scholarly journals Failure to follow evidence‐based best practice guidelines in the treatment of severe acute pancreatitis

HPB ◽  
2013 ◽  
Vol 15 (10) ◽  
pp. 822-827 ◽  
Author(s):  
Adrian C. Vlada ◽  
Bradley Schmit ◽  
Andrew Perry ◽  
Jose G. Trevino ◽  
Kevin E. Behrns ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Based ◽  
Best Practice Guidelines

Creating consensus-based practice guidelines with 2000 nurses

2019 ◽  
Vol 28 (22) ◽  
pp. S18-S25 ◽  
Author(s):  
Sarah James-Reid ◽  
Kimberly Bain ◽  
Anne Steen Hansen ◽  
Grethe Vendelbo ◽  
Werner Droste ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Practice Guidelines ◽  
Best Practice ◽  
Medical Professionals ◽  
Evidence Based ◽  
Journal Articles ◽  
Best Practice Guidelines ◽  
Large Numbers ◽  
Speed Up ◽  
High Level

Medical professionals follow evidence-based practice guidelines to achieve effective patient outcomes. Traditionally, to develop guidelines, a small group of experts examine evidence then agree on a set of statements, which are then published in journals. However, more than 7000 primary care journal articles are published monthly. This study examined a different way of drawing up practice guidelines, which involved large numbers of nurses from different countries directly in developing then disseminating the guidelines to speed up acceptance and the implementation of best practice. The results were consensus-based best practice guidelines for the treatment of patients with ostomies, which have received a high level of acceptance and enthusiasm from practitioners in 27 countries.

scholarly journals Impact of the implementation of best practice guidelines on nurse’s evidence‐based practice and on nurses' work environment: Research protocol

2020 ◽  
Vol 77 (1) ◽  
pp. 448-460
Author(s):  
Silvia Esteban‐Sepúlveda ◽  
Albert Sesé‐Abad ◽  
Laia Lacueva‐Pérez ◽  
Manuela Domingo‐Pozo ◽  
Sergio Alonso‐Fernandez ◽  
...  
Keyword(s):  
Work Environment ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Research Protocol ◽  
Best Practice Guidelines ◽  
Environment Research

scholarly journals Latest Evidence-Based Application for Radiofrequency Neurotomy (LEARN): Best Practice Guidelines from the American Society of Pain and Neuroscience (ASPN)

2021 ◽  
Vol Volume 14 ◽  
pp. 2807-2831
Author(s):  
David W Lee ◽  
Scott Pritzlaff ◽  
Michael J Jung ◽  
Priyanka Ghosh ◽  
Jonathan M Hagedorn ◽  
...  
Keyword(s):  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Based ◽  
Best Practice Guidelines ◽  
Radiofrequency Neurotomy ◽  
American Society

Opioid crisis in primary care? An audit of high-dose opioid prescribing at Bangholm GP Practice

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711581
Author(s):  
Charlotte Greene ◽  
Alice Pearson
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Base ◽  
High Dose ◽  
Opioid Prescription ◽  
Opioid Prescribing ◽  
Best Practice Guidelines

BackgroundOpioids are effective analgesics for acute and palliative pain, but there is no evidence base for long-term pain relief. They also carry considerable risks such as overdose and dependence. Despite this, they are increasingly prescribed for chronic pain. In the UK, opioid prescribing more than doubled between 1998 and 2018.AimAn audit at Bangholm GP Practice to understand the scale of high-strength opioid prescribing. The aim of the audit was to find out if indications, length of prescription, discussion, and documentation at initial consultation and review process were consistent with best-practice guidelines.MethodA search on Scottish Therapeutics Utility for patients prescribed an average daily dose of opioid equivalent ≥50 mg morphine between 1 July 2019 and 1 October 2019, excluding methadone, cancer pain, or palliative prescriptions. The Faculty of Pain Medicine’s best-practice guidelines were used.ResultsDemographics: 60 patients (37 females), average age 62, 28% registered with repeat opioid prescription, 38% comorbid depression. Length of prescription: average 6 years, 57% >5 years, 22% >10 years. Opioid: 52% tramadol, 23% on two opioids. Indications: back pain (42%), osteoarthritis (12%), fibromyalgia (10%). Initial consultation: 7% agreed outcomes, 35% follow-up documented. Review: 56% 4-week, 70% past year.ConclusionOpioid prescribing guidelines are not followed. The significant issues are: long-term prescriptions for chronic pain, especially back pain; new patients registering with repeat prescriptions; and no outcomes of treatment agreed, a crucial message is the goal is pain management rather than relief. Changes have been introduced at the practice: a patient information sheet, compulsory 1-month review for new patients on opioids, and in-surgery pain referrals.

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