Failure Mode and Effect Analysis (FMEA) may enhance implementation of clinical practice guidelines: An experience from the Middle East

2017 ◽  
Vol 24 (1) ◽  
pp. 206-211 ◽  
Author(s):  
Amir Babiker ◽  
Yasser S. Amer ◽  
Mohamed E. Osman ◽  
Ayman Al‐Eyadhy ◽  
Solafa Fatani ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Middle East ◽  
Failure Mode ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Effect Analysis

scholarly journals Barriers to and Facilitators of Adherence to Clinical Practice Guidelines in the Middle East and North Africa Region: A Systematic Review

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 564
Author(s):  
Saja H. Almazrou ◽  
Sarah I. Alfaifi ◽  
Sumayyah H. Alfaifi ◽  
Lamees E. Hakami ◽  
Sinaa A. Al-Aqeel
Keyword(s):  
Clinical Practice ◽  
Middle East ◽  
Environmental Factors ◽  
Clinical Practice Guidelines ◽  
North Africa ◽  
Practice Guidelines ◽  
Financial Incentives ◽  
English Language ◽  
Mena Region ◽  
Related Factors

The current review aims to investigate the barriers to and facilitators of the adherence to clinical practice guidelines (CPGs) in the Middle East and North Africa (MENA) region. English language studies published between January 2010 and May 2019 were searched on PubMed, Embase, and EBSCO. The barriers were categorized as clinician-related factors, such as lack of awareness of familiarity with the CPGs, and external factors, such as patients, guidelines, and environmental factors. The search identified 295 titles, out of which 15 were included. Environmental factors, specifically lack of time, resources, incentives, availability, and costs of treatment or diagnostic tests, training, and dissemination plans were the most commonly identified barriers. The familiarity with or awareness of healthcare professionals about the guideline, guideline characteristics, lack of agreement with the guidelines and preference in clinical judgment, physician self-efficacy, and motivation were reported to a lesser extent. Few studies reported on the compliance of facilitators with the guidelines including disseminating and advertising guideline materials, education and training on the guidelines, regulatory and financial incentives, and support from institutions. The review highlights that the studies on barriers to and facilitators of compliance with CPGs in the MENA region are limited in number and quality.

scholarly journals Assessing the Quality of Clinical Practice Guidelines in the Middle East and North Africa (MENA) Region: A Systematic Review

2021 ◽  
Vol Volume 14 ◽  
pp. 297-309
Author(s):  
Saja H Almazrou ◽  
Layan A Alsubki ◽  
Norah A Alsaigh ◽  
Wadha H Aldhubaib ◽  
Sharifah M Ghazwani
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Middle East ◽  
Clinical Practice Guidelines ◽  
North Africa ◽  
Practice Guidelines ◽  
Mena Region

scholarly journals Clinical practice guidelines for the treatment of invasive Aspergillus infections in adults in the Middle East region: Expert panel recommendations

2014 ◽  
Vol 7 (1) ◽  
pp. 20-31 ◽  
Author(s):  
Hail M. Al-Abdely ◽  
Adel F. Alothman ◽  
Jameela Al Salman ◽  
Tariq Al-Musawi ◽  
Muna Almaslamani ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Middle East ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Expert Panel ◽  
East Region ◽  
Middle East Region

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Oxygen Therapy ◽  
Respiratory Illness ◽  
High Flow ◽  
Oral Feeding ◽  
Respiratory Support ◽  
Acute Respiratory Illness ◽  
High Flow Oxygen

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

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