Improving Clinical Diagnosis of COPD in Primary Care: Results of a Cluster-Randomized Controlled Study Utilizing a Screening Questionnaire With or Without a Handheld Spirometric Device Compared With Usual Care

CHEST Journal ◽  
2012 ◽  
Vol 142 (4) ◽  
pp. 735A
Author(s):  
Barbara Yawn ◽  
Karen Duvall ◽  
John Peabody ◽  
Frank Albers ◽  
Ahmar Iqbal ◽  
...  
Keyword(s):  
Primary Care ◽  
Usual Care ◽  
Clinical Diagnosis ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Screening Questionnaire ◽  
Randomized Controlled ◽  
Cluster Randomized

scholarly journals Did a quality improvement intervention improve quality of maternal health care? Implementation evaluation from a cluster-randomized controlled study

2019 ◽  
Vol 32 (1) ◽  
pp. 54-63 ◽  
Author(s):  
Elysia Larson ◽  
Godfrey M Mbaruku ◽  
Jessica Cohen ◽  
Margaret E Kruk
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Quality Improvement Intervention ◽  
Implementation Evaluation ◽  
Randomized Controlled ◽  
Cluster Randomized ◽  
Improvement Intervention

Abstract Objective To test the success of a maternal healthcare quality improvement intervention in actually improving quality. Design Cluster-randomized controlled study with implementation evaluation; we randomized 12 primary care facilities to receive a quality improvement intervention, while 12 facilities served as controls. Setting Four districts in rural Tanzania. Participants Health facilities (24), providers (70 at baseline; 119 at endline) and patients (784 at baseline; 886 at endline). Interventions In-service training, mentorship and supportive supervision and infrastructure support. Main outcome measures We measured fidelity with indictors of quality and compared quality between intervention and control facilities using difference-in-differences analysis. Results Quality of care was low at baseline: the average provider knowledge test score was 46.1% (range: 0–75%) and only 47.9% of women were very satisfied with delivery care. The intervention was associated with an increase in newborn counseling (β: 0.74, 95% CI: 0.13, 1.35) but no evidence of change across 17 additional indicators of quality. On average, facilities reached 39% implementation. Comparing facilities with the highest implementation of the intervention to control facilities again showed improvement on only one of the 18 quality indicators. Conclusions A multi-faceted quality improvement intervention resulted in no meaningful improvement in quality. Evidence suggests this is due to both failure to sustain a high-level of implementation and failure in theory: quality improvement interventions targeted at the clinic-level in primary care clinics with weak starting quality, including poor infrastructure and low provider competence, may not be effective.

scholarly journals Impact of Point‐of‐care Testing on Length of Stay of Patients in the Emergency Department: A Cluster‐randomized Controlled Study

2020 ◽  
Vol 27 (10) ◽  
pp. 974-983
Author(s):  
Pierre Hausfater ◽  
David Hajage ◽  
Julie Bulsei ◽  
Pauline Canavaggio ◽  
Alexandre Lafourcade ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Point Of Care ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Point Of Care Testing ◽  
Randomized Controlled ◽  
Cluster Randomized

scholarly journals Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study

2020 ◽  
Vol 16 (4) ◽  
Author(s):  
Devi Savitri Effendy ◽  
Pattaneeya Prangthip ◽  
Ngamphol Soonthornworasiri ◽  
Pattanee Winichagoon ◽  
Karunee Kwanbunjan
Keyword(s):  
Nutrition Education ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Cluster Randomized

Author response re. “Rehabilitation nutrition for undernourished participants in nursing home and home care: Cluster randomized controlled study”

Nutrition ◽  
2016 ◽  
Vol 32 (4) ◽  
pp. 504 ◽  
Author(s):  
Anne Marie Beck Docent ◽  
Annette Gøgsig Christensen ◽  
Birthe Stenbæk Hansen ◽  
Signe Damsbo-Svendsen ◽  
Tina Kreinfeldt Skovgaard Møller
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Author Response ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Cluster Randomized
Sign in / Sign up

Export Citation Format

Share Document