A spinal pathway of care: Developing and implementing an equitable and evidence based pathway for all metropolitan and rural patients referred to a tertiary hospital

2016 ◽  
Vol 25 ◽  
pp. e42
Author(s):  
P. Swete Kelly ◽  
M. Cruickshank ◽  
P. Judd
Keyword(s):  
Tertiary Hospital ◽  
Evidence Based ◽  
Spinal Pathway ◽  
Pathway Of Care ◽  
Rural Patients

Cochlear implantation in children with congenital long QT syndrome: Introduction of an evidence-based pathway of care

2018 ◽  
Vol 19 (6) ◽  
pp. 350-354 ◽  
Author(s):  
Victoria Scott-Warren ◽  
Anju Bendon ◽  
Iain A. Bruce ◽  
Lise Henderson ◽  
Jacques Diacono
Keyword(s):  
Long Qt Syndrome ◽  
Cochlear Implantation ◽  
Evidence Based ◽  
Long Qt ◽  
Qt Syndrome ◽  
Pathway Of Care ◽  
Congenital Long Qt Syndrome

Three-year follow-up of implementation of evidence-based transfusion practice in a tertiary hospital

Vox Sanguinis ◽  
2017 ◽  
Vol 112 (3) ◽  
pp. 229-239 ◽  
Author(s):  
A. Norgaard ◽  
J. Stensballe ◽  
T. H. de Lichtenberg ◽  
J. O. White ◽  
A. Perner ◽  
...  
Keyword(s):  
Tertiary Hospital ◽  
Transfusion Practice ◽  
Evidence Based

scholarly journals Novel IT Application for Reverse Triage Selection: A Pilot Study

2017 ◽  
Vol 12 (5) ◽  
pp. 599-605 ◽  
Author(s):  
Gwen Pollaris ◽  
Stéphanie Note ◽  
Didier Desruelles ◽  
Marc Sabbe
Keyword(s):  
Clinical Decision Making ◽  
Selection Process ◽  
Electronic Record ◽  
Clinical Decision ◽  
Early Discharge ◽  
Tertiary Hospital ◽  
Mass Casualty ◽  
Evidence Based ◽  
Random Group ◽  
It Application

ABSTRACTObjectiveThe objective of this study was to develop and evaluate an evidence-based information technology (IT) application that guides clinical decision-making during the reverse-triage selection process in mass casualty incidents.MethodsBased upon 28 validated critical interventions (CI) relevant for determining whether a patient qualifies for early discharge, we developed the Reverse Triage Tool of Leuven (RTTL). The RTTL is compatible with the health electronic record (HER) of UZ Leuven, a tertiary hospital in Belgium. During a 3-week period in March 2015, we registered data from 2 groups of patients: a random group (no RTTL usage) and a filtered group (RTTL usage).ResultsWhen applying the original 28 CIs, we were able to select almost twice as many patients in the filtered group who qualified for early discharge compared with patients in the random group. The predictive validity was highly satisfactory.ConclusionsThe RTTL saves time in 2 ways. First, it reduces the patient population that needs to be evaluated for potential early discharge to one-third. Second, it doubles the probability of selecting an actual dischargeable patient. Each selected patient, however, still must undergo multidisciplinary reassessment in order to qualify for early discharge. Thus, further research is required to optimize the IT application.(Disaster Med Public Health Preparedness. 2018;12:599–605)

scholarly journals Explanatory style in youth self-harm: an Indian qualitative study to inform intervention design

2020 ◽  
Vol 23 (3) ◽  
pp. 100-106 ◽  
Author(s):  
Shilpa Aggarwal ◽  
George Patton ◽  
Deepika Bahl ◽  
Nilesh Shah ◽  
Michael Berk ◽  
...  
Keyword(s):  
South Asian ◽  
Explanatory Style ◽  
Qualitative Interviews ◽  
Tertiary Hospital ◽  
Evidence Based ◽  
Middle Income ◽  
Self Harm ◽  
Asian Context ◽  
Gender Based ◽  
Explanatory Styles

BackgroundThere are very few studies that have examined the effectiveness of psychological interventions (PIs) that have been developed and tested in high-income countries to reduce self-harm in low and middle-income countries.ObjectiveTo evaluate the perspectives and explanatory styles of youth with self-harm and their caregivers to inform the design of an evidence based PI in a non-Western cultural setting. An additional objective was to suggest ways of integrating local practices and traditions to enhance its acceptability.MethodsWe conducted 15 in-depth qualitative interviews with youth with self-harm and four interviews with the caregivers in the psychiatry department of a tertiary hospital located in Mumbai, India. Data were analysed using phenomenological thematic analysis.FindingsFive themes were uncovered: (i) contextual factors related to self-harm including interpersonal factors, intrapersonal factors and socio-cultural factors; (ii) formulation and current feelings about the attempt (iii) family members and friends as the perceived supports and deterrents for future self-harm attempts; (iv) treatment related experiences with counselling, in-patient and outpatient treatment and barriers to treatment; and (v) coping strategies. Recommendations for key areas of adaptation include therapist adaptation, content adaptation to accommodate for cultural considerations and broader social context. Gender based socio-cultural norms, beliefs and stigma attached to self-harm need to be specifically addressed in South Asian setting. Interpersonal conflicts are the most common triggers.Conclusion and clinical implicationsTo our knowledge this is the first study in the South Asian context evaluating explanatory styles of youth with self-harm and their caregivers to inform the design of an intervention to ensure its cultural congruence. Cultural adaptation of an evidence based PI results in competent delivery and ensures best results in diverse ethno-cultural populations.

scholarly journals Nurses’ Challenges in Wound Care Management- A Qualitative Study

2021 ◽  
Author(s):  
Nahla A Tayyib ◽  
Pushpamala Ramaiah
Keyword(s):  
Decision Making ◽  
Acute Care ◽  
Thematic Analysis ◽  
Care Management ◽  
Wound Care ◽  
Tertiary Hospital ◽  
Evidence Based ◽  
Face To Face ◽  
Holistic Approaches ◽  
Decision Making Processes

Introduction: Decision-making process of healthcare professionals in an acute care setting is inevitable that necessitates a balancing paradigm of clinical knowledge with the practices of evidence-based implementation. Nurses face contextual challenges in managing the issues of decision-making intervening domains of cognition, skills, and values. Aim: This study was implemented to determine the decision-making processes used by registered nurses in wound care management in acute care settings. Materials and Methods: A qualitative method was adopted using a thematic analysis approach. Fifteen nurses involved in the management of wound care unit were purposefully included in the interview from 23rd May to 15th July 2020. The semi-structured face-to-face interview was conducted, and the collected data was analysed through inductive thematic analysis. Results: Fifteen nurses working at a tertiary hospital with a mean age of 34.26±3.31 years experience ranging from 3 to 15 years were included in this study. The transcribed interviews were categorised under five themes: Foundation Knowledge and Education; Randomness in seeking practice education; Expert opinion and Evidence-based practice; Multidisciplinary Coordination and Streamlining; and Patient engagement in care. Conclusion: Nurses demonstrated that wound care management requires the practice of decision-making that requires multidisciplinary and holistic approaches tempered with knowledge about the patient and the expertise of others.

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