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some judgment inaccuracies will stem from physicians overweighting cues that are unrelated to treatment outcomes and or underweighting cues that are related to outcomes

báo cáo khoa học:

báo cáo khoa học: " Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care" doc

Báo cáo khoa học

... identified a complex mix of organisational, teamwork, and specific assessment -related factors as barriers and facilitators for change Organisational factors are acknowledged to be influential in determining ... identify barriers and facilitators for change to multidisciplinary stroke assessment and to utilise the information obtained to inform a change management approach tailored to local context Specific ... with the social and organisational contexts of care provision [4,5] However, facilitators for organisational change can also be present, and it is essential to identify these prior to implementing...
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báo cáo khoa học:

báo cáo khoa học: "A comparison of policy and direct practice stakeholder perceptions of factors affecting evidence-based practice implementation using concept mapping" doc

Báo cáo khoa học

... implementing a new EBP, suggests that several major categories of factors may serve as facilitators or barriers to change For example, changes are more likely to be implemented if they have demonstrated ... quality and stigma, and potential burden for new types of services Each cluster or factor can be considered a facilitator or barrier to EBP implementation to the degree that the issues are effectively ... child welfare and/ or alcohol/drug services under contracts or memorandums of understanding with agencies or organizations in other sectors Indeed, it is not uncommon for consumers to be involved...
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Báo cáo y học:

Báo cáo y học: " Evidence-based practice implementation: The impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice" doc

Báo cáo khoa học

... support for innovation Public and private sector agencies are likely to differ in the degree to which organizational support for EBP is present Public sector agencies may be less likely to engage ... as working for either a private sector or a public sector (i.e., governmentoperated) agency Private sector agencies included those operating as either for-profit or nonprofit organizations Organizational ... sector organizations than in private sector organizations Public and private sector organizations also differed by gender composition (public sector agencies had a lower percentage of women) and...
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báo cáo khoa học:

báo cáo khoa học: " Improving quality of care through routine, successful implementation of evidence-based practice at the bedside: an organizational case study protocol using the Pettigrew and Whipp model of strategic change" potx

Báo cáo khoa học

... Given the need to better understand specific organizational factors that are key to normalizing EBP, and the inherent complexity of such phenomena, this study will use an explanatory case study ... applied to health care by Pettigrew et al., the overall framework helped to identify several factors related to more successful strategic change [12] These factors or "signs and symptoms of receptivity" ... in that key terms and themes relative to the Pettigrew et al model will be used as coding categories; and inductive to the extent that the investigators will be open to and will add unanticipated...
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báo cáo khoa học:

báo cáo khoa học: " Evidence-based practice implementation: The impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice" potx

Báo cáo khoa học

... support for innovation Public and private sector agencies are likely to differ in the degree to which organizational support for EBP is present Public sector agencies may be less likely to engage ... as working for either a private sector or a public sector (i.e., governmentoperated) agency Private sector agencies included those operating as either for-profit or nonprofit organizations Organizational ... sector organizations than in private sector organizations Public and private sector organizations also differed by gender composition (public sector agencies had a lower percentage of women) and...
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Báo cáo y học:

Báo cáo y học: "Carbon dioxide monitoring and evidence-based practice – now you see it, now you don’t" pdf

Báo cáo khoa học

... 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] ... level of evidence that is required before applying any health technology in critical care medicine is highly variable Manufacturers and regulatory authorities are responsible for the safety of ... surrogate for splanchnic hypoperfusion? Most importantly, is it reasonable to infer that interventions arising from the monitoring of sublingual PCO2 will improve any clinically meaningful outcomes? ...
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Tài liệu THE EVIDENCE-BASED PRACTICE pdf

Tài liệu THE EVIDENCE-BASED PRACTICE pdf

Sức khỏe giới tính

... having staff to this needed work, are having to reduce or eliminate staff who are capable of doing this needed work At some point, directors and boards of agencies will need to ask the same or similar ... services are designed to help mental health consumers move from support networks characterized primarily by professional support to more balanced networks that are larger, more diverse, and more reciprocal, ... the Seeking Supported Employment tool incorporates recommendations from the current state of the science For example, the instrument incorporates factors that build on other core principles recently...
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Tài liệu Best Practice: Evidence Based Practice Information Sheets for Health Professionals pptx

Tài liệu Best Practice: Evidence Based Practice Information Sheets for Health Professionals pptx

Sức khỏe giới tính

... local vasoconstriction and hence reduces blood flow to the oral mucosa For cytotoxic and neoplastic drugs such as 5-fluorouracil, which have a short half life and are sometimes administered as ... care There appears to be broad support for some form of oral care protocol as a commonsense preventive measure, but further research is required to optimise specific oral care regimens Interventions ... Antibacterial, Antifungal And Antiviral Agents Many oral care regimens include prophylactic antibacterial and/ or antifungal treatments to clear the mouth of oral microflora before and during chemo/radiotherapy...
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Tài liệu Evidence-Based Counselling and Psychological Therapies doc

Tài liệu Evidence-Based Counselling and Psychological Therapies doc

Sức khỏe giới tính

... the work of UK contributors to the Cochrane Collaboration – for example by organising workshops for Cochrane reviewers, by co-ordinating handsearches of the general health care journals and by ... for acute phase treatment Quality criteria for assessing research reviews 48 89 130 132 150 182 184 Contributors Mark Baker is the Medical Director of North Yorkshire Health Authority and Honorary ... into ambulatory care), Aberdeen (where he was Director of the Scottish Health Services Research Unit, and mainly researched into acute services), and Wales (where he was Director of Research and...
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EVIDENCE-BASED PRACTICE IN SCHOOL MENTAL HEALTH doc

EVIDENCE-BASED PRACTICE IN SCHOOL MENTAL HEALTH doc

Sức khỏe giới tính

... probably end up on welfare, and are more likely to abuse or neglect their children, and that their children are less likely to complete high school education and more likely to repeat the cycle ... diversity, and value preferences There are no clinicians who can sit back and comfortably assume that they have no more to learn The world is changing much too fast to believe that we can stop growing ... beginning to establish a baseline and to ensure that both groups are relatively equal Treatment is carefully administered so that threats to internal validity are minimal Finally, the same measures are...
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Evidence-Based Medicine and the Changing Nature of Health Care: Meeting Summary docx

Evidence-Based Medicine and the Changing Nature of Health Care: Meeting Summary docx

Sức khỏe giới tính

... 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 ... adjust and monitor patients’ treatment and health outcomes are tasks that both providers and patients will have to perform Beyond Expert-Based Practice William W Stead, McKesson Foundation Professor ... understanding of what needs to be demonstrated in order to win coverage, reimbursement, and support from payers and providers varies widely Coordinated public and private efforts are needed to identify...
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Proceedings of the International Conference on Evidence Based Practice in Dentistry pptx

Proceedings of the International Conference on Evidence Based Practice in Dentistry pptx

Sức khỏe giới tính

... plan for stopping and information about how to prepare for the quitting date and how to successfully stop, keeping in mind that most smokers relapse three to five times before succeeding in stopping ... restorations tend to be idiosyncratic [33] Thus, for example, Ditched margins are commonly assumed to signal failure of the restoration [5, 30] and Existing restorations are readily deemed to ... restorations and periodontal diseases Then the patient who attends regularly will become less ready to accept an apparently unending commitment to restorations and re-restorations, with scales and...
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Management of Substance Use Disorder s (SUD): VA/DoD Evidence Based Practice doc

Management of Substance Use Disorder s (SUD): VA/DoD Evidence Based Practice doc

Cao đẳng - Đại học

... adherence monitoring, response to treatment and adverse effects • Monitoring self-reported use, laboratory markers and consequences Education and referral to community support for recovery (e.g., ... sensitivity and specificity, and take prevalence into account The AUDIT-C cut-points of or more for women and or more for men are recommended because these cut-points tend to balance sensitivity and ... limits are: - FOR MEN— no more than 14 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...
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báo cáo sinh học:

báo cáo sinh học:" Evidence-based practice in neonatal health: knowledge among primary health care staff in northern Viet Nam" potx

Điện - Điện tử

... knowledge, geography, demographic factors and neonatal outcomes, we believe staff knowledge and use of knowledge to be important and feasible factors to work on for improving the neonatal health ... health care workers were employed Doctors, assistant doctors, midwives and nurses involved in deliveries and newborn care at the CHCs were targeted for the knowledge survey The health workers ... 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),...
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The role of organizational research in implementing evidence-based practice: QUERI Series pot

The role of organizational research in implementing evidence-based practice: QUERI Series pot

Báo cáo khoa học

... is related to the more action-oriented research where fewer organizational factors are controlled for and also to pragmatic randomized trials where sufficiently large samples of organizations are ... the nature and importance of organizational factors and the need for related planning into rapid relief While most efforts outside the VA have focused on only a few and often immutable organizational ... relevant area characteristics (e.g., managed care penetration, regulatory environment) Such factors may influence how health care organizations are structured, though organizational factors also...
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Báo cáo y học:

Báo cáo y học: "What can management theories offer evidence-based practice? A comparative analysis of measurement tools for organisational context" doc

Báo cáo khoa học

... networks that generate the meaning and value to be attached to evidence, organisational efforts to improve EBP would need to more to shift towards supporting horizontal knowledge transfer Networks ... indicators for supportive organisational conditions are to be developed by extracting items from existing tools, as in previous tools developed to measure OL capability [90] Existing tools are ... kinds of support which KM and OL tools include as standard, but that are not well reflected in existing tools to measure context in healthcare, would include effort to detect and support emergent...
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Báo cáo y học:

Báo cáo y học: "A social marketing approach to implementing evidence-based practice in VHA QUERI: the TIDES depression collaborative care model" docx

Báo cáo khoa học

... to implement the depression care program; • Provider: Tools and staff support to utilize the program; and • Veteran: Facilitated access to the program Demonstrate real or potential outcomes related ... depression and seeking treatment for it "I know depression can be treated, and I know how I can get that treatment. " (Director, chief of staff, chief medical officer, service line directors, primary care ... These groups must decide whether to endorse collaborative care, and whether to support it either centrally or by providing resources and implementation support to individual facilities VISN-level...
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Báo cáo y học:

Báo cáo y học: " Institutionalizing evidence-based practice: an organizational case study using a model of strategic change" pptx

Báo cáo khoa học

... 'facilitator to make sure that we are constantly reassessing our standard of nursing care' through exploration of related evidence and 'an expectation of staff to figure out good clinical care [and] ... tended to focus on an organization-wide priority of collecting QI audit and outcome data, which was heavily geared to externally defined performance indicators (e.g., from Centers for Medicare/Medicaid ... and organizational support [17,18] have emerged as potential mediators Despite this growing evidence base, we still not know which contextual factors are more important, or how they operate or...
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báo cáo khoa học:

báo cáo khoa học: " Translating clinicians'''' beliefs into implementation interventions (TRACII): A protocol for an intervention modeling experiment to change clinicians'''' intentions to implement evidence-based practice" pdf

Báo cáo khoa học

... 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 trial phases of the MRC Framework) ... each condition, and the characteristics of these patients vary from doctor to doctor and from year to year By giving all subjects in the experiment the same context in which to examine behavioural ... Aims of this protocol The aims are 1) To develop interventions to change beliefs that have already been identified as antecedents to antibiotic prescribing for sore throats, and 2) to experimentally...
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