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Journal of Evaluation in Clinical Practice

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https://www.readbyqxmd.com/read/28921846/improvement-of-polytrauma-management-quality-inspection-of-a-newly-introduced-course-concept
#1
Ingo Gräff, Shahab Ghamari, Sylvia Schacher, Procula Glien, Rolf Fimmers, Torsten Baehner, Se-Chan Kim
RATIONALE, AIMS, AND OBJECTIVES: A systematic literature search for training course concepts for care of severely injured and severely ill patients respecting improvement of process and outcome yielded little data. For several years, the University Hospital of Bonn has hosted a shock-room management course which, on the one hand, communicates human factor aspects and, on the other hand, pursues interdisciplinary and interprofessional team training. The Bonn shock-room management course (BSM-course®) differs from other courses in both format and principles...
September 17, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28895276/osteoporotic-fractures-may-impair-life-as-much-as-the-complications-of-diabetes
#2
Zoltán Vokó, Katalin Gáspár, András Inotai, Csaba Horváth, Katalin Bors, Gábor Speer, Zoltán Kaló
RATIONALE, AIMS, AND OBJECTIVES: To compare the effect of osteoporotic fractures and complications of diabetes mellitus on quality of life (QoL). METHOD: A cross-sectional study was performed in 840 patients with osteoporosis and in 943 patients with diabetes in Hungary to estimate the effect of osteoporotic fractures and microvascular and macrovascular complications of diabetes on QoL using the EQ-5D questionnaire. Ordinary least-squares regression was performed for the analysis to control for age and gender...
September 12, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28880434/a-bayesian-cusum-plot-diagnosing-quality-of-treatment
#3
Steen Rosthøj, Rikke-Line Jacobsen
OBJECTIVES: To present a CUSUM plot based on Bayesian diagnostic reasoning displaying evidence in favour of "healthy" rather than "sick" quality of treatment (QOT), and to demonstrate a technique using Kaplan-Meier survival curves permitting application to case series with ongoing follow-up. METHODS: For a case series with known final outcomes: Consider each case a diagnostic test of good versus poor QOT (expected vs. increased failure rates), determine the likelihood ratio (LR) of the observed outcome, convert LR to weight taking log to base 2, and add up weights sequentially in a plot showing how many times odds in favour of good QOT have been doubled...
September 7, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28834047/interdisciplinary-workshop-on-mental-disorder-and-self-over-time
#4
Natalie Gold, Jillian Craigie, Tania Gergel
No abstract text is available yet for this article.
August 18, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28809071/physicians-communication-of-risks-from-non-steroidal-anti-inflammatory-drugs-and-attitude-towards-providing-adverse-drug-reaction-information-to-patients
#5
Pacharaporn Phueanpinit, Juraporn Pongwecharak, Sermsak Sumanont, Janet Krska, Narumol Jarernsiripornkul
RATIONALE, AIMS, AND OBJECTIVES: Nonsteroidal anti-inflammatory drugs (NSAIDs) are frequently prescribed for orthopaedic conditions, therefore this study aimed to explore orthopaedic physicians' perceptions of their role in NSAID-risk communication, their attitudes towards the necessity of informing patients about adverse drug reactions (ADR), and factors associated with these. METHODS: Self-administered questionnaires were mailed to all 206 orthopaedic physicians working at hospitals in Northeastern Thailand...
August 15, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28799197/cost-effectiveness-of-the-family-nurse-partnership-fnp-programme-in-england-evidence-from-the-building-blocks-trial
#6
Belen Corbacho, Kerry Bell, Eugena Stamuli, Gerry Richardson, Sarah Ronaldson, Kerenza Hood, Julia Sanders, Michael Robling, David Torgerson
RATIONAL, AIMS, AND OBJECTIVES: The Family Nurse Partnership (FNP) is a licensed intensive home visiting intervention developed in the United States. It has been provided in England by the Department of Health since 2006. The Building Blocks trial assessed the effectiveness and cost-effectiveness of FNP in England. METHODS: We performed a cost-utility analysis (National Health Service (NHS) perspective) alongside the Building Blocks trial (over 2.5 y). The analysis was conducted in accordance with National Institute for Health and Clinical Excellence (NICE) reference case standards...
August 11, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28786515/a-continuous-usability-evaluation-of-an-electronic-medication-administration-record-application
#7
Noelia Vicente Oliveros, Teresa Gramage Caro, Covadonga Pérez Menéndez-Conde, Ana María Álvarez-Diaz, Sagrario Martín-Aragón Álvarez, Teresa Bermejo Vicedo, Eva Delgado Silveira
RATIONALE, AIMS, AND OBJECTIVES: The complexity of an electronic medication administration record (eMAR) has been underestimated by most designers in the past. Usability issues, such as poorly designed user application flow in eMAR, are therefore of vital importance, since they can have a negative impact on nursing activities and result in poor outcomes. The purpose of this study was to evaluate the usability of an eMAR application during its development. METHODS: A usability evaluation was conducted during the development of the eMAR application...
August 8, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28776902/why-animal-de-liberation-survives-early-criticism-and-is-pivotal-to-public-health
#8
Jan Deckers
In 2016, the book Animal (De)liberation: Should the Consumption of Animal Products Be Banned? was published. This article aims to engage with the critique that this book has received and to clarify and reinforce its importance for human health. It is argued that the ideas developed in the book withstand critical scrutiny. As qualified moral veganism avoids the pitfalls of other moral positions on human diets, public health policies must be altered accordingly, subject to adequate political support for its associated vegan project...
August 4, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28776873/the-systematic-tool-to-reduce-inappropriate-prescribing-strip-combining-implicit-and-explicit-prescribing-tools-to-improve-appropriate-prescribing
#9
A Clara Drenth-van Maanen, Anne J Leendertse, Paul A F Jansen, Wilma Knol, Carolina J P W Keijsers, Michiel C Meulendijk, Rob J van Marum
Inappropriate prescribing is a major health care issue, especially regarding older patients on polypharmacy. Multiple implicit and explicit prescribing tools have been developed to improve prescribing, but these have hardly ever been used in combination. The Systematic Tool to Reduce Inappropriate Prescribing (STRIP) combines implicit prescribing tools with the explicit Screening Tool to Alert physicians to the Right Treatment and Screening Tool of Older People's potentially inappropriate Prescriptions criteria and has shared decision-making with the patient as a critical step...
August 4, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28776867/pain-and-dualism-which-dualism
#10
Elisa Arnaudo
In the literature, the allegation to pursue approaches grounded on Cartesian dualism in medicine is widespread. In this paper, I argue that dualism informing biomedicine has not only to do with a Cartesian view of mind and body, but that multiple dualisms are at play in biomedical approach to disease, especially regarding complex pain conditions. A form of epistemological dualism entailing the primacy of the physician's model of knowledge on the patient's direct experience of suffering is pointed out as the source of the inadequate medical attitude towards pain, particularly in relation to its complex forms such as fibromyalgic syndrome...
August 4, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28762651/provision-of-pharmaceutical-care-by-community-pharmacists-across-europe-is-it-developing-and-spreading
#11
Filipa A Costa, Claire Scullin, Ghaith Al-Taani, Ahmed F Hawwa, Claire Anderson, Zinaida Bezverhni, Zahida Binakaj, Maria Cordina, Veerle Foulon, Borja Garcia de Bikuña, Han de Gier, Anne Gerd Granås, Olga Grinstova, Nina Griese-Mammen, Jonas Grincevicius, Svitrigaile Grinceviciene, Susanne Kaae, Loreta Kubiliene, Eduardo L Mariño, Silvia Martins, Pilar Modamio, Giancarlo Nadin, Lotte Stig Nørgaard, Emina Obarcanin, Ivana Tadic, Ljiljana Tasic, James C McElnay, Kurt E Hersberger, Tommy Westerlund
RATIONALE, AIMS, AND OBJECTIVES: Pharmaceutical care involves patient-centred pharmacist activity to improve medicines management by patients. The implementation of this service in a comprehensive manner, however, requires considerable organisation and effort, and indeed, it is often not fully implemented in care settings. The main objective was to assess how pharmaceutical care provision within community pharmacy has evolved over time in Europe. METHOD: A cross-sectional questionnaire-based survey of community pharmacies, using a modified version of the Behavioural Pharmaceutical Care Scale (BPCS) was conducted in late 2012/early 2013 within 16 European countries and compared with an earlier assessment conducted in 2006...
August 1, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28762632/complexity-perspectives-on-clinical-decision-making-in-an-intensive-care-unit
#12
Ben A de Bock, Dick L Willems, Henry C Weinstein
RATIONALE, AIMS, AND OBJECTIVES: How to clarify the implications of complexity thinking for decision making in the intensive care unit (ICU)? METHOD: Retrospective qualitative empirical research. Practitioners in an ICU were interviewed on how their decisions were made regarding a particular patient in a difficult, clinical situation. Transcriptions of these interviews were coded and retrieved in Maxqda, a software program. Assisted by complexity thinking, researchers focused on the decision-making process and the shift from analytic approaches to complex approaches...
August 1, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28762623/clinical-and-economic-evaluation-of-a-case-management-service-for-patients-with-back-pain
#13
Judith Smith, Gillian Yeowell, Francis Fatoye
AIM: To evaluate the clinical-effectiveness and resource use associated with Case Management Services in a UK private sector DESIGN: An observational cohort study based on prospective data collection of patient reported outcome measures and data collection from an existing administrative health database. SETTING: A United Kingdom (UK) private healthcare provider PARTICIPANTS: Consecutive referrals into the Case Management Service over a three-month period. INTERVENTIONS: Participants were managed within the Case Management Service in accordance with usual pathways...
August 1, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28762616/policy-choices-in-dementia-care-an-exploratory-analysis-of-the-alberta-continuing-care-system-accs-using-system-dynamics
#14
Monica Cepoiu-Martin, Diane P Bischak
BACKGROUND: The increase in the incidence of dementia in the aging population and the decrease in the availability of informal caregivers put pressure on continuing care systems to care for a growing number of people with disabilities. Policy changes in the continuing care system need to address this shift in the population structure. One of the most effective tools for assessing policies in complex systems is system dynamics. Nevertheless, this method is underused in continuing care capacity planning...
August 1, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28762594/evaluation-of-outpatient-therapeutic-programme-otp-for-treatment-of-severe-acute-malnutrition-in-yemen-a-focus-on-treatment-default-and-its-risk-factors
#15
Mohammed Al Amad, Lina Al-Eryani, Abdulwahed Al Serouri, Yousef S Khader
OBJECTIVES: This study aimed to measure the treatment default rate among children with severe acute malnutrition (SAM) who were admitted to the outpatient therapeutic programme (OTP) in Yemen and determine its risk factors. METHODS: A prospective study was conducted among children with SAM who were newly admitted to the 11 OTPs in primary health centres of Sana'a city. A pretested semistructured questionnaire was used for data collection at admission and at after 2 months of admission to the OTP...
August 1, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28758322/smallest-detectable-change-and-test-retest-reliability-of-a-self-reported-outcome-measure-results-of-the-center-for-epidemiological-studies-depression-scale-general-self-efficacy-scale-and-12-item-general-health-questionnaire
#16
Shotaro Ohno, Kana Takahashi, Aimi Inoue, Koki Takada, Yoshiaki Ishihara, Masaru Tanigawa, Kazuki Hirao
RATIONALE, AIMS, AND OBJECTIVES: This study aims to examine the smallest detectable change (SDC) and test-retest reliability of the Center for Epidemiological Studies Depression Scale (CES-D), General Self-Efficacy Scale (GSES), and 12-item General Health Questionnaire (GHQ-12). METHOD: We tested 154 young adults at baseline and 2 weeks later. We calculated the intra-class correlation coefficients (ICCs) for test-retest reliability with a two-way random effects model for agreement...
July 30, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28752911/the-hawthorne-effect-in-direct-observation-research-with-physicians-and-patients
#17
Meredith A Goodwin, Kurt C Stange, Stephen J Zyzanski, Benjamin F Crabtree, Elaine A Borawski, Susan A Flocke
RATIONALE, AIMS, AND OBJECTIVES: This study examines the degree to which a "Hawthorne effect" alters outpatient-visit content. METHODS: Trained research nurses directly observed 4454 visits to 138 family physicians. Multiple data sources were used to examine the Hawthorne effect including differences in medical record documentation for observed visits and the prior visit by the same patient, time use during visits on the first versus the second observation day of each physician, and report by the patient, physician, and observer of the effect of observation...
July 28, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28748651/emergent-programme-theories-of-a-national-quality-register-a-longitudinal-study-in-swedish-elderly-care
#18
Annika Nordin, Boel Andersson Gäre, Ann-Christine Andersson
RATIONALE, AIM, AND OBJECTIVE: This study aimed to explore programme theories of a national quality register. A programme theory is a bundle of assumptions underpinning how and why an improvement initiative functions. The purpose was to examine and establish programme theories of a national quality register widely used in Sweden: Senior alert. The paper reports on how programme theories among change recipients emerge in relation to the established programme theory of the initiator. METHODS: A qualitative approach and a longitudinal research design were used...
July 27, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28730671/many-faces-of-rationality-implications-of-the-great-rationality-debate-for-clinical-decision-making
#19
Benjamin Djulbegovic, Shira Elqayam
Given that more than 30% of healthcare costs are wasted on inappropriate care, suboptimal care is increasingly connected to the quality of medical decisions. It has been argued that personal decisions are the leading cause of death, and 80% of healthcare expenditures result from physicians' decisions. Therefore, improving healthcare necessitates improving medical decisions, ie, making decisions (more) rational. Drawing on writings from The Great Rationality Debate from the fields of philosophy, economics, and psychology, we identify core ingredients of rationality commonly encountered across various theoretical models...
July 20, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28726254/the-bobath-concept-a-guru-led-set-of-teachings-unsupported-by-emerging-evidence-a-response-to-vaughan-graham-and-cott-j-eval-clin-pract-2016-doi-10-1111-jep-12751
#20
LETTER
Roger Mepsted, Sarah Tyson
No abstract text is available yet for this article.
July 20, 2017: Journal of Evaluation in Clinical Practice
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