EBN users’ guide Evaluation of studies of health economics
ثبت نشده
چکیده
Clinical scenario A rural hospital hires a new infection control professional, EL, who has just received her master’s degree and trained in infection control departments that were up to date on the best evidence. EL reviews the infection control policies and learns that traditional central line catheters are used. Where she trained, a new,more expensive, antiseptic catheter was used. The new catheter is impregnated with chlorhexidine and silver sulfadiazine and costs $25 more than the traditional catheter. Because the new catheter is designed to reduce the incidence of hospital associated infections, particularly blood stream infections that are catheter related, EL recommends that the hospital begin using it in place of the traditional central line catheter. However, hospital administration and the purchasing department question the value of this new, more expensive, antiseptic impregnated catheter. Issues related to both cost and the possibility of improved outcomes are discussed at a meeting with intensive care nurses, physicians, and representatives from hospital administration and the purchasing department. Specifically, the questions are: (1) is the antiseptic impregnated catheter economically efficient? In other words, are the additional costs of the catheter offset by potential cost savings in reduced number of infections, which will affect length of stay? (2) Is the antiseptic impregnated catheter more cost effective when used in certain types of patients (eg, patients at high risk of catheter related infections, such as immunosuppressed patients)? An interdisciplinary team is asked to conduct a literature search and make an evidence-based recommendation.
منابع مشابه
EBN users’ guide Evaluation of systematic reviews of treatment or prevention interventions
In a previous article in this series we explained how the critical appraisal of research is an essential step in evidence-based health care because most published research is too poor in quality to be applied to clinical practice. Critical appraisal is made easier through the use of quality checklists that can help you to appraise research studies systematically and efficiently. The 3 basic app...
متن کاملEBN users’ guide Evaluation of qualitative research studies
Clinical scenario You work on a palliative care unit where you have many opportunities to discuss end of life decisions with patients and family members. In a recent team meeting of your unit’s providers, the topic of “appropriate” treatment choices for patients at end of life comes up. Some providers believe that they should counsel patients and family members to “help them make better end of ...
متن کاملEBN users’ guide Evaluation of qualitative research studies
Clinical scenario You work on a palliative care unit where you have many opportunities to discuss end of life decisions with patients and family members. In a recent team meeting of your unit’s providers, the topic of “appropriate” treatment choices for patients at end of life comes up. Some providers believe that they should counsel patients and family members to “help them make better end of ...
متن کاملEBN users’ guide Evaluation of studies of health economics
Clinical scenario A rural hospital hires a new infection control professional, EL, who has just received her master’s degree and trained in infection control departments that were up to date on the best evidence. EL reviews the infection control policies and learns that traditional central line catheters are used. Where she trained, a new,more expensive, antiseptic catheter was used. The new ca...
متن کاملEBN users’ guide Evaluation of studies of health economics
Clinical scenario A rural hospital hires a new infection control professional, EL, who has just received her master’s degree and trained in infection control departments that were up to date on the best evidence. EL reviews the infection control policies and learns that traditional central line catheters are used. Where she trained, a new,more expensive, antiseptic catheter was used. The new ca...
متن کامل