evidence based orthopaedic trauma care

... selection should be based, to the extent possible, on scientific evidence, the US Headache Consortium identified two general principles of care These general principles are not evidenced -based, but are ... that is based on a combination of scientific evidence and clinical opinion Table lists places specific medications into different groups based on the based on a combination of scientific evidence ... 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 (one or more well-designed...

Ngày tải lên: 21/02/2014, 12:20

... provide at least five evidence services: evidence selection, evidence synthesis, evidence in context, evidence management, and evidence literacy training Collaborative evidence management tools ... dissemination of the evidence 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 ... health care Although all healthcare professionals want the best care for their patients, the structure of the healthcare system, payment methods, and expectations of patients for an evidence- based...

Ngày tải lên: 06/03/2014, 09:20

... Applegate KE Principles of Evidence- Based Imaging In Medina LS, Applegate KE, Blackmore CC (eds.): Evidence- Based Imaging in Pediatrics: Optimizing Imaging in Pediatric Patient Care New York: Springer ... all evidence are created equal Accordingly, throughout the book, we use a four-level classification detailing the strength of the evidence and based on the Oxfordcriteria: level I (strong evidence) , ... level I (strong evidence) , level II (moderate evidence) , level III (limited evidence) , and level IV (insufficient evidence) The strength of the evidence is presented in parenthesis throughout...

Ngày tải lên: 30/05/2014, 23:55

... McKibbon KA: Evidence- based practice Bull Med Libr Assoc 1998, 86:396-401 Rycroft-Malone J, Seers K, Titchen A, Harvey G, Kitson A, McCormack B: What counts as evidence in evidence- based practice? ... could be prevented through evidence- based procedures (e.g by exclusive breastfeeding and hypothermia management) [7] However, health care workers involved in neonatal care need to have adequate ... regarding evidence- based practice is key, but also a number of contextual factors are highly influential for a well-functioning health care system, such as adequate geographical coverage of health care, ...

Ngày tải lên: 18/06/2014, 17:20

... workers, physiotherapists, and other members of local trauma committees involved in the care and the planning of care for trauma patients These healthcare professionals will be asked to participate ... wiki about evidence- based protocols for traumatic brain injury care in the emergency department To the best of our knowledge, this study will also be one of the first to assess healthcare professionals' ... study If a theory -based intervention developed from the results of this study is unsuccessful in increasing healthcare professionals' consultation of a wiki -based, evidencebased reminder, we...

Ngày tải lên: 10/08/2014, 10:23

... 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 guidelines ... imaging for low back pain in primary care settings is an example of an evidence to practice gap Low back pain is an extremely common presentation in primary care However, lumbar spine imaging in ... http://www.implementationscience.com/content/6/1/55 theory -based cognitions and clinical behaviours of primary care physicians; in this paper, we report data on primary care physicians’ lumbar spine x-ray requests...

Ngày tải lên: 10/08/2014, 10:23

... the selected region, (3) collation of evidence regarding best-practice care for each identified subpopulation, and (4) translation of best-practice care into care protocols • A strategic review ... (threats to self -care) , such as social work, occupational therapy, or mental health workers, are more likely to be identified as core members of the primary care team An evidence- based approach ... earlier Translation of best-practice care into care protocols Descriptions of best practice (largely defined by objectives of care) were translated into clinical care protocols (Figure 3)–expressed...

Ngày tải lên: 10/08/2014, 11:20

... primary care clinicians based on locally-adapted evidence- based guidelines Three Primary Care Trusts (PCTs) (geographically based organisational units that are directly responsible for health care) ... incorporating locally adapted national evidence- based guidelines The functionality of the system was enhanced to provide: automated prompts to patients and primary care clinicians that a review consultation ... effects of educational outreach in a primary care setting [22], and suggests that a fruitful approach to exploring the implementation of evidence- based practice could include an investigation...

Ngày tải lên: 11/08/2014, 05:21

... control 'Evidence- based medicine is a relative term something might be evidence- based, but I have in mind other parameters that are much more important In my alternative point of view, I not care ... presence of skepticism about evidence- based treatment and of collaborative care, and their concerns about losing control and sanctions that may result from diabetes care improvement plans Page ... the quality of diabetes care commonly encountered and recommended evidence- based guidelines [14] To date, most research on barriers to and facilitators of high-quality care has been done before...

Ngày tải lên: 11/08/2014, 05:21

... spreading collaborative care models for depression within VHA primary care practices [15] In collaborative care models for depression, shown in Figure 1, a care manager assists primary care providers ... Chaney E, Yano EM, Felker B: Teaching systems -based practice to primary care physicians to foster routine implementation of evidence- based depression care Acad Med 2007, 82:168-175 Clift E: Social ... healthcare system and, thus, quality of care of veterans QUERI researchers collaborate with VA policy and practice leaders, clinicians, and operations staff to implement appropriate evidence- based...

Ngày tải lên: 11/08/2014, 05:21

... Promote Better Health Care? Worldviews on Evidence- based Nursing 2005, 2(2):52-54 Herr K, Titler MG, Schilling ML, Marsh JL, Xie X, Ardery G, Clarke WR, Everett LQ: Evidence- based assessment of ... 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 outcomes This practice may ... 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

... similar to those experienced in other health care settings Table presents a summary of the barriers faced by health care organizations in implementing evidencebased interventions, along with examples ... Table is based on the Pincus 6-P model of barriers to implementing interventions [30] Health care purchasers, notably Medicaid and employers, are often unaware of the array of evidence- based interventions ... primary care practice J Healthc Manag 2004, 49:155-68 Sales A, Smith J, Curran G, Kochevar L: Models, Strategies, and Tools: Theory in implementing evidence- based findings into health care practice...

Ngày tải lên: 11/08/2014, 05:22

... similar to those experienced in other health care settings Table presents a summary of the barriers faced by health care organizations in implementing evidencebased interventions, along with examples ... Table is based on the Pincus 6-P model of barriers to implementing interventions [30] Health care purchasers, notably Medicaid and employers, are often unaware of the array of evidence- based interventions ... primary care practice J Healthc Manag 2004, 49:155-68 Sales A, Smith J, Curran G, Kochevar L: Models, Strategies, and Tools: Theory in implementing evidence- based findings into health care practice...

Ngày tải lên: 11/08/2014, 16:20

... improving adherence to evidence based guidelines and reducing clinical inertia in primary care physicians Aim of the study Our program goal is to improve adherence to evidencebased guidelines and ... consider integrated care as 'an organizational process of continuous coordination of evidence- based and relevant interventions across the entire health care delivery system and care continuum that ... educational sessions provided by diabetologist (opinion leader): Evidence based guidelines Evidence- based guidelines and principles of shared care The use of insulin The use of insulin Patient-centered...

Ngày tải lên: 11/08/2014, 16:21

... recommended care In light of the greater-than-average need to provide most evidence- based preventive services and screening tests to patients with RA and PsA, we used national Medicare data to ... and no primary care 6.5 5.1 18.9 Rheumatology but no primary care 23.9 27.0 4.2 Primary care but no rheumatology 30.9 21.6 68.4 Table Descriptive characteristics of older Medicare enrollees with ... groups For DXA, care from a rheumatologist, with or without concomitant care from a primary care physician, was significantly associated with receipt of DXA In contrast, compared to care provided...

Ngày tải lên: 12/08/2014, 14:22

... to care for bleeding patients The goal of evidence- based guidelines is to help develop recommendations not only to identify the best practice but also to decrease variability in delivery of care ... bleeding following major trauma: a European guideline Crit Care 2007, 11:R17 Gruen RL, Jurkovich GJ, McIntyre LK, Foy HM, Maier RV: Patterns of errors contributing to trauma mortality: lessons ... transfusion J Trauma 2007, 62:112-119 Malone DL, Hess JR, Fingerhut A: Massive transfusion protocols around the globe and a suggestion for a common massive transfusion protocol J Trauma 2006,...

Ngày tải lên: 13/08/2014, 03:20