definitional problems of appointment types. The aim of this study was to develop and trial a method ...

journal_title：Journal of evaluation in clinical practice

authors： Elwyn G,Jones W,Rhydderch M,Edwards P

更新日期：2003-02-01 00:00:00

abstract：AIMS AND OBJECTIVE:To identify factors important in determining whether an obese child achieves significant reductions in Body Mass Index Standard Deviation Score (BMI SDS) within a UK, hospital-based paediatric obesity service aimed at lifestyle modification. DESIGN:Observational Study. SUBJECTS:137 obese children (...

journal_title：Journal of evaluation in clinical practice

authors： Sabin MA,Ford A,Hunt L,Jamal R,Crowne EC,Shield JP

更新日期：2007-06-01 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：: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

authors： Crombie IK,Davies HT

更新日期：1998-02-01 00:00:00

abstract：BACKGROUND:The Adolescent Drug Abuse Diagnosis (ADAD) and Health of Nation Outcome Scales for Children and Adolescents (HoNOSCA) are both measures of outcome for adolescent mental health services. AIMS:To compare the ADAD with HoNOSCA; to examine their clinical usefulness. METHODS:Comparison of the ADAD and HoNOSCA o...

journal_title：Journal of evaluation in clinical practice

authors： Holzer L,Tchemadjeu IK,Plancherel B,Bolognini M,Rossier V,Chinet L,Halfon O

更新日期：2006-10-01 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:A positive and strong safety culture underpins effective learning from patient safety incidents in health care, including the community pharmacy (CP) setting. To build this culture, perceptions of safety climate must be measured with context-specific and reliable instruments. No pre-exist...

journal_title：Journal of evaluation in clinical practice

authors： Newham R,Bennie M,Maxwell D,Watson A,de Wet C,Bowie P

更新日期：2014-12-01 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：: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

authors： Lorenzoni L,Da Cas R,Aparo UL

更新日期：2000-11-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:The primary aim of this study is to gain an insight into hospital pharmacists' current practice and perceptions towards medicine reconciliation and to identify common challenges preventing pharmacists from providing this service. METHODS:A cross-sectional study was conducted over 2 month...

journal_title：Journal of evaluation in clinical practice

authors： Hammour KA,Farha RA,Basheti I

更新日期：2016-12-01 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：RATIONALE, AIMS AND OBJECTIVES:Despite increasing dissemination efforts, many psychotherapists still do not use treatments that are supported by research. Some have claimed that psychotherapists rely more on their clinical intuition than scientific evidence when making treatment decisions, but there is a paucity of res...

journal_title：Journal of evaluation in clinical practice

authors： Gaudiano BA,Brown LA,Miller IW

更新日期：2011-08-01 00:00:00