2,864 results match your criteria Journal of Evaluation in Clinical Practice[Journal]


The Needs Self-Rating Questionnaire for Breast Cancer (NSQ-BC): Development of a tool for the needs assessment of women with breast cancer in mainland China.

J Eval Clin Pract 2019 Feb 17. Epub 2019 Feb 17.

School of Nursing, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.

Rationale, Aims, And Objectives: A needs assessment tool considering the cultural background of mainland China has not been reported. This study developed a Needs Self-rating Questionnaire for Breast Cancer (NSQ-BC) based on Maslow's hierarchy of needs for mainland Chinese patients.

Methods: The Delphi technique and pilot cross-sectional surveys (two rounds) were performed for item selection. Read More

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http://dx.doi.org/10.1111/jep.13113DOI Listing
February 2019
1 Read

The impact of allergic rhinitis on gastrointestinal disorders among young adults.

J Eval Clin Pract 2019 Feb 17. Epub 2019 Feb 17.

School of Medicine, Chung Shan Medical University, Taichung, Taiwan.

Background: An association between allergic rhinitis (AR) and digestive diseases (DDs) has been reported; however, studies have only focused on the prevalence of DDs in populations of patients with AR. In individuals with specific DDs, the impact of AR on the frequency of clinical visits for each DD has not been studied. Moreover, the association between topical steroid usage for AR and DDs has not been investigated. Read More

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http://dx.doi.org/10.1111/jep.13108DOI Listing
February 2019

Longitudinal assessment of exercise capacity and quality of life outcome measures in cystic fibrosis: A year-long prospective pilot study.

J Eval Clin Pract 2019 Feb 13. Epub 2019 Feb 13.

Department of Pediatrics, Division of Pulmonology, Akron Children's Hospital, Akron, Ohio.

Background: Multiple outcomes measures including exercise capacity and quality of life are necessary to get complete and accurate picture of cystic fibrosis (CF) progression. In this pilot study, we investigated these measures in CF longitudinally for a year to determine (a) minimal clinically important difference (MCID) for 6-minute walk distance (6MWD) and CF Health-Related Quality of Life Questionnaire (CFQ-R) domains and (b) how 6MWD, CFQ-R, and spirometry change during times of exacerbation and baseline health and their relationship among each other.

Methods: Subjects with moderate and severe CF (baseline FEV less than 70% predicted) at Akron Children's Hospital CF centre were followed for a full year longitudinally. Read More

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http://dx.doi.org/10.1111/jep.13105DOI Listing
February 2019

GheOP S tool and START/STOPP criteria version 2 for screening of potentially inappropriate medications and omissions in nursing home residents.

J Eval Clin Pract 2019 Feb 5. Epub 2019 Feb 5.

Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Rationale, Aims, And Objective: There is limited information about the comparative effectiveness of the START/STOPP (Screening Tool of Older Person's Prescriptions/Screening Tool to Alert doctors to Right Treatment) criteria and the Ghent Older People's Prescriptions community Pharmacy Screening tool (GheOP S tool) for the screening of potentially inappropriate prescribing (PIP) in the geriatric population. Considering this, the aim of this study was to compare the ability of the START/STOPP criteria and GheOP S tool to identify the PIP and potential prescribing omissions (PPOs) among elderly patients visiting their primary care physician.

Methods: This is a retrospective observational study where a total of 422 subjects were included. Read More

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http://dx.doi.org/10.1111/jep.13107DOI Listing
February 2019
1 Read

Clinical protocols for adults with acute abdominal pain in Australian emergency departments.

J Eval Clin Pract 2019 Feb 4. Epub 2019 Feb 4.

Adelaide Nursing School, University of Adelaide, Adelaide, Australia.

Rationale, Aims And Objectives: Patients with acute abdominal pain are a common presentation in hospital emergency departments; however, international studies have demonstrated that hospitals often lack clinical protocols to guide care. This study aimed to investigate whether Australian hospital emergency departments have acute abdominal pain clinical protocols, identify hospital-level predictors of the presence of these clinical protocols, and assess the quality of protocols.

Methods: A survey was sent to all Australian hospitals with emergency departments, collecting data on hospital characteristics and the presence of acute abdominal pain clinical protocols. Read More

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http://doi.wiley.com/10.1111/jep.13103
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http://dx.doi.org/10.1111/jep.13103DOI Listing
February 2019
5 Reads

Development and content validation of an instrument to support pharmaceutical counselling for dispensing of prescribed medicines.

J Eval Clin Pract 2019 Jan 31. Epub 2019 Jan 31.

Laboratory of Teaching and Research in Social Pharmacy (LEPFS), Department of Pharmacy, Federal University of Sergipe, São Cristóvão, Brazil.

Rationale, Aims, And Objectives: Counselling is essential in drug dispensing, since it enables patients to receive and understand the information to correctly use their medicines. Although counselling is a quality indicator on drug dispensing, models that guide pharmacists in this practice are scarce. Thus, this study aimed to develop and validate the content of an instrument to support pharmaceutical counselling for dispensing of prescribed medicines. Read More

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http://dx.doi.org/10.1111/jep.13102DOI Listing
January 2019

The current role and perceived benefits and barriers of secondary care pharmacists facilitating patient participation in Clinical Trials of Investigational Medicinal Products (CTIMPs) conducted within the NHS: A cross-sectional survey.

J Eval Clin Pract 2019 Jan 28. Epub 2019 Jan 28.

York Trials Unit, University of York, York, UK.

Rationale, Aims, And Objectives: Secondary care pharmacists are well positioned within the healthcare system to communicate with patients and provide guidance and advice regarding drug treatments. They are able to broaden the opportunities to raise the profile of Clinical Trials of Investigational Medicinal Products (CTIMPs) and positively influence research. This research aimed to investigate the perceived benefits and barriers of secondary care pharmacists being involved in CTIMPs, their current role, and the perceived benefits and barriers of developing their role in facilitating patient participation for CTIMPs (eg, by identifying or recruiting potential participants). Read More

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http://dx.doi.org/10.1111/jep.13104DOI Listing
January 2019

Understanding FEV for the purpose of cystic fibrosis registry comparisons: Does bias in annual review FEV affect between-centre comparison within the UK? An analysis of registry data.

J Eval Clin Pract 2019 Jan 25. Epub 2019 Jan 25.

School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.

Rationale, Aims, And Objective: We previously demonstrated that annual review %FEV underestimates lung health of adults with CF compared with %FEV captured during periods of clinical stability. This has implications in the comparisons against registries with encounter-based FEV , such as the United States. It is uncertain whether this bias affects between-centre comparison within the United Kingdom. Read More

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http://dx.doi.org/10.1111/jep.13097DOI Listing
January 2019
4 Reads

Estimating willingness-to-pay for health care: A discrete choice experiment accounting for non-attendance to the cost attribute.

J Eval Clin Pract 2019 Jan 24. Epub 2019 Jan 24.

Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia.

Rationale, Aims, And Objectives: The literature suggests that discrete choice experiments (DCEs) are a preferable method for estimating willingness-to-pay (WTP) values, as they may avoid some biases often observed in contingent valuation surveys, such as protest and strategic behaviour. However, the choice studies have demonstrated that attribute non-attendance may be a serious issue that leads to biased WTP estimates.

Method: A DCE was used to estimate patients' WTP for dental care at the dental school clinic. Read More

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http://dx.doi.org/10.1111/jep.13095DOI Listing
January 2019

Does integration of Magee equations into routine clinical practice affect whether oncologists order the Oncotype DX test? A prospective randomized trial.

J Eval Clin Pract 2019 Jan 23. Epub 2019 Jan 23.

Division of Medical Oncology, Department of Medicine, The Ottawa Hospital Cancer Centre and The University of Ottawa, Ottawa, Canada.

Objective: The three Magee Equations provide an estimate of the Oncotype DX recurrence score using commonly available clinicopathologic information (tumour size, grade, oestrogen receptor, progesterone receptor, HER2, and Ki67). We assessed whether integration of Magee Equations into routine clinical practice affected the frequency of Oncotype DX requests.

Methods: Patients with newly diagnosed, node negative, hormone receptor positive, and HER2 negative invasive breast cancer were randomized to undergo a Magee calculation or not. Read More

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http://dx.doi.org/10.1111/jep.13094DOI Listing
January 2019

Sustainable and cost-effective teenage breast awareness campaigns: Insights from a Nigerian high school intervention study.

J Eval Clin Pract 2019 Jan 20. Epub 2019 Jan 20.

Lecturer and Consultant Community Physician, Department of Community Medicine, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Nigeria.

Background: With limited government-sponsored breast screening programmes in developing countries, breast awareness remains the only realistic survival hope for millions. Poor levels of knowledge and preventive practices remain in these countries, and early enlightenment to empower teenage high school girls has been advocated for, recently. This study evaluates ways to ensure sustainability for such an approach. Read More

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http://dx.doi.org/10.1111/jep.13101DOI Listing
January 2019
2 Reads

Portuguese version of the Medication Adherence Report Scale (MARS-9): Validation in a population of chronic pain patients.

J Eval Clin Pract 2019 Jan 16. Epub 2019 Jan 16.

Departamento de Biomedicina, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.

Aim: The aim of present study was to perform the translation, cultural adaptation, and validation of the Medication Adherence Report Scale (MARS-P9) for the European Portuguese language in a sample of chronic pain patients.

Methods: A Portuguese version of the nine-item MARS (©Professor Rob Horne) scale (MARS-P9) was constructed through a process of translation, back translation, and experts' panel evaluation. A total of 141 chronic pain patients were subsequently evaluated at four time assessments during a 1-year pain medication treatment. Read More

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http://dx.doi.org/10.1111/jep.13098DOI Listing
January 2019
1 Read
1.580 Impact Factor

Evaluation of clinical frailty screening in geriatric acute care.

J Eval Clin Pract 2019 Jan 10. Epub 2019 Jan 10.

Geriatric Education and Research Institute, Singapore.

Background: While frailty status is an attractive risk stratification tool, the evaluation of frailty in acute care can be challenging as some inpatients are unable to complete performance-based tests as part of frailty assessment and some tools may lack discriminative ability and categorize majority of cohorts as "frail". In this study, we evaluated the feasibility of frailty screening with the simple clinical frailty scale (CFS) by different clinicians, and its association with mortality and rehospitalization in a geriatric acute care setting.

Methods: This study took place in Geriatric Medicine Department of a General Hospital in Singapore. Read More

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http://dx.doi.org/10.1111/jep.13096DOI Listing
January 2019
1 Read
1.580 Impact Factor

The time has come: Embedded implementation research for health care improvement.

J Eval Clin Pract 2019 Jan 10. Epub 2019 Jan 10.

Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.

Rationale, Aims, And Objectives: The field of implementation science has developed in response to slow and inconsistent translation of evidence into practice. Despite utilizing increasingly sophisticated approaches to implementation, including applying a complexity science lens and conducting realist evaluations, challenges remain to getting the kinds of outcomes hoped for by implementation efforts. These include gaining access and buy-in from those implementing the change and accounting for the influence of local context. Read More

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http://dx.doi.org/10.1111/jep.13100DOI Listing
January 2019

From the (new) editor's desk.

Authors:
Mathew Mercuri

J Eval Clin Pract 2019 02;25(1):3-4

Division of Emergency Medicine, McMaster University, Hamilton General Hospital, McMaster Wing, Rm 242, 237 Barton Street East, Hamilton, ON L8L 2X2, Canada.

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http://dx.doi.org/10.1111/jep.13089DOI Listing
February 2019

Should medical device representatives assist surgeons?

J Eval Clin Pract 2019 Jan 9. Epub 2019 Jan 9.

Department of Pharmacology and Physiology and Department of Family Medicine, Georgetown University Medical Center, Washington, DC.

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http://dx.doi.org/10.1111/jep.13099DOI Listing
January 2019
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Support for the Spanish version of the CPAQ-8 as a measure of chronic pain acceptance.

J Eval Clin Pract 2018 Dec 27. Epub 2018 Dec 27.

Unit for the Study and Treatment of Pain-ALGOS, Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira i Virgili, Tarragona, Spain.

Aim And Objective: To provide evidence regarding the psychometric properties of the Spanish eight-item version of the Chronic Pain Acceptance Questionnaire (CPAQ-8).

Method: Three hundred adults with chronic pain completed measures of pain acceptance, committed action, fear of movement, anxiety, depression, and health-related quality of life. A confirmatory factor analysis (CFA) of the CPAQ-8 was performed. Read More

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http://doi.wiley.com/10.1111/jep.13092
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http://dx.doi.org/10.1111/jep.13092DOI Listing
December 2018
9 Reads

Medication safety knowledge, attitude, and practice among hospital pharmacists in Lebanon.

J Eval Clin Pract 2018 Dec 27. Epub 2018 Dec 27.

INSPECT-LB: Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie, Beirut, Lebanon.

Background: Studies showed that pharmacists have little experience with adverse drug reactions (ADRs) reporting due to insufficient knowledge of the concept of ADR and pharmacovigilance (PV). There is an urge to assess hospital pharmacists' knowledge in medication safety practices.

Objective: To evaluate the knowledge, attitude, and practice, among hospital pharmacists in Lebanon concerning ADRs and PV concepts. Read More

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http://dx.doi.org/10.1111/jep.13082DOI Listing
December 2018
1.580 Impact Factor

The threshold model revisited.

J Eval Clin Pract 2018 Dec 21. Epub 2018 Dec 21.

Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.

Background: The threshold model represents one of the most significant advances in the field of medical decision-making, yet it often does not apply to the most common class of clinical problems, which include health outcomes as a part of definition of disease. In addition, the original threshold model did not take a decision-maker's values and preferences explicitly into account.

Methods: We reformulated the threshold model by (1) applying it to those clinical scenarios, which define disease according to outcomes that treatment is designed to affect, (2) taking into account a decision-maker's values. Read More

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http://doi.wiley.com/10.1111/jep.13091
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http://dx.doi.org/10.1111/jep.13091DOI Listing
December 2018
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Outcomes following colorectal cancer surgery: Results from a population-based study in Queensland, Australia, using quality indicators.

J Eval Clin Pract 2018 Dec 21. Epub 2018 Dec 21.

Cancer Alliance Queensland, Metro South Hospital and Health Service, Brisbane, Australia.

Rationale, Aims And Objectives: Colorectal cancer (CRC) is one of the most common cancers diagnosed worldwide, and rates are continuing to rise. Surgery is the primary treatment for CRC, and our aim was to examine clinical outcomes following major resection using a series of established quality indicators and to identify factors associated with poor clinical outcomes.

Method: This population-based retrospective study included 4321 patients with diagnosed with CRC in 2012 and 2014 in Queensland, Australia, who underwent a major resection. Read More

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http://dx.doi.org/10.1111/jep.13087DOI Listing
December 2018
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Improving patient access to hepatitis C antiviral medicines in Switzerland: Understanding the financial risks for community pharmacies.

J Eval Clin Pract 2018 Dec 21. Epub 2018 Dec 21.

Community Pharmacy Center, Department of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland.

Rationale: As observed in other countries, some patients may experiment difficulties in obtaining their hepatitis C antiviral medicines (HCVm) in Swiss community pharmacies. There is a lack of data related to access to HCVm at the patient level and notably related to the potential financial risks for the community pharmacies.

Aims: (a) To evaluate the potential financial risks for community pharmacist associated with the delivery of HCVm in the Swiss healthcare system; (b) to explore the attitudes and experiences of community pharmacists related to these risks and their consequences for the patients. Read More

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http://dx.doi.org/10.1111/jep.13081DOI Listing
December 2018
1 Read

Evidence-based medicine as science.

J Eval Clin Pract 2018 Dec 21. Epub 2018 Dec 21.

Dental Public Health, School of Clinical Dentistry, Sheffield, UK.

Evidence-based medicine has claimed to be science on a number of occasions, but it is not clear that this status is deserved. Within the philosophy of science, four main theories about the nature of science are historically recognized: inductivism, falsificationism, Kuhnian paradigms, and research programmes. If evidence-based medicine is science, knowledge claims should be derived using a process that corresponds to one of these theories. Read More

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http://dx.doi.org/10.1111/jep.13090DOI Listing
December 2018
1 Read

Expert consensus for respiratory physiotherapy management of mechanically ventilated adults with community-acquired pneumonia: A Delphi study.

J Eval Clin Pract 2018 Dec 19. Epub 2018 Dec 19.

School of Physiotherapy, The University of Notre Dame Australia, Fremantle, Australia.

Rationale And Aims: Patients with community-acquired pneumonia (CAP) are frequently admitted to an intensive care unit. Physiotherapy may be provided to optimize respiratory function; however, there is significant variability in clinical practice and limited research directing best practice for this cohort. This study aimed to determine expert consensus for best physiotherapy practice for invasively ventilated adults with CAP. Read More

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http://dx.doi.org/10.1111/jep.13077DOI Listing
December 2018
1 Read

External validation of the PREDICT tool in Spanish women with breast cancer participating in population-based screening programmes.

J Eval Clin Pract 2018 Dec 12. Epub 2018 Dec 12.

Department of Epidemiology and Evaluation, IMIM-Hospital del Mar, Research Network on Health Services in Chronic Diseases (REDISSEC), Barcelona, Spain.

Rationale, Aims, And Objectives: To externally validate the PREDICT tool in a cohort of women participating in a population-based breast cancer screening programme who were diagnosed with breast cancer between 2000 and 2008 in Spain.

Methods: A total of 535 women were included in the validation study. We calculated predicted 5-year survival using the beta values from the development of the PREDICT model and predicted and observed events for a given risk groups. Read More

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http://dx.doi.org/10.1111/jep.13084DOI Listing
December 2018
1 Read

Periprocedural pulmonary aspiration: An analysis of medical malpractice cases and alleged causative factors.

J Eval Clin Pract 2018 Dec 12. Epub 2018 Dec 12.

Department of Anesthesiology, Cardiac Division, Yale University School of Medicine, New Haven, Connecticut.

Rationale Aims And Objectives: Pulmonary aspiration is a feared complication of anaesthesia that is associated with significant morbidity and mortality. Within the small existing body of literature on medical malpractice claims related to periprocedural aspiration, very little information is available regarding the case-specific factors that were alleged to contribute to each aspiration event.

Methods: This study searched an extensive nationwide database of medical malpractice claims and identified 43 relating to periprocedural pulmonary aspiration. Read More

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http://dx.doi.org/10.1111/jep.13086DOI Listing
December 2018
2 Reads

Reliability, validity, and sensitivity of the Chinese Short-Form 36 Health Survey version 2 (SF-36v2) in women with breast cancer.

J Eval Clin Pract 2018 Dec 12. Epub 2018 Dec 12.

School of Nursing, Xi'an Jiaotong University Health Science Centre, Xi'an, China.

Rationale, Aims, And Objectives: The psychometrics of the Short-Form 36 Health Survey version 2 (SF-36v2) in female breast cancer patients remains unknown. This study aimed to test the reliability, validity, and sensitivity of the Chinese SF-36v2 in women with breast cancer.

Methods: The sample included 326 eligible participants. Read More

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http://dx.doi.org/10.1111/jep.13088DOI Listing
December 2018
1.580 Impact Factor

Balancing quality improvement and unintended effects: The impact of implementing admission order sets for chronic obstructive pulmonary disease and heart failure at two teaching hospitals.

J Eval Clin Pract 2018 Dec 3. Epub 2018 Dec 3.

School of Communication, Simon Fraser University, Burnaby, BC, Canada.

Rationale, Aims, And Objectives: Local health administrators implemented chronic obstructive pulmonary disease and heart failure admission order sets to increase guideline adherence. We explored the impact of these order sets on workflows and guideline adherence in the internal medicine specialty in two Canadian teaching hospitals.

Methods: A mixed methods study combined shadowing care providers (250 h), meeting observation and interviews (11 h), and patient medical chart audits for heart failure (n = 120) and chronic obstructive pulmonary disease (n = 120) patients. Read More

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http://dx.doi.org/10.1111/jep.13080DOI Listing
December 2018
1 Read

Effect of periodic health exam on provider management of preventive services.

J Eval Clin Pract 2018 Nov 29. Epub 2018 Nov 29.

The Heller School for Social Policy and Management, Brandeis University, 415 South St, Waltham, MA, 02453, USA.

Rationale And Objective: To evaluate the relationship between receipt of annual physicals and the receipt of provider recommendation for preventive services, during a period when Medicare did not cover annual physicals (before 2011).

Methods: Electronic medical records of patients aged 65 years and older from a US health care system were extracted for the 2001 to 2007 period. A fixed-effects logistic model was used to assess the relationship between receipt of periodic health examination (PHE) and receipt of provider recommendation for mammogram screening for 6466 female Medicare beneficiaries. Read More

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http://dx.doi.org/10.1111/jep.13083DOI Listing
November 2018
3 Reads

Application of cognitive screening guidelines by health care providers in diabetes care: A cross-sectional descriptive study.

J Eval Clin Pract 2018 Nov 29. Epub 2018 Nov 29.

The University of Texas at Austin, School of Nursing, Austin, Texas.

Rationale, Aims, And Objectives: The risk of cognitive dysfunction is higher in people with diabetes than in the general population, and approximately 50% of those with diabetes will develop cognitive impairments as they age. Screening for cognitive dysfunction in people with diabetes can help identify both pathology and those who are at risk for higher health care utilization, but we do not know how health care providers implement cognitive screening recommendations in this population. In this study, we examined health care providers' knowledge of those recommendations and their application of them, as well as factors associated with guideline use. Read More

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http://dx.doi.org/10.1111/jep.13085DOI Listing
November 2018

National estimates of case-mix, mortality, and economic outcomes among inpatient HIV/AIDS mono-infection and hepatitis C co-infection cases in the US.

J Eval Clin Pract 2018 Nov 28. Epub 2018 Nov 28.

The University of Oklahoma Health Sciences Center College of Pharmacy, Oklahoma City, USA.

Rationale, Aims, And Objectives: To assess inpatient clinical and economic outcomes for AIDS/HIV and Hepatitis C (HCV) co-infection in the United States from 2003 to 2014.

Method: This historical cohort study utilized nationally representative hospital discharge data to investigate inpatient mortality, length of stay (LoS), and inflation-adjusted charges among adults (≥18 years). Outcomes were analysed via multivariable generalized linear models according to demographics, hospital and clinical characteristics, and AIDS/HIV or HCV sequelae. Read More

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http://dx.doi.org/10.1111/jep.13076DOI Listing
November 2018

Implementing guideline-checklists: Evaluating health care providers intentional behaviour using an extended model of the theory of planned behaviour.

Authors:
Ben E Appleby

J Eval Clin Pract 2018 Nov 28. Epub 2018 Nov 28.

Birmingham City University, Faculty of Health, Education and Life Sciences, 017 Ravensbury, City South Campus, Edgbaston, Birmingham, UK, B153TN.

Objectives: Internationally, clinical guidelines as checklists are increasingly used in acute ward practice to standardize the delivery and raise the quality of care on acute hospital wards. However, when guideline-checklists are implemented repeatedly, health providers' intentions to carry out this type of behaviour are not well understood. Therefore, the objective of this study was to evaluate nurses' and health care assistants' (HCAs) intentions to implement a "care round checklist"; a guideline-intervention repeated hourly on hospital wards. Read More

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http://doi.wiley.com/10.1111/jep.13075
Publisher Site
http://dx.doi.org/10.1111/jep.13075DOI Listing
November 2018
10 Reads

Designing and evaluating functional laboratory information system requirements integrated to hospital information systems.

J Eval Clin Pract 2018 Nov 28. Epub 2018 Nov 28.

Dr. Shari'ati Hospital, Hormozgan University of Medical Sciences, Hormozgan, Iran.

Rationale, Aims, And Objectives: Laboratory information sub-systems play an important role in diagnosis and treatment of patients. This study aimed to determine functional requirements of users and assess the existence of these requirements in the laboratory information system.

Method: This descriptive cross-sectional study was conducted in 2016 in two phases. Read More

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http://dx.doi.org/10.1111/jep.13074DOI Listing
November 2018
2 Reads

Population ageing in a globalized world: Risks and dilemmas?

Authors:
Hafiz T A Khan

J Eval Clin Pract 2018 Nov 28. Epub 2018 Nov 28.

Public Health and Statistics, The Graduate School, University of West London, London, UK.

Rationale, Aims, And Objectives: This article aims to examine global population ageing and to evaluate the likely risks and dilemmas of demographic ageing within the context of the health and well-being of individuals.

Methods: This paper is based on the author's research in the field of social gerontology, demography, and public health. In addition, a literature review has been carried out focused on the objectives of the research. Read More

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http://dx.doi.org/10.1111/jep.13071DOI Listing
November 2018
1 Read

Reduction of routine radiographs in the follow-up of distal radius and ankle fractures: Barriers and facilitators perceived by orthopaedic trauma surgeons.

J Eval Clin Pract 2018 Nov 28. Epub 2018 Nov 28.

Department of Traumasurgery, Leiden University Medical Center, Leiden, The Netherlands.

Rationale, Aims, And Objectives: Studies suggest that routine radiographs during follow-up of distal radius and ankle fractures result in increased radiation exposure and health care costs, without influencing treatment strategies. Encouraging clinicians to omit these routine radiographs is challenging, and little is known about barriers and facilitators that influence this omission. Therefore, this study aims to identify barriers and facilitators among orthopaedic trauma surgeons that might prove valuable towards the design of a deimplementation strategy. Read More

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http://dx.doi.org/10.1111/jep.13053DOI Listing
November 2018

Effect of a computerized decision support system on potentially inappropriate medication prescriptions for elderly patients in Thailand.

J Eval Clin Pract 2018 Nov 28. Epub 2018 Nov 28.

Department of Public Health and Epidemiology, Meiji Pharmaceutical University, Tokyo, Japan.

Rationale, Aims, And Objectives: The prescription of potentially inappropriate medication (PIM) is a global issue associated with increased adverse drug events, mortality, and health care expenditure. Computerized decision support system (CDSS) for the detection of PIM is a novel alert system in Thailand for reducing PIM prescriptions. The aim of this study was to evaluate the effect of a CDSS on PIM prescriptions for elderly patients in Thai community hospitals. Read More

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http://dx.doi.org/10.1111/jep.13065DOI Listing
November 2018

Design features of a guideline implementation tool designed to increase awareness of a clinical practice guide to HIV rehabilitation: A qualitative process evaluation.

J Eval Clin Pract 2018 Nov 26. Epub 2018 Nov 26.

School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.

Rationale, Aims, And Objectives: A comprehensive electronic guide (e-module) describing an interprofessional, evidence-informed approach to HIV rehabilitation was developed as an education resource for rehabilitation professionals. We developed a guideline implementation tool, consisting of a 10-week, case-based education intervention delivered by email, that was perceived to increase rehabilitation professionals' (occupational therapists (OTs), physical therapists (PTs), and speech language pathologists (SLPs)) knowledge and confidence to apply best practices in HIV rehabilitation. This study aimed to increase understanding of how the design of the guideline implementation tool facilitated increased awareness of and access to the e-module among rehabilitation professionals. Read More

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http://doi.wiley.com/10.1111/jep.13070
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http://dx.doi.org/10.1111/jep.13070DOI Listing
November 2018
5 Reads

A revised model of uncertainty in complex healthcare settings: A scoping review.

J Eval Clin Pract 2018 Nov 22. Epub 2018 Nov 22.

Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.

Background: Uncertainty is a ubiquitous and dynamic presence throughout healthcare systems and encounters, affecting the quality and safety of care. Although previous research has attempted to categorize varieties of uncertainty, it is not clear if these classifications are applicable across various healthcare settings.

Objective: The purpose of this review was to examine the applicability of the issues of uncertainty delineated in an established taxonomy across diverse healthcare domains, professions, and countries and to consider the complexity of these issues. Read More

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http://dx.doi.org/10.1111/jep.13079DOI Listing
November 2018
11 Reads

Examining the implementation of clinical practice guidelines for the management of adult cancers: A mixed methods study.

J Eval Clin Pract 2018 Nov 21. Epub 2018 Nov 21.

Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.

Rationale, Aims, And Objectives: Focusing on the implementation of clinical practice guidelines (CPGs) for the management of adult cancers, the objectives of this study were to (a) describe the intrinsic elements known to influence CPG use; (b) identify the ways in which CPGs are implemented; and (c) explore how CPG characteristics and contextual factors influence implementation and use.

Methods: We conducted a sequential mixed methods study. First, we performed a content analysis of all CPGs developed and approved for the management of adult cancers in Nova Scotia, Canada, from 2005 to 2015. Read More

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http://dx.doi.org/10.1111/jep.13073DOI Listing
November 2018
10 Reads

Influence of contextual factors on quality of primary care in children with asthma.

J Eval Clin Pract 2018 Nov 21. Epub 2018 Nov 21.

Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.

Objective: Asthma is a common chronic disease among children, quality assurance is thus important. Adherence to pre-specified quality indicators of practice guidelines could be used to assess the quality of asthma care. The aim was to estimate which contextual factors that had an influence on the primary health care centres (PHCs) adherence to the quality indicators as stated in the practice guidelines. Read More

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http://dx.doi.org/10.1111/jep.13078DOI Listing
November 2018
8 Reads

A unifying framework for improving health care.

J Eval Clin Pract 2018 Nov 21. Epub 2018 Nov 21.

McMaster University, Hamilton, Canada.

The quality health care around world is suboptimal. To improve the quality of contemporary health care delivery, advocates have proposed a number of scientific and technical initiatives. All these initiatives, however, have arisen and continue to operate in siloes, resulting in confusion and incommensurability among those concerned with health care improvement. Read More

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http://dx.doi.org/10.1111/jep.13066DOI Listing
November 2018
7 Reads

Electronic medical record documentation of tobacco cessation support at eight community safety-net clinics with a high prevalence of tobacco use.

J Eval Clin Pract 2018 Nov 20. Epub 2018 Nov 20.

Center for Health Care Research and Policy, MetroHealth Medical Center, Cleveland, OH, USA.

Objectives: The high prevalence of tobacco use at primary care safety-net clinics represents an opportunity to offer assistance with cessation. Documentation of smoking status, offering advice and medications, and referral to cessation services are important steps in supporting cessation attempts and are required elements by payors and accrediting agencies to demonstrate care quality. This study examines tobacco cessation support rates and patient characteristics using electronic medical record (EMR) data. Read More

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http://doi.wiley.com/10.1111/jep.13069
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http://dx.doi.org/10.1111/jep.13069DOI Listing
November 2018
5 Reads

Translation, cultural adaptation, validation, and reliability study of the Quick-EBP-VIK instrument: Chinese version.

J Eval Clin Pract 2018 Nov 18. Epub 2018 Nov 18.

Nanfang Hospital, Southern Medical University, Guangzhou, China.

Rationale, Aims, And Objectives: Valid and reliable instruments for measuring are needed. To add knowledge to the subject of tools of evidence-based practice (EBP) evaluation in mainland China, the present study aims to translate the Quick-EBP-VIK into Chinese, which is an instrument for the assessment of nurses' value, knowledge, and implementation of EBP, and to evaluate the metric characteristics of the Chinese version.

Methods: In this methodological study, a total sample of 402 nurses from mainland China was applied. Read More

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http://dx.doi.org/10.1111/jep.13072DOI Listing
November 2018

Quality of hypertension care: An improvement initiative in two outpatient health care centers.

J Eval Clin Pract 2018 Nov 18. Epub 2018 Nov 18.

Department of Family Medicine, New York Institute of Technology College of Osteopathic Medicine (NYIT COM), Old Westbury, New York, USA.

Rationale, Aims, And Objectives: Hypertension control is an important public health goal; however, significant barriers remain in primary care practice. Our objective was to identify areas for improvement in hypertension care and implement changes in management to improve outcomes. We also aimed to evaluate whether quality improvement influences physician attitudes towards and adherence to current hypertension guidelines. Read More

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http://doi.wiley.com/10.1111/jep.13067
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http://dx.doi.org/10.1111/jep.13067DOI Listing
November 2018
27 Reads

The influence of body mass index on temperature management during general anaesthesia-A prospective observational study.

J Eval Clin Pract 2018 Nov 18. Epub 2018 Nov 18.

Department of Anaesthesiology, University Hospital, LMU Munich, Munich, Germany.

Rationale, Aims, And Objectives: During general anaesthesia, body core temperature is influenced by several factors that are either anaesthesia-related (type and duration of anaesthesia and fluid management), surgery-related (type of surgery and extent of the surgical procedure), or patient-related (age, gender, body weight, and preoperative body core temperature). Interestingly, data concerning body mass index (BMI) and its influence on patients' temperature are sparse. The aim of this study was to evaluate the impact of BMI on body core temperature under general anaesthesia. Read More

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http://doi.wiley.com/10.1111/jep.13064
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http://dx.doi.org/10.1111/jep.13064DOI Listing
November 2018
10 Reads

A multicenter cross-sectional study of episiotomy practice in Romania.

J Eval Clin Pract 2018 Nov 13. Epub 2018 Nov 13.

Department of Obstetrics Gynecology and Neonatology, "Gr. T. Popa" University of Medicine and Pharmacy, Iasi, Romania.

Rationale, Aims, And Objectives: The aim of this study was to focus attention on episiotomy practice in Romanian maternity units in order to identify factors associated with the very high rate of the procedure in Romania and to consider strategies to reduce it.

Methods: In this clustered cross-sectional study, a total of 11 863 patients were recorded in eight Romanian maternity units to assess the prevalence of episiotomy. A random effects Poisson model was used to estimate the prevalence rate in univariate and multivariate models. Read More

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http://doi.wiley.com/10.1111/jep.13062
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http://dx.doi.org/10.1111/jep.13062DOI Listing
November 2018
16 Reads
1.580 Impact Factor

Substance use screening and brief intervention: Evaluation of patient and implementation differences between primary care and emergency department settings.

J Eval Clin Pract 2018 Nov 13. Epub 2018 Nov 13.

Health Services Research, The National Center on Addiction and Substance Abuse, New York, New York, USA.

Rationale, Aims, And Objectives: There are well-documented barriers that have limited widespread, sustained adoption of screening and brief intervention for risky substance use in health care settings. In order to better inform implementation efforts, this study evaluates whether patient characteristics, screening results, and implementation success indicators differed between two clinical setting types: primary care and emergency.

Methods: Patients presenting to an emergency or primary care setting were screened for risky substance use (n = 41 567). Read More

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http://doi.wiley.com/10.1111/jep.13060
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http://dx.doi.org/10.1111/jep.13060DOI Listing
November 2018
9 Reads
1.580 Impact Factor

Length of stay by uncomplicated diabetes bariatric surgery patients: A laparoscopic adjustable banding versus laparoscopic sleeve gastrectomy.

J Eval Clin Pract 2018 Nov 13. Epub 2018 Nov 13.

Walden University, Minneapolis, Minnesota, USA.

Rationale, Aims, And Objective: Bariatric surgery is an effective procedure for morbidly obese patients when all else fails. The purpose of this study was to compare the hospital length of stay (LOS) for two surgical procedures, laparoscopic adjustable gastric banding (LAGB) and laparoscopic sleeve gastrectomy (LSG).

Methods: This study was a retrospective cross-sectional analysis of the Nationwide Inpatient Sample (NIS) from 2009 to 2014. Read More

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http://doi.wiley.com/10.1111/jep.13068
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http://dx.doi.org/10.1111/jep.13068DOI Listing
November 2018
6 Reads

Resilience and health (care): A dynamic adaptive perspective.

J Eval Clin Pract 2018 12;24(6):1319-1322

Monash Health Community, Monash Health, Adjunct Associate Professor, Monash University, Melbourne, Australia.

This special forum on resilience explores particular worldviews of resilience-clinical, psychosocial, sociological, complexity science, organizational, and political economy through eight papers. This forum aims to open up the wealth of understandings and implications in health care by taking a transdisciplinary overview. Read More

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http://doi.wiley.com/10.1111/jep.13043
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http://dx.doi.org/10.1111/jep.13043DOI Listing
December 2018
18 Reads

Door-to-balloon time and factors associated with delayed door-to-balloon time in ST-segment elevation myocardial infarction at Thailand's largest tertiary referral centre.

J Eval Clin Pract 2018 Nov 12. Epub 2018 Nov 12.

Division of Cardiology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Objective: To analyse door-to-balloon (DTB) time and to identify factors significantly associated with delayed DTB in patients with ST-segment elevation myocardial infarction (STEMI) at Thailand's largest tertiary referral centre.

Background: DTB time is considered an important measure of performance quality.

Methods: This observational study analysed DTB time in patients with STEMI who presented to our institute's emergency department and underwent primary percutaneous coronary intervention (PCI) during June 2008 to May 2011. Read More

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http://dx.doi.org/10.1111/jep.13061DOI Listing
November 2018
1 Read

Development of a proforma to improve quality of handover of surgical patients at the weekend.

J Eval Clin Pract 2018 Nov 8. Epub 2018 Nov 8.

Department of General Surgery, University Hospital Coventry and Warwickshire NHS Trust, Clifford Bridge Road, CV2 2DX, UK.

Rationale, Aims, And Objectives: The introduction of shift pattern of working in the medical profession has led to an increase in reliance on effective handover of patient information. We evaluated the use of a weekend handover proforma in General Surgical patients at a University Teaching Hospital.

Methods: A standardized weekend handover proforma was implemented. Read More

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http://doi.wiley.com/10.1111/jep.13063
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http://dx.doi.org/10.1111/jep.13063DOI Listing
November 2018
14 Reads