the evidence based neurology curriculum

... of their evidence- based programs for consideration, and in another years, in 2002, Sinnissippi was the recipient of the Codman Award The protocols and suggestions for implementing evidence- based ... applicants for the award is either in applying evidence- based treatments or collecting evidence on their own treatment protocols to determine their effectiveness These agencies, as well as other treatment ... practice, we review the history of evidence- based treatment and discuss the reasons why evidence- based practice has come to the forefront at this time EARLY BEGINNINGS Evidence- based treatment had...

Ngày tải lên: 15/02/2014, 02:20

... methodologies These organizations recognize that specific patient care decisions are the prerogative of the patient and the physician caring for the patient, based on all of the circumstances involved evidence ... These general principles are not evidenced -based, but are the foundation of a practical approach to treating the patient with acute migraine The general principles are: § engage patients in their ... part of diagnosing migraine, the physician excludes any secondary causes of the patient’s headache In addition, the physician determines whether the patient has other coexisting primary headache...

Ngày tải lên: 21/02/2014, 12:20

... However, these recommendations are likely to change with the availability of more clinical evidence in the future On the other hand, although it has been found that corticosteroids reduced the risk ... despite the use of combination chemotherapy regimens that otherwise have more than 95% efficacy in new sputum smear-positive pulmonary TB cases The poor outcomes are often attributed to the development ... of these 11 trials had used rifampicin -based regimens Of the two trials that used rifampicin -based regimens, one was a fairly larger one with 530 sputum smearpositive patients conducted at the...

Ngày tải lên: 06/03/2014, 04:20

... the Quality Chasm (2001) In the face of the growing awareness generated about the nature and implications of the gap between healthcare practice and the evidence base, the IOM Roundtable on Evidence- Based ... nurses These environments provide at least five evidence services: evidence selection, evidence synthesis, evidence in context, evidence management, and evidence literacy training Collaborative evidence ... particular, the individual contributors who donated their valuable time and insights to the scientific program through their presentations and through their efforts to further develop the content into the...

Ngày tải lên: 06/03/2014, 09:20

... vention, the evidence- base on different interventions is a key component of the support systems Synthesis of the Evidence- Base for Preventive Interventions and Decision-Making The evidence- based ... effective The starting point for the traditional evidence- based approach, therefore, is the searching for and collation of the scientific evidence on a given intervention Questions concerning the intervention ... methods, there is no conclusive evidence on the relative merits of the various methods of occlusal reconstruction, or the superiority of one occlusal scheme over another [82] Neither is there any evidence...

Ngày tải lên: 06/03/2014, 12:21

... changes with the cyclical indicator of the business cycle at birth Their data are from the Netherlands and contain the social class of the parents at the moment of birth They conclude that there are ... additional results The effect of the timing of the birth in the year and the business cycle around the birth year The first column of Table presents estimates of the PH model where the transitory component ... whether the fraction of newborns whose father had a blue (vs white collar) occupation varies with the state of the business cycle as measured by the annual change in the inflow into poor relief The...

Ngày tải lên: 17/03/2014, 08:20

... other Using the bull’s-eye analogy, the larger the sample size, the less the random error and the larger the chance of hitting the center of the target (Fig. 2.1) Systematic error, on the other ... a quantification of the strength of the evidence, and then continues with detailed examination of the supporting evidence At the end of the chapter, the reader will find the take-home tables ... the sensitivity and the specificity of the imaging test The third step is to incorporate the physician into the evaluation of the imaging intervention by evaluating the effect of the use of the...

Ngày tải lên: 30/05/2014, 23:55

... Society Using the best available evidence The evidence on which a treatment recommendation is based is graded by the NHMRC according to the criteria of level, quality, relevance and strength The ‘level’ ... values – alongside the application of best available research evidence – in its definition of evidence- based practice, Evidence- based practice in psychology is the integration of the best available ... cognitions The therapist helps individuals identify unhelpful thoughts, emotions and behaviours CBT has two aspects: behaviour therapy and cognitive therapy Behaviour therapy is based on the theory...

Ngày tải lên: 02/06/2014, 09:39

... disease They have a rash on their elbow and a little ringing in their ear and they’ll often consume time just unloading their frustrations If, on the other hand, there was an incentive for them ... have the same objectives, align our priorities, then I think we’ll reach them Um, the problem often times is that there’s another issue, a distracter issue that the patients want to talk about They ... And uh, every time they go to the hospital, their blood pressure is high They put them on a bunch of blood pressure medications They come out and they fall down I cannot use the guideline for...

Ngày tải lên: 10/08/2014, 10:22

... topics, the recent emphasis in public policy on evidence- based decision making (EBDM) and evidencebased policy making (EBPM) reinforces the need to examine some of the factors that bias the decision-making ... aspects of the policy information and process the information differently than if the objective is to determine whether the policy fulfills the election mandates of the governing party In other words, ... assess 'what is evidence' and how to assess the strength of the evidence [13] For example, one critical factor that has arisen is the question of the policy makers' ability to judge the quality and...

Ngày tải lên: 10/08/2014, 10:22

... large part, on the following: • The conceptual model and organizational theory (or theories) underlying the research [15]; • The nature of what is known and/or being hypothesized about the organizational ... for fostering the integration and evaluation of health care organizational factors into the planning and study of the implementation of evidence- based practice within the context of the six-step ... frameworks To date, the use of organizational theory in the design and deployment of evidence- based practices into routine care has been highly variable and generally under-used [17] The dilemma for...

Ngày tải lên: 11/08/2014, 05:21

... pressure, the target is the patient; the action is taking the blood pressure reading; the context is the clinical consultation; and the time may be expressed in terms of frequency (e.g., every time the ... represents the three cognitive variables that the theory suggests will predict the intention, which is the precursor of behaviour Because this process evaluation was conducted at the end of the intervention ... of control over the behaviour in question The construction of the measures of the three predictor variables and of intention was based on standard practice in the field including the advice of...

Ngày tải lên: 11/08/2014, 05:21

... that not At the provider level, a survey could ask clinicians if they remember receiving the TIDES marketing materials, whether they felt the materials were compelling, and whether they are referring ... accelerate spread of the model During this collaboration, it became clear that a social marketing approach could further leverage the expertise of the TIDES team and the knowledge gained at the first-generation ... Nevertheless, it is challenging to independently evaluate the contribution of the TIDES marketing effort to the overall effectiveness of the TIDES national dissemination effort, for which the...

Ngày tải lên: 11/08/2014, 05:21

... increasing the adoption of EBPs In the following sections, we describe the theoretical underpinnings of the model to be tested in the current study Provider attitudes toward EBP There is increasing evidence ... (one-tailed) Figure evidence- based evidence- based practice effect of provider attitudes toward partial tudes toward support for evidence- basedon provider attiorganizational evidence- based practice, ... organizational support for evidence- based practice and attitudes toward evidence- based practice, and effect of provider attitudes toward evidence- based practice on provider use of evidencebased practice...

Ngày tải lên: 11/08/2014, 05:21

... disease They have a rash on their elbow and a little ringing in their ear and they’ll often consume time just unloading their frustrations If, on the other hand, there was an incentive for them ... have the same objectives, align our priorities, then I think we’ll reach them Um, the problem often times is that there’s another issue, a distracter issue that the patients want to talk about They ... And uh, every time they go to the hospital, their blood pressure is high They put them on a bunch of blood pressure medications They come out and they fall down I cannot use the guideline for...

Ngày tải lên: 11/08/2014, 05:21

... health, including the implementation of EBPs, within governmental systems [20-26] The Evidence- Based Practices (EBP) Project [7,18] was designed to address some of these gaps Since 2001, the EBP Project ... communitybased and state agencies interact to implement, achieve and sustain evidence- based service delivery cultures The EBP project's primary objective responds to calls for the development of a theoretical ... base to support the implementation and evaluation of EBPs throughout the mental health sector Torrey et al [26] note that "The literature has an abundance of evidence, whether it is theoretical or...

Ngày tải lên: 11/08/2014, 05:22

... protocols, practice assessment tools, etc (the "Ps") that are evidence- based • Evidence of adherence to the "Ps" per audit and selfreport The degree to which there is evidence (direct and perceptual) that ... organizational elements or processes in the system changed to enhance or support the use of evidence • Evidence based practice (EBP): Practice derived from the best available evidence to achieve positive ... an evidence- based scale to assess the situation and implementing researchbased interventions) to consistent ways or patterns of decision-making and practice (e.g consistently seeking the best evidence...

Ngày tải lên: 11/08/2014, 05:22

... review the intervention materials, finalize the prototype package, advise on the staff training and technical assistance plans, and plan the logistics of the implementation The goal of these meetings ... with the overall package, so that the package can be refined based on their input Orientation and logistics Based on input from the site visits, needs assessments, pilot test, and CWG, the prototype ... summary of the barriers faced by health care organizations in implementing evidencebased interventions, along with examples of how REP addresses these barriers The Table is based on the Pincus...

Ngày tải lên: 11/08/2014, 05:22