basics of evidence based clinical practice

... benefits of doing what we know works, it is essential that we find ways of implementing evidence into practice One way of supporting implementation of evidence is through evidence- based clinical practice ... acceptance of the importance of taking an evidence- based approach to clinical decisionmaking, in many areas across the spectrums of speciality and location, clinical practice is still not evidence- based ... against which clinical practice can be evaluated Historically, CPGs were often developed by consensus of a group of expert clinicians without explicit reference to research evidence Evidence -based CPG...

Ngày tải lên: 11/08/2014, 16:21

... explanation of how it will work Some evidence exists that support the application of psychological theories to clinical behaviour, but this evidence tends to be limited to one theory or one group of models ... expert opinion of the clinical members of the research team, and the initial interviews with 29 GDPs These elements were categorized into: clinical elements (standard of oral hygiene, clinically ... from psychological models predictive of an evidencebased clinical behaviour, the placing of PFS in six to sixteen year old patients in Scotland A theory -based questionnaire was developed to assess...

Ngày tải lên: 10/08/2014, 10:22

... have the greatest likelihood of success in influencing the implementation of this evidence- based practice The PRIME study has evaluated the predictive value of a range of theories across different ... review of studies of quality of clinical care in general practice in the UK, Australia and New Zealand Qual Health Care 2001, 10:152-158 Grol R: Successes and failures in the implementation of evidence- based ... change clinical practice BMC Health Serv Res 2003, 3:22 18 Bonetti D, Pitts NB, Eccles M, Grimshaw J, Johnston M, Steen N, et al: Applying psychological theory to evidence- based clinical practice: ...

Ngày tải lên: 10/08/2014, 10:23

... greatest likelihood of success in influencing the implementation of this evidence- based practice We used a range of theories and models in both this and another component [25] of our larger study ... consequences; Evidence of habitual behaviour CS-SRM: Cause social contact; stress; chance/bad luck OLT Evidence of habitual behaviour 0.251*** 0.059 1, 209 14.1*** TPB PBC Power 0.302*** OLT Evidence of ... Systematic review of studies of quality of clinical care in general practice in the UK, Australia and New Zealand QHC 2001, 10:152-158 Schuster M, McGlynn E, Brook RH: How good is the quality of health...

Ngày tải lên: 11/08/2014, 05:22

... Medicine Working Group: Evidence- Based Medicine A New Approach to Teaching the Practice of Medicine JAMA 1992, 268:2420-2425 Guyatt GH: Evidence- Based Medicine Annals of Internal Medicine 1991, ... Using Clinical Practice Guidelines to Evaluate Quality of Care Rockville, MD: U.S Department of Health and Human Services; 1995 Huttin C: The Use of Clinical Guidelines to Improve Medical Practice: ... Implementation of evidence- based practices in state mental health systems: implications for research and effectiveness studies Schizophrenia bulletin 2003, 29:125-131 Evidence- Based Medicine...

Ngày tải lên: 11/08/2014, 05:21

... support for evidence- based practice on effect of attitudes of evidence- based practice tional toward partial mediation practice, practice on attitudes use toward evidence- basedeffects of and providerproorganizational ... toward evidence- based practice, effect of organizational support for evidencebased practice on provider attitudes toward evidence- based practice, and effect of organizational support for evidence- based ... evidence- basedagency type on Path model of evidence- based practice, effect of organizaand Path model of partial mediation effects of agency type on organizational support for evidence- based practice...

Ngày tải lên: 11/08/2014, 05:21

... L, Newell-Stokes V: Evidence- based practice and the role of nursing leadership J Nurs Adm 1998, 28(7–8):45-53 Goode CJ, Piedalue F: Evidence- based clinical practice Journal of Nursing Administration ... collect multiple types of data enabling development of a comprehensive, in-depth picture of the influences of context on the routine use of evidence in practice Thus, while findings of the study will ... process of transferring research knowledge into practice for the purpose of understanding, validating, enhancing or changing practice RU consists of both the use of products of research and use of...

Ngày tải lên: 11/08/2014, 05:22

... Medicine Working Group: Evidence- Based Medicine A New Approach to Teaching the Practice of Medicine JAMA 1992, 268:2420-2425 Guyatt GH: Evidence- Based Medicine Annals of Internal Medicine 1991, ... Using Clinical Practice Guidelines to Evaluate Quality of Care Rockville, MD: U.S Department of Health and Human Services; 1995 Huttin C: The Use of Clinical Guidelines to Improve Medical Practice: ... Implementation of evidence- based practices in state mental health systems: implications for research and effectiveness studies Schizophrenia bulletin 2003, 29:125-131 Evidence- Based Medicine...

Ngày tải lên: 11/08/2014, 16:21

... towards validated evidence- based medicine' 14 Handbook of Evidence- based Veterinary Medicine 1.6.3 Other sources of information and evidence If scientific evidence is unavailable, clinical experience ... specialist practice, what is the evidence to support the level of expertise being offered by the practice? Within our own practices, what is the evidence establishing the quality of our in-house ... feasibility of the practice of EBVM and the advantages to be gained from it in non-academic practice 1.3 What we mean by EBVM? A brief description The widely quoted definition of evidence- based medicine...

Ngày tải lên: 15/03/2014, 17:20

... Considerations Journal of Evaluation in Clinical Practice 2003, 9:111-121 52 Norman G: Examining the Assumptions of Evidence- Based Medicine Journal of Evaluation in Clinical Practice 1999, 5:139-147 ... Clancy CM, Cronin K: Evidence- Based Decision Making: Global Evidence, Local Decisions Health Affairs 2005, 24:151-162 Fox DM: Evidence of Evidence- Based Health Policy: The Politics of Systematic Reviews ... TG: Evidence- Based Management: From Theory to Practice in Health Care The Milbank Quarterly 2001, 79:429-457 41 Lin V: Competing Rationalities: Evidence- Based Health Policy? In Evidence- Based...

Ngày tải lên: 10/08/2014, 10:22

... to the complexity of clinical practice The theory -based methods support the results in contributing to building a cumulative evidence base of the implementation of health professional behaviour ... performance of evidence- based behaviours, and future research could specifically identify whether duration of perceived interference affects performance of particular focal clinical Page of 12 (page ... Translation of research evidence into clinical practice remains a challenge [1,2] The behavioural sciences provide a number of well-developed, operationalised, and tested models of human behaviour...

Ngày tải lên: 11/08/2014, 05:21

... to the complexity of clinical practice The theory -based methods support the results in contributing to building a cumulative evidence base of the implementation of health professional behaviour ... performance of evidence- based behaviours, and future research could specifically identify whether duration of perceived interference affects performance of particular focal clinical Page of 12 (page ... Translation of research evidence into clinical practice remains a challenge [1,2] The behavioural sciences provide a number of well-developed, operationalised, and tested models of human behaviour...

Ngày tải lên: 11/08/2014, 16:20

... associated with receipt of each of the services and tests of interest, including the specialty of the physician providing the service, to understand whether involvement of primary Page of care physicians ... hierarchy of PsA, RA, and then OA The amount of overlap between PsA and RA was low; 0.8% of RA patients had a concomitant diagnosis of PsA Outcomes of interest The primary outcomes of interest ... between the type of arthritis (RA and PsA referent to OA) and receipt of each of the services of interest Because mammography and influenza vaccination are recommended more often than once every...

Ngày tải lên: 12/08/2014, 14:22

... members of local medical establishments to champion the cause of evidence based medicine is an essential element of the process Integral to this role is the local ‘tailoring’ of best evidence ... Efficacy and safety of recombinant human activated protein C for severe sepsis N Engl J Med 2001, 344:699-709 Ketley D, Woods KL: Impact of clinical trials on clinical practice: Example of thrombolysis ... which the principles of implementation research might currently be applied to high quality evidence include the following Formulating evidence based guidelines that promote best practice initiatives...

Ngày tải lên: 12/08/2014, 18:21

... management of spine pain should be used judiciously and it should be based on best practices information Best practices is a process, which includes an oft-updated document, that reviews the current evidence ... disciplines, the chiropractic profession included [4] Also, chiropractors have generally not followed evidence- based guidelines for the use of radiography [5] However, recent evidence suggests that chiropractors ... use of radiography for assessing patients with acute LBP In the United States, the annual cost of radiography of the low back was estimated at $500 million in 1991 [7] Interestingly, most of these...

Ngày tải lên: 13/08/2014, 14:20

... survey of current curricula of chiropractic colleges found most colleges to be teaching evidencebased concepts [6] Chiropractors are ambivalent about the potential value of the evidence- based ... knowledge based on anecdote and tradition Diagnostic and therapeutic intervention decisions are often made with little to no attention to evidencebased methods Instruction in evidence- based methods ... effectiveness of evidence- based training for chiropractic practitioners in a continuing education setting Does an evidencebased workshop result in improved knowledge of evidence- based procedures? How...

Ngày tải lên: 13/08/2014, 14:20

... transfusion of 15 units of Page of erythrocytes, unit of platelets was administered per units of erythrocytes The consultant anaesthesiologist in the trauma team used a variety of clinical criteria ... Consumption of blood products day 1-10 after the trauma incident for patients admitted in the first six months of 2002, 2004 and 2007 First six months of 2002 First six months of 2004 First six months of ... population of patients that were massively transfused day 1-2 after admittance First six months of 2002 Number of patients Proportion of all transfused patients (%) First six months of 2004 13...

Ngày tải lên: 13/08/2014, 23:20

... Essentials of Neuroimaging for Clinical Practice This page intentionally left blank Essentials of Neuroimaging for Clinical Practice Edited by Darin D Dougherty, M.D., ... advice of physicians directly involved in their care or the care of a member of their family Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the ... Boulevard Arlington, VA 22209–3901 www.appi.org Library of Congress Cataloging-in-Publication Data Essentials of neuroimaging for clinical practice / edited by Darin D Dougherty, Scott L Rauch,...

Ngày tải lên: 14/08/2014, 11:20

... superimposed blurred images of structures lying on either side of that plane CT scanning consists of a series of tomograms, or slices, through sections of the body However, its method of image acquisition ... located on the opposite side of traumatic Figure 1–7 ESSENTIALS OF NEUROIMAGING FOR CLINICAL PRACTICE CT scan of a normal brain: brain and bone windows at the level of the mastoid air cells Figure ... provides excellent visualization of normal structures of the brain Figure 1–6 demonstrates a transverse view of a normal brain at the level of the frontal horns of the lateral ventricle In the...

Ngày tải lên: 14/08/2014, 11:20