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Reduction of routine radiographs in the follow ‐up of distal radius and ankle fractures: Barriers and facilitators perceived by orthopaedic trauma surgeons
ConclusionsWe identified three facilitators that could provide backing for a deimplementation strategy aimed at a reduction of routine radiographs for patients with distal radius and ankle fractures. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 28, 2018 Category: General Medicine Authors: Pieter Gerven, Leti Bodegom ‐Vos, Nikki L. Weil, Jasper Berg, Sidney M. Rubinstein, Marco F. Termaat, Pieta Krijnen, Maurits W. Tulder, Inger B. Schipper Tags: ORIGINAL PAPER Source Type: research

Effect of a computerized decision support system on potentially inappropriate medication prescriptions for elderly patients in Thailand
ConclusionsSpecific CDSS for PIM in community hospital setting was associated with a reduction of PIM prescription in elderly patients. This CDSS can change physician's prescription behaviour to avoid inappropriate medications. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 28, 2018 Category: General Medicine Authors: Vanida Prasert, Aiko Shono, Farsai Chanjaruporn, Chanuttha Ploylearmsang, Keerataphan Boonnan, Apinan Khampetdee, Manabu Akazawa Tags: ORIGINAL PAPER Source Type: research

Population ageing in a globalized world: Risks and dilemmas?
ConclusionsIt is apparent that older people will face numerous risks in later life and those in developing countries are likely to face more challenges than those in developed countries. The findings may be useful to policymakers for formulating future plans and policy implementation. Further research is required to identify the number of health care workers needed to tackle the challenges of an ageing societies across the globe. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 28, 2018 Category: General Medicine Authors: Hafiz T.A. Khan Tags: ORIGINAL PAPER Source Type: research

Implementing guideline ‐checklists: Evaluating health care providers intentional behaviour using an extended model of the theory of planned behaviour
ConclusionsStatistically, the extended TPB model highlighted that nurses and HCAs intentions to implement this type of guideline are predicted by different variables. This implied professional “role” as an important variable in explaining differences in intentions, which should be evaluated and integrated into the future design of this type of checklist. Further variables could be added to explain and learn more about intentional thinking for this type of behaviour and should help to develop a theoretical understanding of intentions underpinning this type of behaviour and ultimately improve patient care. (Source: Journ...
Source: Journal of Evaluation in Clinical Practice - November 28, 2018 Category: General Medicine Authors: Ben E. Appleby Tags: ORIGINAL PAPER Source Type: research

Designing and evaluating functional laboratory information system requirements integrated to hospital information systems
ConclusionLaboratory information system requirements were designed with 68 items. Evaluation results showed that the systems were moderate in terms of compliance with the requirements. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 28, 2018 Category: General Medicine Authors: Mehrdad Farzandipour, Zahra Meidani, Monireh Sadeqi Jabali, Razieh Dehghan Bnadaki Tags: ORIGINAL PAPER Source Type: research

National estimates of case ‐mix, mortality, and economic outcomes among inpatient HIV/AIDS mono‐infection and hepatitis C co‐infection cases in the US
ConclusionGiven the systemic nature and modifiable risks inherent within coinfection, more proactive screening and intervention appear warranted, particularly within rural areas. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 28, 2018 Category: General Medicine Authors: Timothy Pham, R. Chris Rathbun, Shellie Keast, Nancy Nesser, Kevin Farmer, Grant Skrepnek Tags: ORIGINAL PAPER Source Type: research

Design features of a guideline implementation tool designed to increase awareness of a clinical practice guide to HIV rehabilitation: A qualitative process evaluation
ConclusionElectronically administered case studies were perceived as complementary knowledge tools that increased access to an evidence ‐informed guide to HIV rehabilitation. Findings provide guidance on using case studies as a guideline implementation tool to facilitate access to information and related resources to optimize learning. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 26, 2018 Category: General Medicine Authors: Nancy M. Salbach, Patricia Solomon, Kelly K. O'Brien, Catherine Worthington, Larry Baxter, Georgina Blanchard, Alan Casey, Will Chegwidden, Le ‐Ann Dolan, Sarah Eby, Nicole Gervais Tags: ORIGINAL PAPER Source Type: research

A revised model of uncertainty in complex healthcare settings: A scoping review
ConclusionsThe revised model of uncertainty, the model of uncertainty in complex healthcare settings (MUCH ‐S), is applicable to various healthcare ecosystems and proposes a reflexive archetype that recognizes different issues of uncertainty while establishing that these are often interrelated in healthcare systems. This review offers healthcare professionals greater levels of understanding of this com plex phenomenon and may support more informed and reflective decision‐making, assisting them to better navigate uncertainties experienced in healthcare workplaces. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 22, 2018 Category: General Medicine Authors: Chiara Pomare, Kate Churruca, Louise A. Ellis, Janet C. Long, Jeffrey Braithwaite Tags: COMPREHENSIVE REVIEW Source Type: research

Influence of contextual factors on quality of primary care in children with asthma
ConclusionWe found that some of the contextual factors at the PHCs influenced the quality of performed care. Evidence ‐based care in paediatric asthma may thus be presumed to be facilitated by allocating time, by improving interprofessional collaboration, and by creating structures and opportunities for commitment to asthma care. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 21, 2018 Category: General Medicine Authors: Maria Ingemansson, Marina Jonsson, Peter Henriksson, Gunilla Hedlin, Inger Kull, Eva Wikstr öm Jonsson, Ingvar Krakau, Anna Kiessling Tags: ORIGINAL PAPER Source Type: research

A unifying framework for improving health care
AbstractThe quality health care around world is suboptimal. To improve the quality of contemporary health care delivery, advocates have proposed a number of scientific and technical initiatives. All these initiatives, however, have arisen and continue to operate in siloes, resulting in confusion and incommensurability among those concerned with health care improvement. Participants in the quality improvement (QI) space typically stress their own, often narrow, perspective, failing to place QI in context or to acknowledge other approaches. In order to improve delivery of health care, the following is required: Provide a un...
Source: Journal of Evaluation in Clinical Practice - November 21, 2018 Category: General Medicine Authors: Benjamin Djulbegovic, Charles L. Bennett, Gordon Guyatt Tags: DISCUSSION PAPER Source Type: research

Examining the implementation of clinical practice guidelines for the management of adult cancers: A mixed methods study
ConclusionsThis mixed methods study provides complementary data that may help inform more effective CPG implementation efforts and optimize their use in practice. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 21, 2018 Category: General Medicine Authors: Robin Urquhart, Hillary Woodside, Cynthia Kendell, Geoff A. Porter Tags: ORIGINAL PAPER Source Type: research

Electronic medical record documentation of tobacco cessation support at eight community safety ‐net clinics with a high prevalence of tobacco use
ConclusionsTobacco cessation support was lacking for 74% of current smokers and was less likely in subgroups including males, younger adults, and African Americans. Ordering tobacco cessation medication combined with counselling nearly doubled the likelihood of a quit attempt. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 20, 2018 Category: General Medicine Authors: Susan A. Flocke, Steve Lewis, Eileen Seeholzer, India Gill, Elizabeth Antognoli, Jeanmarie C. Rose, Thomas E. Love Tags: ORIGINAL PAPER Source Type: research

Translation, cultural adaptation, validation, and reliability study of the Quick ‐EBP‐VIK instrument: Chinese version
ConclusionThe Chinese version of the Quick ‐EBP‐VIK has evidence of acceptable reliability and validity and can be used to measure value, knowledge, and implementation of EBP for Chinese nurses. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 18, 2018 Category: General Medicine Authors: Chunlan Zhou, Yanfang Wang, Siqi Wang, Jiexia Ou, Yanni Wu Tags: ORIGINAL PAPER Source Type: research

Quality of hypertension care: An improvement initiative in two outpatient health care centers
ConclusionsThis quality improvement increased provider compliance with hypertension guidelines. However, more effort is required to modify physician practices for full compliance with the 2017 updated hypertension guidelines. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 18, 2018 Category: General Medicine Authors: Eleanor Yusupov, Bhuma Krishnamachari, Sarah Rand, Mirette Abdalla, Hallie Zwibel Tags: ORIGINAL PAPER Source Type: research

The influence of body mass index on temperature management during general anaesthesia —A prospective observational study
ConclusionCurrent guidelines provide effective protection against perioperative hypothermia. In the current study, this was true for obese as well as normal weight patients. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - November 18, 2018 Category: General Medicine Authors: Philipp Groene, Catharina Zeuzem, Sandra Baasner, Klaus Hofmann ‐Kiefer Tags: ORIGINAL PAPER Source Type: research