Download or read book Asthma Clinical Practice Guideline Implementation and Evaluation in a Military Treatment Facility Pediatric Clinic written by Jane E. Jacknewitz-Woolard and published by . This book was released on 2012 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is a common chronic disease of childhood, affecting more than six million children (NHLBI, 2007). Several national guidelines regarding asthma diagnosis and treatment are available. Two of the most accepted are the National Heart, Lung, Blood Institute (2007) and the Department of Defense and Veteran's Affairs (DoD/VA, 2009) clinical practice guideline (CPG). These guidelines assist Health Care Providers (HCP's) in delivering the most current and accepted standards of practice for patients with asthma. However, compliance is often difficult for HCPs as well as patients. The purpose of this evidence-based project was to implement the DoD/VA asthma CPG at a Military Treatment Facility pediatric clinic. Compliance with the asthma CPG was evaluated in 5 specific areas: emergency department visits, acute care visits, hospitalization rate, use of a written asthma action plan and prescription of inhaled corticosteroid for any severity of persistent asthma. The Stetler Model of Research Utilization (2001) was used to facilitate this project. After literature review and an organizational assessment, this author utilized a combined approach of provider education and extrinsic tools to implement the CPG. A 3-month retrospective chart review was completed prior to and three months after CPG implementation. The two groups had similar ages, sex, and sponsor status. Following implementation of the CPG, there was a 6% decrease in the percentage of ED visits. However, there was a slight increase in rates of acute care visits and hospitalizations (2% and 6%, respectively). A small (2%) increase was also noted in the use of ICS. Unfortunately, post-CPG implementation data collection coincided with the winter months, which may have been a confounder. There was a larger increase in use of written asthma action plan post-CPG implementation (14 to 44%). Using the z-test of proportions, only the increase in the use of asthma action plan was statistically significant. Although there was not significant improvement in the majority of outcomes measured, the primary goal of this project was implementation of the asthma CPG. No one method of CPG implementation has been proven to be more successful than another method according to the literature. Through the process of this evidence-based practice project, Providers have voiced an increased awareness of the DoD/VA CPG. Although not formally measured, this provides a basis for future in depth study and analysis. This project will be sustained via ongoing process improvement monitoring and reporting.
Download or read book Implementation of the Asthma Practice Guideline in the Army Medical Department written by Donna O. Farley and published by Rand Corporation. This book was released on 2005-12-01 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: In partnership with the Army Medical Department, RAND worked to implement clinical practice guidelines. This report evaluates the asthma guideline demonstration. It documents the actions, assesses effects, and measures the quality and limitations of data for monitoring outcomes. The authors found that the implementation scored successes but resource limitations and organizational barriers curbed progress. They conclude that flexibility, monitoring, and training are the keys to implementing the guidelines. They also found that patient education needed improvement.
Download or read book Implementation of the Asthma Practice Guideline in the Army Medical Department written by and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Army Medical Department (AMEDD) has made a commitment to establishing a structure and process to support its military treatment facilities (MTFs) in implementing evidence-based practice guidelines with the goal of achieving best practices that reduce variation and enhance quality of medical care. The Quality Management Directorate of the Army Medical Command (MEDCOM) contracted with RAND to work as a partner in the development and testing of guideline implementation methods for ultimate application to an Army-wide guideline program. Three practice guideline demonstrations were fielded over a two-year period, in each of which participating Army MTFs implemented a different clinical practice guideline. All the demonstrations worked with practice guidelines that were established collaboratively by the Department of Veterans Affairs (VA) and Department of Defense (DoD).
Download or read book Effectiveness of Clinical Practice Guidelines for Treating Asthma in the Department of Defense written by David M. Bennett and published by . This book was released on 2002-01-01 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this research was to evaluate the strategy of the military health service (MHS) to improve asthma outcomes through the use of clinical practice guidelines (CPGs). Outcomes were evaluated at the patient level and included inpatient/outpatient visits, prescriptions dispensed, number of exacerbations, number of bed days and direct cost of therapy. In addition, provider compliance to CPO recommendations was evaluated by measuring the proportion of subjects dispensed long-acting controller medications. A nonrandomized control-group before-after design with retrospective matched-pair DoD data was used for this research. The intervention used in this research was the formal asthma CPG-use process implemented by the Army in September of 2000. Compared to baseline measures, all outcomes improved significantly (p
Download or read book Initiation of Evidence based Guidelines for the Treatment of Exacerbation of Asthma in a Rural Convenient Care Setting written by Terry Keene and published by . This book was released on 2011 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Implementation of the National Asthma Guidelines in a Residential Pediatric Clinic written by Patricia A. Foster-Staples and published by . This book was released on 2017 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Foster care children admitted to residential facilities are a unique and vulnerable group, many presenting with undiagnosed or poorly managed asthma. The alarming rate of residents admitted to a particular residential primary care clinic with a diagnosis of asthma led to the project question: “Based on record reviews, does staff education about the importance of utilizing the national guidelines for asthma education influence the implementation of such guidelines in a residential pediatric clinic?” The purpose of this quality improvement project was to implement a systematic process to influence practice change. The project was conducted over a period of 4 weeks.Design: The project was a single-group pretest-posttest design. The medical records were examined prior and post National Asthma Guidelines, Expert Panel Report-3 (EPR-3, 2007) education to determine whether guidelines had been implemented. A convenience sample consisted of male and female residents, 12-17 years of age, admitted to the clinic with a diagnosis of asthma or any resident having experienced any asthma symptoms. Twenty-nine children’s records (n=29) were studied.Findings: The composite review of documented asthma guidelines was significantly higher post-intervention (M=3.96, SD=1.81) than pre-intervention (M=1.34, SD=1.54), t(28)=7.99, p
Download or read book Implementation of Asthma Treatment Guidelines written by Patience O. Ekeocha and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is a chronic respiratory disease that affects adults, children, and the elderly. Asthma has taken a toll on the economy of its sufferers, families, and health care providers. In the United States, approximately 23 million people have asthma. More than half of these individuals had at least one asthma attack in the previous year. This translates into an average of four days missed from school each year per asmthmatic child and two and a half days missed for work per asthmatic adult; 11 million outpatient medical visits; 2 million emergency room visits; nearly 400,000 hospitalizations; and approximately 4,000 deaths annually. In Maryland, approximately 12.9% of adults and 13.6% of children have a history of asthma. In 2007, asthma accounted for 9,800 hospitalizations and roughly 38,000 emergency department (ED) visits. Foreground: Students with asthma at a historically Black university were more likely to use the hospital ED than students with other chronic illnesses. A quality improvement (QI) needs assessment project conducted in the University Health Clinic (UHC) from February 2010 to April 2010 showed than 935 students with asthma visited the ED comapred to the 351 students with asthma that attended the clinic. The purpose of this project was to develop a Clinical Practice Guidelines (CPG) and a protocol for Evidence-Based Practice (EBP) for clinicians in the UHC. Goal: The short-term goal for this capstone project was to ensure that clinicians adhere to the Guidelines for the Diagnosis and Management of Asmthma CPG in the UHC for the treatment and management of asthma. The long-term goal is to decrease the frequent ED visits by students with asthma. Plan: The Change Theory, "unfreezing, movement, and refreezing" in Marquis and Houston was used as a theoretical foundation to accomplish the plan project. Rosswurm and Larrabee's EBP Model was used to guide the implementation of the capstone project. The plan included a pre- and post-test and a self-education package based on the CPG. The pretest assessed the clinician's base knowledge.
Download or read book Asthma Management at Evans Army Community Hospital written by Christopher G. Lindner and published by . This book was released on 2005 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cumulated Index Medicus written by and published by . This book was released on 2000 with total page 1796 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index Medicus written by and published by . This book was released on 2004 with total page 2098 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
Download or read book Continuous Renal Replacement Therapy written by John A. Kellum and published by Oxford University Press. This book was released on 2016 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance for the management of critically ill patients with acute renal failure, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice.
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Download or read book Clinical Aromatherapy E Book written by Jane Buckle and published by Elsevier Health Sciences. This book was released on 2014-11-14 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Enhance patient care with the help of aromatherapy! Clinical Aromatherapy: Essential Oils in Healthcare is the first and only peer-reviewed clinical aromatherapy book in the world and features a foreword by Dr. Oz. Each chapter is written by a PhD nurse with post-doctoral training in research and then peer reviewed by named experts in their field. This clinical text is the must-have resource for learning how to effectively incorporate aromatherapy into clinical practice. This new third edition takes a holistic approach as it examines key facts and topical issues in aromatherapy practice and applies them within a variety of contexts and conditions. This edition also features updated information on aromatherapy treatments, aromatherapy organizations, essential oil providers, and more to ensure you are fully equipped to provide patients with the best complementary therapy available. Expert peer-reviewed information spans the entire book. All chapters have been written by a PhD nurse with post-doctoral training in research and then peer reviewed by named experts in their field. Introduction to the principles and practice of aromatherapy covers contraindications, toxicity, safe applications, and more. Descriptions of real-world applications illustrate how aromatherapy works in various clinical specialties. Coverage of aromatherapy in psychiatric nursing provides important information on depression, psychosis, bipolar, compulsive addictive, addiction and withdrawal. In-depth clinical section deals with the management of common problems, such as infection and pain, that may frequently be encountered on the job. Examples of specific oils in specific treatments helps readers directly apply book content to everyday practice. Evidence-based content draws from thousands of references. NEW! First and only totally peer-reviewed, evidence-based, clinical aromatherapy book in the world. NEW Chapter on integrative Healthcare documenting how clinical aromatherapy has been integrated into hospitals and healthcare in USA, UK and elsewhere. NEW Chapter on the M Technique: the highly successful method of gentle structured touch pioneered by Jane Buckle that is used in hospitals worldwide. All chapters updated with substantial additional references and tables.
Download or read book Health Care Transition written by Albert C. Hergenroeder and published by Springer. This book was released on 2018-05-03 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.
Download or read book Oxford Textbook of Global Public Health written by Roger Detels and published by Oxford University Press. This book was released on 2017 with total page 1717 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sixth edition of the hugely successful, internationally recognised textbook on global public health and epidemiology, with 3 volumes comprehensively covering the scope, methods, and practice of the discipline
Download or read book Emergency Care for Children written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-08 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.
Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt:
