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Journal of Evaluation in Clinical Practice

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https://www.readbyqxmd.com/read/28425672/evaluating-therapeutic-effect-on-womac-subscales-in-osteoarthritis-rcts-when-model-choice-matters
#1
Giulia Lorenzoni, Danila Azzolina, Nicola Soriani, Dario Gregori
RATIONALE, AIMS, AND OBJECTIVES: The study aimed at developing a method for modelling the Western Ontario and McMaster Universities index (WOMAC), accounting for correlation between its subscales and for heterogeneity of treatment effect (HTE), using data from 2 twin trials on knee osteoarthritis. METHOD: Two randomized, double-blind, placebo-controlled clinical trials (twin trials). Studies aimed at investigating the effectiveness of a pharmacological treatment on clinical outcomes of knee osteoarthritis, measured using WOMAC index...
April 20, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28425580/the-patient-safety-climate-in-healthcare-organizations-pscho-survey-short-form-development
#2
Justin K Benzer, Mark Meterko, Sara J Singer
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 in Healthcare Organizations survey, a well-validated 38-item measure of safety climate. METHODS: The Patient Safety Climate in Healthcare Organizations was administered to all senior managers, all physicians, and a 10% random sample of all other hospital personnel in 69 private sector hospitals and 30 Veterans Health Administration hospitals...
April 20, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28425574/factors-associated-with-sustainability-of-2-quality-improvement-programs-after-achieving-early-implementation-success-a-qualitative-case-study
#3
Stephanie M C Ament, Freek Gillissen, Albine Moser, José M C Maessen, Carmen D Dirksen, Maarten F von Meyenfeldt, Trudy van der Weijden
RATIONALE, AIMS, AND OBJECTIVES: Sustainability of innovations is a relatively new concept in health care research and has become an issue of growing interest. The current study explored factors related to the sustainability of 2 multidisciplinary hospital-based programs 3 to 6 years after achieving early implementation success. METHOD: An exploratory qualitative study was conducted into 2 implementation cases, an Enhanced Recovery After Surgery program for colorectal surgery and a short-stay program for breast cancer surgery...
April 20, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28425221/conceptualizing-movement-by-expert-bobath-instructors-in-neurological-rehabilitation
#4
Julie Vaughan-Graham, Kara Patterson, Karl Zabjek, Cheryl A Cott
RATIONALE, AIMS, AND OBJECTIVES: Movement, a core aspect of physiotherapy practice, and integral to the clinical reasoning process has undergone limited theoretical development. Instead, research has focused on intervention effectiveness embedded within the positivist paradigm. The purpose of this study was to explore how expert neurorehabilitation therapists conceptualize movement as part of their clinical reasoning. METHOD: A qualitative interpretive descriptive approach consisting of stimulated recall using video-recorded treatment sessions and in-depth interviews was used...
April 20, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28418187/author-response-to-letter-to-editor-by-roger-mepsted
#5
LETTER
Julie Vaughan-Graham, Cheryl Cott
No abstract text is available yet for this article.
April 18, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28418101/effect-of-an-electronic-medication-administration-record-application-on-patient-safety
#6
Noelia Vicente Oliveros, Teresa Gramage Caro, Covadonga Pérez Menendez-Conde, Ana María Álvarez-Díaz, Sagrario Martín-Aragón Álvarez, Teresa Bermejo Vicedo, Eva Delgado Silveira
RATIONALE, AIMS, AND OBJECTIVES: To evaluate the effect of an electronic medication administration record (eMAR) application on the rate of medication errors in medication administration recording (ME-MAR). METHODS: A before-and-after, quasiexperimental study was conducted in a university hospital that implemented the eMAR application in March 2014. Data collection was conducted in April 2012 (pre-) and June 2014 (post-) by two pharmacists. The ME-MARs were analysed by the staff involved to identify their cause...
April 18, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28418089/facts-and-values-in-psychotherapy-a-critique-of-the-empirical-reduction-of-psychotherapy-within-evidence-based-practice
#7
Henrik Berg, Rasmus Slaattelid
This paper addresses an implicit presupposition in research-supported psychological treatments and evidence-based practice in psychology. It argues that the notion of research-supported psychological treatments is based on a reductive conceptualisation of psychotherapy. Research-supported psychological treatments hinge upon an empirical reduction where psychotherapy schools become conceptualized as mere collections of empirical propositions. However, this paper argues that the different psychotherapy schools have distinct ethoses that are constituted by normative claims...
April 18, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28397334/a-nurse-led-education-and-cognitive-behaviour-therapy-based-intervention-among-adults-with-uncontrolled-type-2-diabetes-a-randomised-controlled-trial
#8
Lisa C Whitehead, Marie T Crowe, Janet D Carter, Virginia R Maskill, Dave Carlyle, Carol Bugge, Chris M A Frampton
RATIONALE, AIMS AND OBJECTIVES: Diabetes mellitus is associated with significant morbidity, mortality, and escalating health care costs. Research has consistently demonstrated the importance of glycaemic control in delaying the onset, and decreasing the incidence, of both the short-term and long-term complications of diabetes. Although glycaemic control is difficult to achieve and challenging to maintain, it is key to reducing negative disease outcomes. The aim of this study was to determine whether a nurse-led educational intervention alone or a nurse-led intervention using education and acceptance and commitment therapy (ACT) was effective in reducing hemoglobin A1c (HbA1c ) in people living with uncontrolled type 2 diabetes compared to usual care...
April 11, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28387459/re-fei-y-guyatt-gh-alexander-pe-et-al-addition-of-ezetimibe-to-statins-for-patients-at-high-cardiovascular-risk-systematic-review-of-patient-important-outcomes-j-eval-clin-pract
#9
LETTER
Cait S E O'Sullivan, Aaron M Tejani
No abstract text is available yet for this article.
April 7, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28382743/the-concept-of-validity-throughout-the-history-of-psychiatry
#10
Diogo Telles Correia
No abstract text is available yet for this article.
April 6, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28374457/extent-of-diagnostic-agreement-among-medical-referrals
#11
Monica Van Such, Robert Lohr, Thomas Beckman, James M Naessens
RATIONALE, AIMS AND OBJECTIVES: Diagnostic uncertainty is often encountered in a medical practice. Patients with ambiguous, uncertain, and undiagnosed problems are frequently referred for second opinions. Comparing referral diagnoses to final diagnoses provides an opportunity to determine how frequently final diagnoses vary and changes the direction of medical care. METHODS: A retrospective study was done at a single academic medical center using a sample of 286 patients referred by physician assistants, nurse practitioners, and physicians from primary care practices from January 1, 2009 to December 31, 2010...
April 4, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28370883/the-impact-of-the-affordable-care-act-on-hospital-led-community-health-evaluation-in-the-u-s-appalachian-ohio-region
#12
Berkeley Franz, Daniel Skinner, Kelly Kelleher
In recent years, policy developments in the United States have dramatically changed how nonprofit hospitals interact with surrounding communities. However, despite the importance of these changes encoded in Internal Revenue Service regulations, little is known about how these requirements have affected how nonprofit hospitals are approaching community health evaluation. We present qualitative findings from interviews with hospital employees and consultants overseeing preliminary rounds of community health needs assessments, as required by the Affordable Care Act...
April 3, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28371050/the-struggle-of-translating-science-into-action-foundational-concepts-of-implementation-science
#13
Frances Rapport, Robyn Clay-Williams, Kate Churruca, Patti Shih, Anne Hogden, Jeffrey Braithwaite
RATIONALE, AIMS, AND OBJECTIVES: "Implementation science," the scientific study of methods translating research findings into practical, useful outcomes, is contested and complex, with unpredictable use of results from routine clinical practice and different levels of continuing assessment of implementable interventions. The authors aim to reveal how implementation science is presented and understood in health services research contexts and clarify the foundational concepts: diffusion, dissemination, implementation, adoption, and sustainability, to progress knowledge in the field...
March 31, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28370993/short-and-long-term-effects-of-retrieval-practice-on-learning-concepts-in-evidence-based-medicine-experimental-study
#14
LETTER
Adriana Banožić, Ivan Buljan, Mario Malički, Matko Marušić, Ana Marušić
No abstract text is available yet for this article.
March 31, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28370977/diagnostic-protocols-a-consultation-tool-still-to-be-discovered
#15
Waltraud Fink, Gustav Kamenski, Martin Konitzer
RATIONALE: Experienced primary care physicians handle most illnesses to everyone's satisfaction despite limited resources of time and means. However, cases can be multifaceted in that harmless-presenting symptoms may also be warning signals or an indicator of a health disorder that too infrequently presents in family practice to be diagnosed correctly. On the basis of these observations, RN Braun developed 82 diagnostic protocols for a structured recording of various complaints. METHOD: All consultations during the years 2001 to 2014, in which 1 author (WF) had used diagnostic protocols in her single-handed practice, were analyzed retrospectively regarding reasons for encounter, diagnostic classification, and long-term outcome...
March 31, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28370904/repeat-prescribing-of-medications-a-system-centred-risk-management-model-for-primary-care-organisations
#16
Julie Price, Shu Ling Man, Stephen Bartlett, Kate Taylor, Mark Dinwoodie, Paul Bowie
RATIONALE, AIMS AND OBJECTIVES: Reducing preventable harm from repeat medication prescriptions is a patient safety priority worldwide. In the United Kingdom, repeat prescriptions items issued has doubled in the last 20 years from 5.8 to 13.3 items per patient per annum. This has significant resource implications and consequences for avoidable patient harms. Consequently, we aimed to test a risk management model to identify, measure, and reduce repeat prescribing system risks in primary care...
March 31, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28370742/evaluation-of-drug-related-problems-in-older-polypharmacy-primary-care-patients
#17
Sandra Vezmar Kovačević, Branislava Miljković, Milica Ćulafić, Milena Kovačević, Bojana Golubović, Marija Jovanović, Katarina Vučićević, Johan J de Gier
AIMS AND OBJECTIVES: Targeting older patients with predictive factors for drug-related problems (DRPs) could make clinical medication reviews more cost-effective. The aim of this study was to identify the number, type, and potential predictive factors for DRPs in older polypharmacy patients. METHODS: Community pharmacists performed clinical medication reviews and documented DRPs, types of interventions, and their implementation in older patients. RESULTS: Three hundred eighty-eight medication reviews were analyzed, 964 DRPs (average 2...
March 29, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28370699/guidance-on-guidelines-understanding-the-evidence-on-the-uptake-of-health-care-guidelines
#18
Cathy Brennan, Joanne Greenhalgh, Ray Pawson
RATIONALE: Regardless of health issue, health sector, patient condition, or treatment modality, the chances are that provision is supported by "a guideline" making professionally endorsed recommendations on best practice. Against this background, research has proliferated seeking to evaluate how effectively such guidance is followed. These investigations paint a gloomy picture with many a guideline prompting lip service, inattention, and even opposition. This predicament has prompted a further literature on how to improve the uptake of guidelines, and this paper considers how to draw together lessons from these inquiries...
March 29, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28371206/using-classification-tree-analysis-to-generate-propensity-score-weights
#19
Ariel Linden, Paul R Yarnold
RATIONALE, AIMS AND OBJECTIVES: In evaluating non-randomized interventions, propensity scores (PS) estimate the probability of assignment to the treatment group given observed characteristics. Machine learning algorithms have been proposed as an alternative to conventional logistic regression for modelling PS in order to avoid limitations of linear methods. We introduce classification tree analysis (CTA) to generate PS which is a "decision-tree"-like classification model that provides accurate, parsimonious decision rules that are easy to display and interpret, reports P values derived via permutation tests, and evaluates cross-generalizability...
March 28, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28371005/adverse-events-in-cardiac-surgery-a-mixed-methods-retrospective-study-in-an-italian-teaching-hospital
#20
Tommaso Bellandi, Riccardo Tartaglia, Silvia Forni, Sara D'Arienzo, Giorgio Tulli
RATIONALE, AIMS, AND OBJECTIVES: Adverse events (AEs) are a major concern in surgery, but the evidence in cardiac surgery is limited, especially on the contributory factors. According to the data of the National Outcomes Program, a unit was selected to conduct a mixed methods investigation into the incidence, type, and cause of AE, given its mortality rate that was double the national average on coronary artery bypass grafting, valve reparation, and replacement. METHODS: A retrospective investigation on the performance of a cardiac surgery, combining the routinely collected data on process and outcome measures with a 2-stage structured review of 280 medical records performed by 3 expert clinicians, with the support of a methodologist...
March 28, 2017: Journal of Evaluation in Clinical Practice
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