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Using hospital administrative data to evaluate the knowledge-to-action gap in pressure ulcer preventive care / P Van Herck in Journal of evaluation in clinical practice, 15(2009)02 ([04/01/2009])
[article] Using hospital administrative data to evaluate the knowledge-to-action gap in pressure ulcer preventive care [printed text] / P Van Herck, Author ; Walter Sermeus, Author ; V. Jylha, Author ; Koen Van Den Heede , Author . - 2009 . - p. 375-382.
Languages : English (eng)
in Journal of evaluation in clinical practice > 15(2009)02 [04/01/2009] . - p. 375-382
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Adolescent ; Adult ; Aged ; Aged, 80 and over ; Belgium ; Child ; Evidence-Based Medicine ; Health Knowledge, Attitudes, Practice ; Intensive Care Units ; Journal Article ; Medical Informatics Applications ; Peer Review ; Pressure Ulcer ; Quality of Health Care ; statistics and numerical data [Subheading]Abstract: RATIONALE, AIMS AND OBJECTIVES: Issues of overuse, underuse and misuse are paramount and lead to avoidable morbidity and mortality. Although evidence-based practice is advocated, the widespread implementation of this kind of practice remains a challenge. This is also the case for evidence-based practice related to the prevention of pressure ulcers, which varies widely in process and outcome in Belgian hospital care. One major obstacle to bridging this knowledge-to-action gap is data availability. We propose using large-scale hospital administrative data combined with the latest evidence-based methods as part of the solution to this problem. METHOD: To test our proposal, we applied this approach to pressure ulcer prevention, using an administrative dataset with regard to 6030 patients in 22 Belgian hospitals as a sample of nationally available data. Methods include a systematic review approach, evidence grading, recommendations formulation, algorithm construction, programming of the rule set and application on the database. RESULTS: We found that Belgian hospitals frequently failed to provide appropriate prevention care. Significant levels of underuse, up to 28.4% in pressure ulcer prevention education and 17.5% in the use of dynamic systems mattresses, were detected. Figures for overuse were mostly not significant. Misuse couldn't be assessed. CONCLUSIONS: These results demonstrate that this approach can indeed be successfully used to bridge the knowledge-to-action gap in medical practice, by implementing an innovative method to assess underuse and overuse in hospital care. The integrative use of administrative data and clinical applications should be replicated in other patient groups, other datasets and other countries. Link for e-copy: https://doi.org/10.1111/j.1365-2753.2008.01019.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4121 [article]Using Nursing Interventions Classification as a Framework to Revise the Belgian Nursing Minimum Data Set / Koen Van Den Heede in International Journal of Nursing Terminologies and Classifications, 20(2009)3 ([07/01/2009])
[article] Using Nursing Interventions Classification as a Framework to Revise the Belgian Nursing Minimum Data Set [printed text] / Koen Van Den Heede , Author ; D Michiels, Author ; O Thonon, Author ; Walter Sermeus, Author . - 2009 . - 122-131.
Languages : English (eng)
in International Journal of Nursing Terminologies and Classifications > 20(2009)3 [07/01/2009] . - 122-131
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Consensus ; Data Collection ; Journal Article ; Nursing ; Peer ReviewAbstract: PURPOSE. To develop the revised Belgian nursing minimum data set (B-NMDS).
METHODS. The Nursing Interventions Classification (NIC, 2nd edition) was used as a framework. Six expert nurse panels (cardiology, oncology, intensive care, pediatrics, geriatrics, chronic care) were consulted. Seventy-nine panelists completed standardized e-mail questionnaires and discussed results in face-to-face meetings.
FINDINGS. We initially selected 256 of 433 NIC interventions. After panel discussions, plenary meetings, and pretesting, the revised B-NMDS (alpha version) contained 79 items covering 22 NIC classes and 196 NIC interventions.
CONCLUSIONS. Consensus building promoted acceptance of the B-NMDS, while the NIC provided a good theoretical basis and guaranteed international comparability.
IMPLICATIONS FOR NURSING PRACTICE. The revised B-NMDS instrument can be used to visualize nursing activities in different applications (e.g., financing, staffing allocation).Link for e-copy: http://vdic.idm.oclc.org/login?url=http://onlinelibrary.wiley.com/doi/10.1111/j. [...] Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2727 [article]Using threshold values for cost per quality-adjusted life-year gained in healthcare decisions / Irina Cleemput in International Journal of Technology Assessment in Health Care, 27(2011)01 ([01/01/2011])
[article] Using threshold values for cost per quality-adjusted life-year gained in healthcare decisions [printed text] / Irina Cleemput , Author ; Mattias Neyt , Author ; Nancy Thiry, Author ; Chris De Laet , Author ; Mark Leys, Author . - 2011 . - p. 71-76.
Languages : English (eng)
in International Journal of Technology Assessment in Health Care > 27(2011)01 [01/01/2011] . - p. 71-76
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Cost-Benefit Analysis ; Health Care Rationing ; Journal Article ; Models, Theoretical ; Peer Review ; Policy Making ; Quality-Adjusted Life YearsAbstract: BACKGROUND: In many countries, the incremental cost-effectiveness ratio (ICER) is used to assess whether an intervention is worth its costs. At the same time, policy makers often feel uncomfortable with refusing reimbursement of any intervention purely on the basis of the fact that the ICER exceeds a specific threshold value. Reluctance to define a single threshold value for the ICER seems to have been stronger in social security systems than in national healthcare services systems. This study explores how basic differences between healthcare systems impact upon the potential usefulness of an ICER threshold value. METHODS: This study is a narrative review of literature about the theoretical foundations of the ICER threshold value approach and its practical relevance in different types of healthcare systems. RESULTS: A single ICER threshold value cannot be maintained, defined, or measured and should not be used as a policy-making tool. None of the solutions presented up until now to make the ICER threshold approach a valuable policy-making tool overcome the important weaknesses of the approach. CONCLUSIONS: ICERs and ICER threshold values are insufficient for assessing interventions' value for money. Rather, they should be considered as one element in the decision-making process. Complete rationalization of the decision-making process by means of quantitative decision criteria is undesirable and not feasible. Increasing transparency in the criteria used for a decision and explicitness about the relative importance of each criterion should, therefore, be the major goal. Link for e-copy: https://doi.org/10.1017/S0266462310001194 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4109 [article]
[serial] See available issues Search in serial Vaccine = Vaccine [printed text] / R.E. Spier, Author . - Amsterdam [etc] : Elsevier Science, 1983.
ISSN : 0264-410X
IF : http://www.elsevier.com/wps/find/journaldescription.cws_home/30521/description#description
SJR : http://www.scimagojr.com/journalsearch.php?q=21376&tip=sid&clean=0
Indexed :
BIOSIS Previews
MEDLINE (1983-....)
Reader accessibility : http://jinfo.lub.lu.se/jinfo?func=fullRecord&jId=1312&issn=0264410X
Languages : English (eng)
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W 1 Serials. Periodicals
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immunology ; Netherlands ; Peer Review ; Periodicals ; Viral Vaccines ; VirusesAbstract: Key aspects include
• human • veterinary • disease prevention
• physiological manipulation • molecular biology • synthetic peptides
• recombinant antigens • vectors • new immunogens
• adjuvants • animal models • immunity
• immunology of protection • fertility • academic research
• developmental applications • field trials • clinical trials
• laboratory productions • industrial production • social implications
• epidemiology • efficacy • safety
• legislation • regulation • cost/benefitLink for e-copy: http://vdic.idm.oclc.org/login?url=https://www.sciencedirect.com/journal/vaccine Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1766
[article] Vaginal delivery : how does early hospital discharge affect mother and child outcomes? A systematic literature review [printed text] / Nadia Benahmed ; Lorena San Miguel , Author ; Carl Devos , Author ; Nicolas Fairon , Author ; Wendy Christiaens , Author . - 2017 . - 14.
Languages : English (eng)
in BMC Pregnancy and childbirth > 17(2017)289 [12/15/2017] . - 14
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W 1 Serials. Periodicals
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Delivery, Obstetric ; Journal Article ; Peer Review ; Postpartum PeriodAbstract: Background: There is an international trend to shorten the postpartum length of stay in hospitals, driven by cost containment, hospital bed availability and a movement toward the ‘demedicalization’ of birth. The aim of this systematic literature review is to determine how early postnatal discharge policies from hospitals could affect health outcomes after vaginal delivery for healthy mothers and term newborns.
Methods: A search for systematic reviews, meta-analyses, and primary studies was carried out in OVID MEDLINE, Embase, CINAHL, Econlit and the Cochrane Library (Cochrane Database of Systematic Reviews, DARE and HTA databases). The AMSTAR checklist was used for the quality appraisal of systematic reviews. The quality of the retrieved studies was assessed by the Cochrane Collaboration’s tools. The level of evidence was appraised using the GRADE system.
Results: Seven RCTs and two additional observational studies were found but no comprehensive economic evaluation. Despite variation in the definition of early discharge, the authors of the included studies, concerning early discharge and conventional length of stay, reported no statistical difference in maternal and neonatal morbidity, maternal and neonatal readmission rates, infant mortality, newborn weight gain, neonatal hyperbilirubinemia, or breastfeeding rates. The authors reported conflicting results regarding postpartum depression and competence of mothering, ranging from no difference according to length of stay to better results for early discharge. The level of evidence of the vast majority of outcomes was rated as low to very low.
Conclusions: Because of the lack of robust clinical evidence and full economic evaluations, the current data neither support nor discourage the widespread use of early postpartum discharge. Before implementing an early discharge policy, Western countries with longer length of hospital stay may benefit from testing shorter length of stay in studies with an appropriate design. The issue of cost containment in implementing early discharge and the potential impact on the current and future health of the population exemplifies the need for publicly funded clinical trials in such public health area. Finally, trials testing the range of out-patient interventions supporting early discharge are needed in Western countries which implemented early discharge policies in the past.Link for e-copy: https://doi.org/10.1186/s12884-017-1465-7 Format of e-copy: Open Access Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4282 [article]E-copies
Benahmed N_2017_BMC Pregnancy Childbirth_17_289_14 pAdobe Acrobat PDF Validation of Hospital Administrative Dataset for adverse event screening / Center for Health Services and Nursing Research (University Hospital of Liege, Liege, Belgium.) in Quality and safety in health care, vol. 19, no. 5 (2010)
PermalinkValidation of Hospital Administrative Dataset for adverse event screening in Quality & safety in health care., 19(2010)5 ([10/01/2010])
PermalinkValidity of photographs for food portion estimation in a rural West African setting / Lieven Huybregts in Public Health Nutrition, 11(2008)6 ([06/02/2008])
PermalinkVariables associated with oral hygiene levels in 7-year-olds in Belgium / L. Martens in Community Dental Health, 21(2004)01 ([03/01/2004])
PermalinkVaricella vaccination in Europe / Sengupta Nitu in European journal of pediatrics, 167(2008)1 ([01/01/2008])
PermalinkVerhandelingen van de Koninklijke Academie voor Geneeskunde van België / Brussel [Belgium] : Paleis Der Academein (1973)
PermalinkPermalinkVlaams Infectieziektebulletin / Koen De Schrijver / Brussel [België] : Afdeling Toezicht Volksgezondheid
PermalinkWhat Does the Public Want? / Irina Cleemput in Medical Decision Making Policy & Practice, 2381-4683-2018-25 ([09/25/2018])
PermalinkWhat is the evidence for giving chemoprophylaxis to children or students attending the same preschool, school or college as a case of meningococcal disease? / W. Hellenbrand in Epidemiology and Infection, (2011)Août ([08/11/2011])
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