Well-Child Care Clinical Practice Redesign for Young Children
March 1, 2013 | Journal Article
Limited evidence is available on the effectiveness of various formats used in the redesign of clinical practice for well-child care.
Practice Guidelines
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Impact of Changes in Clinical Practice Guidelines on Assessment of Quality of Care
August 1, 2010 | Journal Article
Existing evidence is the basis for clinical practice guidelines. Because the evidence base changes rapidly, adherence to guidelines might be a misleading performance measure. This study analyzed indications for percutaneous coronary interventions using guidelines established in 2001 and 2005.
The Payoff Time
June 1, 2009 | Journal Article
This article examines a framework to indicate when patients with comorbid illness are more or less likely to benefit from colorectal cancer screening practice guidelines. Patients with multiple chronic diseases do not always survive long enough to gain from medically indicated practices with immediate risks and delayed benefits.
Management of Bronchiolitis in the Emergency Department
March 1, 2013 | Journal Article
No significant changes were seen in management of bronchiolitis after guidelines recommended against medications and x-rays for infants and toddlers.
Academic Practice Partnerships: A National Dialogue
November 1, 2012 | Journal Article
Academic nursing-practice partnerships create systems for nurses to enhance their learning opportunities and advance their profession.
Translation of Evidence-Based Clinical Standards into a New Prehospital Resuscitation Policy in Los Angeles
February 1, 2012 | Journal Article
In an example of "community-partnered participatory research," an EMS agency and a research team collaborated to rapidly develop and implement changes to long-established guidelines regarding cardiopulmonary resuscitation, demonstrating how evidence-based research can influence policy and benefit patients.
A Phased Cluster-randomized Trial of Rural Hospitals Testing a Quality Collaborative to Improve Heart Failure Care
May 1, 2013 | Journal Article
Nurse staffing stability associated with improved performance measures in heart failure care in rural hospitals according to this study.
Interventions to Improve Parental Communication About Sex
March 1, 2011 | Journal Article
Adolescents can benefit from a parent talking to them about sex parents can learn better ways to communicate.
The Disclosure Dilemma--Large-Scale Adverse Events
September 2, 2010 | Journal Article
This article examines the ethical responsibilities of health care facilities following large-scale adverse events in the medical setting. These events range in severity and scope and pose difficult ethical questions about whether and how to disclose the adverse event to patients.
Iatrogenic Gastric Acid Suppression and the Risk of Nosocomial Clostridium Difficile Infection
May 10, 2010 | Journal Article
This article examines the relationship between acid-suppressive therapy and Clostridium difficile infection. It has been speculated that acid-suppressive may lead to increased rates of C difficile infection, but this theory has not been confirmed by prior research.