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International Journal of Evidence-based Healthcare

Zoe Jordan, Craig Lockwood, Zachary Munn, Edoardo Aromataris
BACKGROUND: The Joanna Briggs Institute Model for Evidence-Based Healthcare was first conceptualized in 2005. This developmental framework for evidence-based practice situated healthcare evidence, in its broadest sense, and its role and use within complex healthcare settings. The Model was recently reviewed with a view to understanding its utility by health professionals, researchers and policy makers, and the analysis revealed a need to reconsider the composition and language of the Model to ensure its currency on the international stage...
September 25, 2018: International Journal of Evidence-based Healthcare
Matthew D Stephenson, Karolina Lisy, Cindy J Stern, Anne-Marie Feyer, Louise Fisher, Edoardo C Aromataris
AIM: Integrated care commonly involves provision of comprehensive community-based care for people with chronic conditions. It is anticipated that implementation of integrated care, with a proactive approach to management of chronic conditions, will reduce reliance on hospital and emergency department (ED) services. The aim of this rapid review was to summarize the best available evidence on the impact of integrated care for patients with chronic conditions on hospital and ED utilization and investigate trends in outcomes over time...
September 20, 2018: International Journal of Evidence-based Healthcare
Zachary Munn, Edoardo Aromataris, Catalin Tufanaru, Cindy Stern, Kylie Porritt, James Farrow, Craig Lockwood, Matthew Stephenson, Sandeep Moola, Lucylynn Lizarondo, Alexandra McArthur, Micah Peters, Alan Pearson, Zoe Jordan
AIM: Systematic reviews play an important role in ensuring trustworthy recommendations in healthcare. However, systematic reviews can be laborious to undertake and as such software has been developed to assist in the conduct and reporting of systematic reviews. The Joanna Briggs Institute and its collaborating centres consist of thousands of researchers, academics and clinicians across the globe conducting systematic reviews of various types. To support them in their work, modern software and online tools are required...
September 18, 2018: International Journal of Evidence-based Healthcare
Svetla Gadzhanova, Elizabeth Roughead, Helen Lowy, Daniel O'Connor
AIM: To determine the extent to which evidence-based medication safety practices have been implemented in public and private mental health inpatient units across Australia. METHODS: The Reducing Adverse Medication Events in Mental Health survey was piloted in Victoria, Australia, in 2015, and rolled out nationally in 2016. In total, 235 mental health inpatient units from all States and Territories in Australia were invited to participate. The survey included questions about the demographics of the mental health unit, evidence-based strategies to improve prescription writing, the administration and dispensing of medicines and pharmacy-led interventions, and also questions relating to consumer engagement in medication management and shared decision-making...
September 18, 2018: International Journal of Evidence-based Healthcare
Hanan Khalil, Eli Ristevski
No abstract text is available yet for this article.
September 2018: International Journal of Evidence-based Healthcare
Ruben van Zelm, Ellen Coeckelberghs, Walter Sermeus, Daan Aeyels, Massimiliano Panella, Kris Vanhaecht
BACKGROUND AND AIM: Care pathways are complex interventions, consisting of multiple 'active ingredients', to structure care processes around patient needs. Numerous studies have reported improved outcomes after implementation of care pathways. The structure-process-outcome framework and the context-mechanism-outcome framework both suggest that outcomes can only be achieved through a certain process within a context or structure. To understand how and why care pathways are effective, understanding of both this process and context is necessary...
September 2018: International Journal of Evidence-based Healthcare
Argyrios Tzamalis, George Chionos, Periklis Brazitikos, Ioannis Tsinopoulos, Stavros Dimitrakos, Michael A Talias
PURPOSE: The purpose of this study is to evaluate the effects of the new system of pricing medical services in the field of ophthalmology in Greece. In addition, it attempts to benchmark the system with respective interventions at an international level. MATERIALS AND METHODS: The study deals with the implementation of the new system, presenting systematic pairing of ophthalmic coding with other coded information regarding registration and management. Statistical data analysis is performed related to the cost and, finally, proposals are formulated to improve the current system...
September 2018: International Journal of Evidence-based Healthcare
Ruth Teh, Edward Janus
AIMS: Reducing potentially avoidable hospital readmissions has been the target of several healthcare initiatives, including the readmission prevention team (RAPT) at Western Health, Melbourne. Study aims were to evaluate if the revised LACE (length of stay, acuity of admission, Charlson Comorbidity Index, emergency department visits in the past 6 months) index would identify high risk of early readmission (≤30 days postdischarge), and if postdischarge clinic and community services follow-up would reduce readmission rate...
September 2018: International Journal of Evidence-based Healthcare
Karolina Lisy, Jared M Campbell, Catalin Tufanaru, Sandeep Moola, Craig Lockwood
BACKGROUND: Cardiovascular disease (CVD), cancer, diabetes and chronic respiratory disease are noncommunicable diseases (NCDs) that cause extensive social and economic burden worldwide, particularly in low-income and middle-income countries. There is growing recognition of the importance of the disabilities that individuals experience as a consequence of these NCDs. OBJECTIVES: This systematic review examined the prevalence of disabilities associated with cancer, CVD, chronic respiratory disease and diabetes...
September 2018: International Journal of Evidence-based Healthcare
Peter M Sinclair
No abstract text is available yet for this article.
September 2018: International Journal of Evidence-based Healthcare
Chang Xu, Suhail A R Doi
AIM: Dose-response meta-analysis has been widely employed in evidence-based decision-making. Currently, the most popular approach is the one or two-stage generalized least squares for trend model. This approach however has some drawbacks, and therefore, we compare the latter with a one-stage robust error meta-regression (REMR) model, based on inverse variance weighted least squares regression and cluster robust error variances for dealing with the synthesis of correlated dose-response data from different studies...
September 2018: International Journal of Evidence-based Healthcare
Guntaragorn Hongrattana, Potipong Reungjui, Panaya Tumsatan, Chulee Ubolsakka-Jones
AIM: The aim of the study was to obtain information about the incidence and risk factors for pulmonary atelectasis in mechanically ventilated patients in the trauma ICU (TMICU). Pulmonary atelectasis is a common complication leading to serious lung dysfunction in patients in the TMICU and early identification of patients at risk is important for their effective management. METHODS: All trauma patients admitted to the TMICU with mechanical ventilation for more than 1 day were included in a prospective 12-month study...
August 14, 2018: International Journal of Evidence-based Healthcare
Craig Lockwood, Lucylynn Lizarondo, Margaret B Harrison, Sandeep Moola, Yasser S Amer, Susanne Bernhardsson, Hector Pardo-Hernandez
AIM: The aim of this research was to evaluate CAN-Implement.Pro as a structured and systematic process for planning local evidence implementation, to develop a contextual and demographic profile of potential users and assess their initial perceptions and intention to use CAN-Implement.Pro. METHODS: Ethics approval was obtained from the University of Adelaide Human Research Ethics Committee (Approval number: H-2016-157). A descriptive cross-sectional study was undertaken to capture the demographic characteristics of participants, as well as their initial perceptions of, and intention to use, the software for guideline adaptation projects...
July 23, 2018: International Journal of Evidence-based Healthcare
Hanan Khalil
No abstract text is available yet for this article.
June 2018: International Journal of Evidence-based Healthcare
Vanitha Arumugam, Joy C MacDermid, Dave Walton, Ruby Grewal
BACKGROUND: Healthcare professionals involved in pain management come from different disciplines, which may have different perspectives and training about evidence-based practice (EBP). A common concern for health professionals is pain management. Understanding how different professions involved in pain management view EBP forms the ideal context to study professional differences in EPP, and how this might influence pain management. PURPOSE: The purpose of this study was to compare different professions with respect to knowledge, attitudes and self-reported behavior toward EBP...
June 2018: International Journal of Evidence-based Healthcare
Kerrie Westaway, Oliver Frank, Russell Shute, Anna Moffat, Vanessa LeBlanc, Debra Rowett, Natalie Blacker, Elizabeth Roughead
AIM: Behavioral and psychological symptoms of dementia are often managed inappropriately with antipsychotic medicines. The TOP 5 program, which involves recording up to five relevant and meaningful tips that assist in personalizing care for the person with dementia, has been tested in the hospital setting and transitions of care in Australia, and has been found to be useful. Our study aimed to adapt the TOP 5 program as a strategy to support people with dementia in a primary care setting and to test the acceptability of our adapted TOP 5 program materials...
June 2018: International Journal of Evidence-based Healthcare
Austin Jorski, Jared Scott, Trace Heavener, Matt Vassar
AIM: The objective of this study was to evaluate the current recommendations and requirements of gastroenterology and hepatology journals concerning reporting guidelines and clinical trial registration. Current research on the topic is sparse and in need of further research in both clinical trial registration and guideline adherence. METHODS: The authors performed a review of journal protocols and 'Instructions for Authors' regarding guideline adherence and trial registration requirements within 30 gastroenterology and hepatology journals...
June 2018: International Journal of Evidence-based Healthcare
Zachary Munn, Cindy Stern, Kylie Porritt, Craig Lockwood, Edoardo Aromataris, Zoe Jordan
The Joanna Briggs Institute Model of evidence-based healthcare (EBHC) states that the main phases of EBHC include evidence synthesis, transfer, and implementation. There has been some confusion regarding the term 'evidence transfer', with this term previously being considered by many as synonymous with knowledge or evidence translation. The aim of this paper is to discuss a proposed definition of evidence transfer and the pivotal role it plays as part of the EBHC process. 'Evidence transfer' can be thought of simply as getting the message (evidence) across and at its core it is all about information delivery...
June 2018: International Journal of Evidence-based Healthcare
Ruth C-A Teh, Renuka Visvanathan, Damith Ranasinghe, Anne Wilson
AIM: To evaluate clinicians' perspectives, before and after clinical implementation (i.e. trial) of a handheld health information technology (HIT) tool, incorporating an iPad device and automatically generated visual cues for bedside display, for falls risk assessment and prevention in hospital. METHODS: This pilot study utilized mixed-methods research with focus group discussions and Likert-scale surveys to elicit clinicians' attitudes. The study was conducted across three phases within two medical wards of the Queen Elizabeth Hospital...
June 2018: International Journal of Evidence-based Healthcare
Trace Heavener, Jesse Richards, Haley Bird, Matt Vassar
AIM: In systematic reviews and meta-analyses, variation (heterogeneity) in the primary studies is often a concern resulting from factors such as study design, data analysis methods, study quality, settings and interventions and/or patient characteristics. After determining the extent of heterogeneity, authors examine the causes of heterogeneity via sensitivity analysis, subgroup analysis and/or meta-regression analysis. There is no assessment of heterogeneity practices in gastroenterological literature; thus, we present this assessment...
June 2018: International Journal of Evidence-based Healthcare
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