scholarly journals PERSPECTIVES ON LEARNING AND CLINICAL PRACTICE IMPROVEMENT FOR DIABETES IN THE HOSPITAL: A REVIEW OF EDUCATIONAL INTERVENTIONS FOR PROVIDERS

2017 ◽  
Vol 23 (5) ◽  
pp. 614-626 ◽  
Author(s):  
Ariana Pichardo-Lowden ◽  
Paul Haidet ◽  
Guillermo E. Umpierrez
Keyword(s):  
Clinical Practice ◽  
Educational Interventions ◽  
Practice Improvement

Clinical Practice Improvement: Mind the Gap or Fall into the Chasm

2019 ◽  
Vol 33 (11) ◽  
pp. 2900-2901
Author(s):  
Nanette M. Schwann ◽  
Ray H. Engstrom ◽  
Stanton K. Shernan ◽  
Bruce A. Bollen
Keyword(s):  
Clinical Practice ◽  
Practice Improvement

scholarly journals Focused educational intervention improves but may not sustain knowledge regarding falls management

2018 ◽  
Vol 7 (3) ◽  
pp. e000222 ◽  
Author(s):  
Punith Kempegowda ◽  
Joht Singh Chandan ◽  
Richard Hutton ◽  
Lauren Brown ◽  
Wendy Madden ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Educational Intervention ◽  
Educational Interventions ◽  
Alternative Methods ◽  
Junior Doctors ◽  
Improvement Project ◽  
Preventative Measures ◽  
Before And After ◽  
Hospital Stays ◽  
Falls Management

BackgroundThe number of falls in hospital ranges from 3.8 to 8.6 falls per 1000 bed days. 1 Around 30% of falls as inpatients are injurious, and 4%–6% can result in serious and life-threatening injury. 2 3 This results in significant health burdens and economic burdens due to increased hospital stays following a fall. Junior doctors are usually the first point of contact for managing patients who fall in hospital. It is therefore important they understand the preventative measures and postfalls management.AimTo assess the retention of knowledge regarding falls management in foundation year 1 (FY1) doctors before and after a short educational intervention.MethodsA 3-stage quality improvement project was conducted at a West Midlands teaching hospital to highlight issues regarding falls management. A questionnaire assessing areas of knowledge regarding assessment and management of falls was delivered to 31 F1s. This was followed by a short presentation regarding falls management. The change in knowledge was assessed at 6 and 16 weeks postintervention. The questionnaire results were analysed using unpaired t-tests on STATA (V.14.2).ResultsThe mean score for knowledge regarding falls management in the preintervention, early postintervention and late postintervention were 73.7%, 85.2% and 76.4%, respectively. Although there was an improvement in the knowledge at 6 weeks’ postintervention, this returned to almost baseline at 16 weeks. The improvement in knowledge did not translate to clinical practice of falls management during this period.ConclusionAlthough educational interventions improve knowledge, the intervention failed to sustain over period of time or translate in clinical practice. Further work is needed to identify alternative methods to improve sustainability of the knowledge of falls and bring in the change in clinical practice.

scholarly journals Moving stroke rehabilitation evidence into practice: a systematic review of randomized controlled trials

2019 ◽  
Vol 33 (10) ◽  
pp. 1586-1595 ◽  
Author(s):  
Marie-Louise Bird ◽  
Tiev Miller ◽  
Louise A Connell ◽  
Janice J Eng
Keyword(s):  
Clinical Practice ◽  
Randomized Controlled Trials ◽  
Stroke Rehabilitation ◽  
Educational Interventions ◽  
Risk Of Bias ◽  
Practice Change ◽  
Audit And Feedback ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Multicomponent Interventions

Objective: The aim of this study was to investigate the effectiveness of interventions aimed at moving research evidence into stroke rehabilitation practice through changing the practice of clinicians. Data sources: EMBASE, CINAHL, Cochrane and MEDLINE databases were searched from 1980 to April 2019. International trial registries and reference lists of included studies completed our search. Review methods: Randomized controlled trials that involved interventions aiming to change the practice of clinicians working in stroke rehabilitation were included. Bias was evaluated using RevMan to generate a risk of bias table. Evidence quality was evaluated using GRADE criteria. Results: A total of 16 trials were included (250 sites, 14,689 patients), evaluating a range of interventions including facilitation, audit and feedback, education and reminders. Of which, 11 studies included multicomponent interventions (using a combination of interventions). Four used educational interventions alone, and one used electronic reminders. Risk of bias was generally low. Overall, the GRADE criteria indicated that this body of literature was of low quality. This review found higher efficacy of trials which targeted fewer outcomes. Subgroup analysis indicated moderate-level GRADE evidence (103 sites, 10,877 patients) that trials which included both site facilitation and tailoring for local factors were effective in changing clinical practice. The effect size of these varied (odds ratio: 1.63–4.9). Education interventions alone were not effective. Conclusion: A large range of interventions are used to facilitate clinical practice change. Education is commonly used, but in isolation is not effective. Multicomponent interventions including facilitation and tailoring to local settings can change clinical practice and are more effective when targeting fewer changes.

scholarly journals A Scoping Review of Clinical Practice Improvement Methodology Use in Rehabilitation

2016 ◽  
Vol 5 ◽  
pp. RPO.S20360 ◽  
Author(s):  
Marie-Eve Lamontagne ◽  
Cynthia Gagnon ◽  
Anne-Sophie Allaire ◽  
Luc Noreau
Keyword(s):  
Quality Improvement ◽  
Clinical Practice ◽  
Scoping Review ◽  
Methodological Approach ◽  
Implementation Process ◽  
Individual Characteristics ◽  
Internal Environment ◽  
Practice Improvement ◽  
Systematic Description ◽  
Different Populations

Context The Clinical Practice Improvement (CPI) approach is a methodological and quality improvement approach that has emerged and is gaining in popularity. However, there is no systematic description of its use or the determinants of its practice in rehabilitation settings. Method We performed a scoping review of the use of CPI methodology in rehabilitation settings. Results A total of 103 articles were reviewed. We found evidence of 13 initiatives involving CPI with six different populations. A total of 335 citations of determinants were found, with 68.7% related to CPI itself. Little information was found about what type of external and internal environment, individual characteristics and implementation process might facilitate or hinder the use of CPI. Conclusion Given the growing popularity of this methodological approach, CPI initiatives would gain from increasing knowledge of the determinants of its success and incorporating them in future implementation.

scholarly journals MIPS: Clinical practice improvement activities

2017 ◽  
Vol 66 (1) ◽  
pp. 326 ◽  
Author(s):  
Rocco G. Ciocca ◽  
Brad Johnson ◽  
Jill Rathbun ◽  
Karen Woo
Keyword(s):  
Clinical Practice ◽  
Practice Improvement
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