human judgment and decision making

... research and development (Nursing and Midwifery Strategy) Theme two: management approaches and decision making structures The Trust Profile provided an overview of a clear and unambiguous decision making ... identified: evidence-based practice and clinical effectiveness; management approaches and decision making structures; staff development and training; multiprofessional working; and support for the project ... education and training generally, nursing leadership, research, and supervision were also emphasised in terms of commitment ' clinical and professional leadership, research and supervision'(Nursing and...

Ngày tải lên: 11/08/2014, 05:22

... and Outcomes Supporting EBP, and Staff Development and Support) There was also concordance between the least important factors with System Readiness and Compatibility, Agency Compatibility, and ... clinical services, and consumer needs and values In order to be successful, the implementation process must acknowledge and value the needs, exigencies, and values present and active across these ... directors and program managers representing a broad range of children and family mental health agencies and programs, including Page of 12 outpatient, day treatment, case management, and residential...

Ngày tải lên: 10/08/2014, 11:20

... organizations, and the individuals within them, are shaped by social norms and expectations, and that organizational structures and behaviors typically conform to their social, legal, and technical ... organizational type and the adoption and implementation of EBP despite the fact that many health and human service industries are comprised of a mixture of government, for-profit, and nonprofit entities ... likely to engage in innovation and change and, even if they endorse change, may try to implement change by 'command and control' rather than engaging in more facilitative and supportive change strategies...

Ngày tải lên: 11/08/2014, 05:21

... the situation and implementing researchbased interventions) to consistent ways or patterns of decision- making and practice (e.g consistently seeking the best evidence in all decisionmaking to achieve ... monitoring and feedback systems and, as with Ferlie and Shortell's core elements [38], related information technologies [11,30]; external communication networks and boundary-spanning roles [11,41]; and ... managerial and clinical relations; co-operative interorganizational networks; a fit between the change agenda and its locale; and the simplicity and clarity of organizational goals and priorities...

Ngày tải lên: 11/08/2014, 05:22

... and data Competing interests None declared References American Society for Anesthesiologists: Standards for Basic Anesthetic Monitoring 2003 [http://www.asahq.org/ publicationsAndServices/standards/02.pdf#2] ... way to solve the problem, and a safe and effective device is available to carry out the function When controlled clinical trials might be needed tidal carbon dioxide, and this can have useful ... T, Nanda Kumar CG: A prospective randomised controlled trial of capnography vs bronchoscopy for Blue Rhino percutaneous tracheostomy Anaesthesia 2003, 58:864-868 Kindopp AS, Drover JW, Heyland...

Ngày tải lên: 12/08/2014, 20:20

... organizations and individuals for the use of process and outcomes measures to improve organization performance and quality of care and services as a model for others Both the volume editor and the ... addition to lecturing and consulting around the United States He is co-author of A Handbook of Quality Change and Implementation for Behavioral Health and has both professional and faith-based publications ... Earlham College and Columbia University, College of Physicians and Surgeons His main interests are in developing and testing family and psychosocial treatments for major mental illnesses and their...

Ngày tải lên: 15/02/2014, 02:20

... mucositis Prostaglandins E1 and E2 have many activities, including cytoprotective actions While early observational and pilot studies of the effectiveness of local application of prostaglandins were ... use, and indeed, prostaglandin E may exacerbate mucositis in these patients Mucosal Cell Stimulants Low energy laser treatment may promote the proliferation of mucosal cells and wound healing, and ... include: • clean teeth and gums after meals and before sleep with tooth brush or swab as tolerated; • rinse the mouth regularly; • if dentures are worn, remove and clean them daily and leave out while...

Ngày tải lên: 15/02/2014, 05:20

... Evaluation Committee Evidence-Based Counselling and Psychological Therapies Research and applications Edited by Nancy Rowland and Stephen Goss London and Philadelphia First published 2000 by Routledge ... Evidence-based counselling and psychological therapies : research and applications / edited by Nancy Rowland and Stephen Goss p cm Includes bibliographical references and index Psychotherapy–Outcome ... AND AMANDA SOWDEN 10 Clinical practice guidelines development in evidence-based psychotherapy 171 JOHN CAPE AND GLENYS PARRY 11 Getting evidence into practice 191 STEPHEN GOSS AND NANCY ROWLAND...

Ngày tải lên: 15/02/2014, 15:20

... clients using a standard of care, avoiding iatrogenic or treatment-caused harm, and providing optimal treatment Standards of Care The standard of care is what ordinary, reasonable, and prudent professionals ... recognize and readily admit their own biases and values, seek to understand social phenomena through inductive logic and qualitative data, rely on the researcher as the primary measuring instrument, and ... Definition and Process 29 orthogonally to create a typology of investigations, as shown in the following table Efficient and ineffective Efficient and effective Inefficient and ineffective Inefficient and...

Ngày tải lên: 06/03/2014, 02:20

... needed into infrastructure for the gathering and analysis of healthcare data and information, and standards and protocols to ensure their accuracy and reliability Shift to a culture of care that ... that is available, and to too few incentives and decision supports for evidence-based care Pressing need for evidence development More and better evidence— including comparative and longitudinal ... amount of real-time and real-world data from EHRs and clinical registries Beyond the evaluation of interventions, methodologies are needed to model and analyze work processes and decision management...

Ngày tải lên: 06/03/2014, 09:20

... clinical decision- making comprised an exchange in which the patient expressed a complaint and the provider gave advice, made a decision, and provided treatment, after considering all the factors and ... reduction of the ability to smell and taste, and the development of oral diseases such as smoker’s palate, smoker’s melanosis, coated tongue, and, possibly, oral candidosis and dental caries, periodontal ... (beginning with the prenatal period and infancy and extending through childhood, adolescence, adulthood and older adulthood), because risks and preventive factors accumulate and interact over a lifetime...

Ngày tải lên: 06/03/2014, 12:21

... standard-sized drinks a week and no more than standardsized drinks on any day - FOR WOMEN— no more than standard-sized drinks a week and no more than standard-sized drinks on any day Standard-sized drinks ... reduction in occurrence and severity of relapse, improved psychological and social functioning and quality of life, improved co-occurring medical and health conditions and reduction in mortality) ... use and alcohol abuse, and the less common but more severe alcoholism and alcohol dependence (Saitz, 2005) UNHEALTHY ALCOHOL USE Risky users: For women and persons > 65 years of age, > standard...

Ngày tải lên: 31/03/2014, 13:20

... deliveries and newborn care The CHCs are staffed by physicians, midwives, assistant doctors and nurses Study population and data collection Information on health care resources (equipment and drugs), ... items At CHCs and hospitals, data collectors met with health care staff (obstetric and paediatric department at hospitals) and checked registers for information about the facility and its health ... citation purposes) Human Resources for Health 2009, 7:36 http://www .human- resources-health.com/content/7/1/36 Table 1: Availability of equipment and drugs at all hospitals and all community health...

Ngày tải lên: 18/06/2014, 17:20

... organizational structure, process and behaviours related to adoption and penetration • Analyze site and system-level effects and costs • Inform policy development for sustainability and spread to different ... the adoption and use of new technologies, care arrangements, and quality improvement (QI) strategies Fixsen and colleagues describe such variables as being "like gravity omnipresent and influential ... research controls may be replaced by handoffs to hospital and practice teams, the organizational context becomes increasingly central to our understanding of what works and does not work in implementing...

Ngày tải lên: 11/08/2014, 05:21

... processes, and uses, and OL to focus on the process of learning from new knowledge Nutley, Davies and Walker [54] define OL as the way organisations build and organise knowledge and routines and use ... performance targets and multiple stakeholder influences and values, the imperative to share good practice across organisational boundaries, and a complex and diverse set of boundaries and networks [3] ... http://www.implementationscience.com/content/4/1/28 and existing communities of practice; encourage and reward individuals and groups to ask questions; discuss and share ideas across knowledge communities; and support the progression,...

Ngày tải lên: 11/08/2014, 05:21

... feasibility of implementation, given the resources provided and competing initiatives and mandates; and effects on the facility's workflow and clinical processes Tools that support the TIDES EBQI ... patterns and outcomes across the VA and current variation from best practices, 4) Identify and implement interventions to promote best practices, 5) Document that best practices improve outcomes, and ... goals in four areas: 1) Guidelines and Quality Indicators, 2) Training in Clinical Processes and Evidence-Based Quality Improvement, 3) Marketing, and 4) Informatics and Logistics Support This paper...

Ngày tải lên: 11/08/2014, 05:21

... situation and implementing research-based interventions) to consistent ways or patterns of decision- making and practice (e.g., consistently seeking the best evidence in all decision- making to ... she and the research and education director additionally were instrumental in strategically making those expectations operational and in sustaining them This was accomplished through planned and ... education/practice, and related, knowledgeable experts at the unit level; 'Show me how it's really going to better the patient and myself and, again, that visibility and someone who is approachable every day and...

Ngày tải lên: 11/08/2014, 05:21

... every combination of setting, individual(s), and intervention is unique and must be examined individually – this would require thousands of evaluations and would incur prohibitive costs The assumption ... need to be conducted, and ensure their generalisability, it is necessary to understand and optimise the 'active ingredients' in professional behaviour change strategies and the characteristics ... Framework, and the subject of our previous work [20]) The other is to develop an understanding of how the elements of the interventions work and can therefore be optimised (the modeling and exploratory...

Ngày tải lên: 11/08/2014, 05:22