Using clinical audit to promote evidence-based medicine and clinical effectiveness--an overview of one health authority's experience.

abstract：OBJECTIVE:To study which tests general practitioners used to diagnose a urinary tract infection (UTI) in children and which patient characteristics were associated with test choice. DESIGN:Retrospective chart review on the diagnosis of UTIs in children in Dutch general practices who were diagnosed as having a UTI. A t...

journal_title：Journal of evaluation in clinical practice

authors： Harmsen M,Wolters RJ,van der Wouden JC,Grol RP,Wensing M

更新日期：2009-06-01 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：:It is important to improve our understanding about what might be the specific characteristics of mental disorders to strengthen the scientific credibility of psychiatry and to clarify its position among other medical and nonmedical sciences. On the other hand, this issue has diagnostic, research, therapeutic, legal, f...

journal_title：Journal of evaluation in clinical practice

authors： Telles Correia D

更新日期：2017-10-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:The London Health Sciences Centre found that its emergency room (ER) mental health services were affected by people presenting with problems that did not require psychiatric intervention. Consequently, a second triage using a crisis worker (CW) was introduced in the ER to identify those p...

journal_title：Journal of evaluation in clinical practice

authors： Coristine RW,Hartford K,Vingilis E,White D

更新日期：2007-04-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Cambodia is one of the 22 countries with a high burden of tuberculosis (TB). People often first seek treatment for cough and other TB symptoms through private pharmacies. The National Tuberculosis Programme trained willing private sector pharmacies to refer TB symptomatic clients to their...

journal_title：Journal of evaluation in clinical practice

authors： Bell CA,Ilomäki J,Pichenda K,Duncan GJ,Saini B

更新日期：2015-04-01 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：:One knowledge translation method, of putting evidence into practice, is the use of clinical practice guidelines (CPG). The purpose of this brief report is to describe an 8-step process of "how to" contextualize a training programme to increase CPG-uptake for a targeted audience in a clearly defined setting. This proce...

journal_title：Journal of evaluation in clinical practice

authors： Stander J,Grimmer K,Brink Y

更新日期：2020-09-14 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：OBJECTIVE:Quality of life (QoL) is an important consideration in the care of patients with chronic neuromuscular disorder (NMD). The current study sought to determine the factor structure of the Medical Outcomes Study Short-Form 36 (SF-36) version 2 in patients with NMD to determine the appropriateness of using this in...

journal_title：Journal of evaluation in clinical practice

authors： Banks P,Martin CR,Petty RK

更新日期：2012-02-01 00:00:00

abstract：:Health management programmes are generally evaluated as point treatment studies in which only a baseline and outcome measurement are used in the analysis, even when multiple observations for each individual are available. By summarizing observations into two distinct measurements the evaluator loses any ability to dis...

journal_title：Journal of evaluation in clinical practice

authors： Linden A,Adams JL

更新日期：2010-02-01 00:00:00

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

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

abstract：:Although disease management (DM) has been in existence for over a decade, there is still much uncertainty as to its effectiveness in improving health status and reducing medical cost. The main reason is that most programme evaluations typically follow weak observational study designs that are subject to bias, most not...

journal_title：Journal of evaluation in clinical practice

authors： Linden A,Adams JL,Roberts N

更新日期：2006-04-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Annual national prevalence surveys have been conducted in the Netherlands over the past 10 years and have revealed high prevalence rates in Dutch nursing homes. Pressure ulcer guideline implementation is one of the factors that can influence prevalence rates. Previous research has shown t...

journal_title：Journal of evaluation in clinical practice

authors： Meesterberends E,Halfens RJ,Lohrmann C,Schols JM,de Wit R

更新日期：2011-08-01 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：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

authors： Daneshvar P,Forster AJ,Dervin GF

更新日期：2012-06-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Patient involvement is increasingly recognized as a key component on the international health care agenda. This attention has brought a need for developing generic and standardized open-source methods, tools, and guidelines on how to systematically implement patient involvement initiative...

journal_title：Journal of evaluation in clinical practice

authors： Jørgensen MJ,Pedersen CG,Martin HM,Lomborg K

更新日期：2020-06-01 00:00:00

abstract：RATIONALE:The ADAPTE framework was established to enhance efficiency in guideline development and to facilitate adaptation of high-quality clinical practice guidelines for a local context. It offers guideline developers a systematic methodology for guideline adaptation; however, the feasibility and usability of the pro...

journal_title：Journal of evaluation in clinical practice

authors： Chakraborty SP,Jones KM,Mazza D

更新日期：2014-04-01 00:00:00

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

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

更新日期：2010-02-01 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:Individual comparisons of the performance of risk-adjustment indices have been widely conducted. Few reviews have been conducted to summarize the performance of different risk-adjustment indices. A 30-day mortality rate is widely used to evaluate the quality of care in hospitals by federa...

journal_title：Journal of evaluation in clinical practice

authors： Yang M,Mehta HB,Bali V,Gupta P,Wang X,Johnson ML,Aparasu RR

更新日期：2015-04-01 00:00:00

abstract：RATIONALE, AIMS AND OBJECTIVES:Guidelines for patients with knee osteoarthritis (OA) are suboptimally implemented in clinical care. To improve guideline adherence, patients' perceived barriers and facilitators in current care were investigated. METHODS:Eleven patients with knee OA were extensively interviewed using a ...

journal_title：Journal of evaluation in clinical practice

authors： Spitaels D,Vankrunkelsven P,Desfosses J,Luyten F,Verschueren S,Van Assche D,Aertgeerts B,Hermens R

更新日期：2017-02-01 00:00:00

abstract：BACKGROUND:Geographical inequalities in lung cancer treatment and patient survival have been described. We hypothesized that lung cancer patients' access to treatment may be influenced by deprivation and the pathway to care. METHODS:Case notes were reviewed for patients resident in south-east London who were registere...

journal_title：Journal of evaluation in clinical practice

authors： Jack RH,Gulliford MC,Ferguson J,Møller H

更新日期：2006-10-01 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：UNLABELLED:Medical tradition considers a physical examination (PE) an essential part of the clinical encounter. In real medical practice, however, a full PE may not be necessary when the diagnosis is clear after anamnesis and general impression. We assessed the value of PEs in 500 diagnoses of upper respiratory infecti...

journal_title：Journal of evaluation in clinical practice

authors： Kiderman A,Dratva D,Ever-Hadani P,Cohen R,Brezis M

更新日期：2009-02-01 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

authors： Yeager VA,Menachemi N,Brooks RG

更新日期：2010-12-01 00:00:00

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

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

更新日期：2004-08-01 00:00:00

abstract：OBJECTIVE:To evaluate control of blood pressure (BP) and diabetes and the associated risk factors in diabetic hypertensives treated by diabetic clinic primary care physicians. METHODS:A retrospective analysis of the medical records of diabetic hypertensives from six primary care diabetic clinics in Bahrain. RESULTS:T...

journal_title：Journal of evaluation in clinical practice

authors： Al Khaja KA,P Sequeira R,Damanhori AH

更新日期：2005-04-01 00:00:00

abstract：RATIONALE:Recent reports indicate that approximately 10% of in-patients in UK hospitals are involved in an adverse event (these reports also state that 50% of these events are preventable). This is indeed a worrying finding, and indicates the need to look at how these incidents are handled or indeed, what is done to mi...

journal_title：Journal of evaluation in clinical practice

authors： Arfanis K,Smith A

更新日期：2012-12-01 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

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