some judgment inaccuracies will stem from physicians overweighting cues that are unrelated to treatment outcomes and or underweighting cues that are related to outcomes
... 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 andto 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...
... 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...
... 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...
... Given the need to better understand specific organizational factors thatare 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 relatedto 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 toandwill add unanticipated...
... 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...
... 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? ...
... 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 thatare 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...
... 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 andare 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...
... 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...
... probably end up on welfare, andare more likely to abuse or neglect their children, andthat 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 andto ensure that both groups are relatively equal Treatment is carefully administered so that threats to internal validity are minimal Finally, the same measures are...
... 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’ treatmentand health outcomesare 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...
... 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...
... adherence monitoring, response totreatmentand 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 andor 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...
... 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),...
... is relatedto 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...
... 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 areto 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 thatare not well reflected in existing tools to measure context in healthcare, would include effort to detect and support emergent...
... 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 outcomesrelated ... 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...
... '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...
... 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 andfrom 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...