Abstract:
OBJECTIVES:The need for thorough patient information is increasing as maternity care becomes more medicalised. The aim was to assess the quality of written patient information on labour induction. In most Danish hospitals, misoprostol is the first-choice drug for induction in low-risk pregnancies. Misoprostol has been associated with adverse side effects and severe outcomes for mother and child and is not registered for obstetric use in Denmark. SETTING:Secondary care hospitals in Denmark. DATA:Patient information leaflets from all hospitals that used misoprostol as an induction agent by June 2015 (N=13). DESIGN:Patient leaflets were evaluated according to a validated scoring tool (International Patient Decision Aid Standards instrument, IPDAS), core elements in the Danish Health Act, and items regarding off-label use and non-registered medication. Two of the authors scored all leaflets independently. OUTCOME MEASURES:Women's involvement in decision-making, information on benefits and harms associated with the treatment, other justifiable treatment options, and non-registered treatment. RESULTS:Generally, the hospitals scored low on the IPDAS checklist. No hospitals encouraged women to consider their preferences. Information on side effects and adverse outcomes was poorly covered and varied substantially between hospitals. Few hospitals informed about precautions regarding outpatient inductions, and none informed about the lack of evidence on the safety of this procedure. None informed that misoprostol is not registered for induction or explained the meaning of off-label use or use of non-registered medication. Elements such as interprofessional consensus, long-term experience, and health authorities' approval were used to add credibility to the use of misoprostol. CONCLUSIONS:Central criteria for patient involvement and informed consent were not met, and the patient leaflets did not inform according to current evidence on misoprostol-induced labour. Our findings indicate that patients receive very different, sometimes contradictory, information with potential ethical implications. Concerns should be given to outpatient inductions, where precise written information is of particular importance.
journal_name
BMJ Openjournal_title
BMJ openauthors
Clausen JA,Juhl M,Rydahl Edoi
10.1136/bmjopen-2016-011333subject
Has Abstractpub_date
2016-05-27 00:00:00pages
e011333issue
5issn
2044-6055pii
bmjopen-2016-011333journal_volume
6pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Dexamethasone is a drug used to prolong the postoperative analgesia in children after peripheral nerve blockade, although the dose usually used (0.2 mg/kg) has not been studied yet. This study is a monocentric, prospective, randomised, placebo-controlled, double-blinded study in a university hospital in Fr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036863
更新日期:2020-09-30 00:00:00
abstract:OBJECTIVES:Atrial fibrillation (AF) is the most common cardiac rhythm disorder with a significant health burden. The aim of this study was to characterise patients with recently diagnosed AF and to estimate the rates of comorbidities and outcome events requiring hospitalisation in routine clinical practice. DESIGN:Pha...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003839
更新日期:2014-01-27 00:00:00
abstract:OBJECTIVES:The prevalence of neck/back pain (NBP) is high worldwide. Limited number of studies have investigated workers with occasional NBP regarding the risk of developing long-duration activity limiting NBP (LNBP). The objectives were to assess (1) the effect of poor work ability and sleep disturbances in persons wi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033946
更新日期:2020-06-03 00:00:00
abstract:OBJECTIVES:Dyslipidaemia is a major risk factor to cardiovascular disease (CVD)--the leading cause of death worldwide. Limited data are available about the prevalence of various dyslipidaemia in Canada. The objective of this study is to describe the prevalence of various single and mixed dyslipidaemia within the Canadi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-007954
更新日期:2015-12-11 00:00:00
abstract:INTRODUCTION:A large proportion of children and adolescents participate in organised sport, making community sports clubs a promising setting to support healthy behaviours. To date, however, there have been few interventions conducted in junior sports clubs that have targeted health-promoting practices. The primary aim...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-018906
更新日期:2018-01-23 00:00:00
abstract:INTRODUCTION:Reduction in low-density lipoprotein cholesterol (LDL-C) improves clinical outcomes in patients with coronary artery disease. However, rates of lipid-lowering medication adherence are far from ideal. Reducing dosage frequency from multiple dosing to once-daily dosing may improve patients' medication adhere...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034585
更新日期:2020-05-17 00:00:00
abstract:OBJECTIVES:To investigate the prevalence of diabetes mellitus (DM) and new detection of DM using fasting plasma glucose (FPG) and 2 h plasma glucose (2-hPG) in hypertensive outpatients in China. DESIGN:Multicenter cross-sectional study. SETTING:46 hospitals in China. PARTICIPANTS:Study patients were consecutively re...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003798
更新日期:2013-11-20 00:00:00
abstract:OBJECTIVE:The global research group, DIPLOMATIC (Using eviDence, Implementation science, and a clinical trial PLatform to Optimise MATernal and newborn health in low Income Countries), aims to reduce stillbirths and preterm births and optimise outcomes for babies born preterm. Minimum datasets for routine data collecti...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038859
更新日期:2020-11-24 00:00:00
abstract:OBJECTIVES:Computer-administered cognitive-behavioural therapy (CCBT) may be a promising treatment for adolescents with depression, particularly due to its increased availability and accessibility. The feasibility of delivering a randomised controlled trial (RCT) comparing a CCBT program (Stressbusters) with an attenti...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-012834
更新日期:2017-01-27 00:00:00
abstract:OBJECTIVE:To estimate the proportion of interfacility transfers (IFTs) transported by '108' ambulances and to compare the characteristics of the IFTs and non-IFTs to understand the pattern of use of '108' services for pregnant women in India. DESIGN:A cross-sectional analysis of '108' ambulance records from five state...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015077
更新日期:2017-06-09 00:00:00
abstract:OBJECTIVES:In the context of tightening fiscal budgets and increased commissioning responsibility, local decision-makers across the UK healthcare sector have found themselves in charge of the implementation and evaluation of a greater range of healthcare interventions and services. However, there is often little experi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029830
更新日期:2019-11-21 00:00:00
abstract:OBJECTIVES:The objective of this study was to longitudinally describe the history of tonsil surgery in Swedish children and adolescents regarding incidence, indications for surgery, surgical methods and the age and gender distributions. SETTING:A retrospective longitudinal population-based cohort study based on regist...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013346
更新日期:2017-01-13 00:00:00
abstract:INTRODUCTION:Dental caries (tooth decay) is a common disease in which the products of sugar metabolism by certain bacteria that populate the tooth surface induce the development and progression of lesions (cavities). This is a phase II single-centre randomised, double-blind, active-controlled, parallel-group trial to a...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-017866
更新日期:2017-06-30 00:00:00
abstract:BACKGROUND:Kawasaki disease (KD) is a self-limited acute systemic vasculitis of unknown aetiology that predominantly affects infants and young children eventually associated with immunological abnormalities. Coeliac disease (CD) is an inflammatory autoimmune disease characterised by a permanent gluten intolerance, whic...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018803
更新日期:2018-02-14 00:00:00
abstract:OBJECTIVES:To evaluate the effect of social network influences on seasonal influenza vaccination uptake by healthcare workers. DESIGN:Cross-sectional, observational study. SETTING:A large secondary care NHS Trust which includes four hospital sites in Greater Manchester. PARTICIPANTS:Foundation doctors (FDs) working ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026997
更新日期:2019-08-30 00:00:00
abstract:INTRODUCTION:The transfer of patient care between the intensive care unit (ICU) and the hospital ward is associated with increased risk of medical error and adverse events. This study will describe patient transfer from ICU to hospital ward by documenting (1) patient, family and provider experiences related to ICU tran...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-007913
更新日期:2015-07-08 00:00:00
abstract:INTRODUCTION:The large number of treatment modalities for patients diagnosed with Menière's disease (MD) complicates the selection of the best available treatment as the comparative efficacy of these interventions is not clear. We aim to identify the treatment or treatments with the highest efficacy of current pharmaco...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010269
更新日期:2016-06-09 00:00:00
abstract:INTRODUCTION:Air and noise pollution are emerging environmental health hazards in African cities, with potentially complex spatial and temporal patterns. Limited local data are a barrier to the formulation and evaluation of policies to reduce air and noise pollution. METHODS AND ANALYSIS:We designed a year-long measur...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035798
更新日期:2020-08-20 00:00:00
abstract:OBJECTIVES:The aim of this study was to identify which behaviour change techniques (BCTs) were present in intervention and control groups of randomised controlled trials (RCTs) included in a Cochrane systematic review. SETTING:The RCTs included were conducted in community, primary and/or ambulatory-care settings. PAR...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036500
更新日期:2020-09-15 00:00:00
abstract:INTRODUCTION:Many studies have assessed the predictors of morbidity/mortality of patients with traumatic brain injury (TBI) in acute care. However, with the increasing rate of survival after TBI, more attention has been given to discharge destinations from acute care as an important measure of clinical priorities. This...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016694
更新日期:2017-08-31 00:00:00
abstract:CONTEXT AND OBJECTIVE:Standards for clinical practice guidelines require explicit statements regarding how values and preferences influence recommendations. However, no cancer screening guideline has addressed the key question of what magnitude of benefit people require to undergo screening, given its harms and burdens...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037854
更新日期:2020-12-02 00:00:00
abstract:OBJECTIVES:The objectives of this mixed-methods study were to assess the uptake, sustainability and influence of the Footprints Project. SETTING:Twenty-two-bed university-affiliated ICU in Hamilton, Canada. PARTICIPANTS:ICU patients admitted and their families, as well as clinicians. INTERVENTIONS:We developed a per...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029810
更新日期:2019-11-02 00:00:00
abstract:OBJECTIVES:In recent years, the involvement of pharmacy technicians in medication reconciliation has increasingly been investigated. The aim of this study was to assess the implications on professional roles and collaboration when a best possible medication history (BPMH) at admission is obtained by pharmacy technician...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-020566
更新日期:2018-05-17 00:00:00
abstract:PURPOSE:Psoriasis is a chronic inflammatory skin disease that frequently debuts in childhood and adolescence. We wished to determine environmental and genetic risk factors for the development of psoriasis in children and adolescents, as well as to investigate debut type, trigger factors, course of disease, nature and i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031448
更新日期:2019-09-24 00:00:00
abstract:OBJECTIVE:Danish medical registries are widely used for cardiovascular research, but little is known about the data quality of cardiac interventions. We computed positive predictive values (PPVs) of codes for cardiac examinations, procedures and surgeries registered in the Danish National Patient Registry during 2010-2...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012817
更新日期:2016-12-09 00:00:00
abstract:INTRODUCTION:Published in 2018, the 5C scale is psychometrically validated to assess five psychological antecedents of vaccination (confidence, complacency, constraints, calculation and collective responsibility). The original version offers a validated English and German scale to assess these determinants with a short...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034869
更新日期:2020-03-10 00:00:00
abstract:OBJECTIVE:To examine the prevalence, costs and trends (2010-2014) for 21 low-value inpatient procedures in a privately insured Australian patient cohort. DESIGN:We developed indicators for 21 low-value procedures from evidence-based lists such as Choosing Wisely, and applied them to a claims data set of hospital admis...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024142
更新日期:2019-03-05 00:00:00
abstract:INTRODUCTION:Ovarian cancer is the leading cause of death from gynaecological cancer, with more than 7000 new cases registered in the UK in 2014. In patients suitable for surgery, the National Institute of Health and Care Excellence guidance for treatment recommends surgical resection of all macroscopic tumour, followe...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-024108
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Health interventions often target pregnant women and their unborn children. Interventions in rural India targeting pregnant women, however, often do not cover the critical early windows of susceptibility during the first trimester and parts of the second trimester. This pilot seeks to determine if targetin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-044127
更新日期:2020-10-05 00:00:00
abstract:OBJECTIVE:As healthcare organisations endeavour to improve the quality and safety of their services, there is increasing recognition of the importance of building a culture of safety to promote patient safety and improve the outcomes of patient care. Surveys of safety culture/climate have not knowingly been conducted i...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2018-028666
更新日期:2019-05-30 00:00:00