OBJECTIVES To evaluate the effect of the Clinical Practice Guideline (CPG) for cesarean section due to Cephalopelvic Disproportion (CPD) on physician compliance, pregnancy outcomes and cesarean section rate. The study also wants to identify factors associated with physician non-compliance. MATERIAL AND METHOD 455 medical records of women undergoing a cesarean section due to CPD from January 1...

BACKGROUND General practice registrars report satisfaction with their placements in Australian training practices. However, more needs to be known about which criteria comprise this global satisfaction. METHOD A questionnaire was sent to 61 general practice registrars in Western Australia who had recently completed a 6 month advanced term in a training practice, seeking feedback on the practi...

BACKGROUND The ineffective implementation of evidence based practice guidelines can mean that the best health outcomes are not achieved. This study examined the barriers and enablers to the uptake and implementation of the new bi-national (Australia and New Zealand) antenatal corticosteroid clinical practice guidelines among health professionals, using the Theoretical Domains Framework. METHO...

In this issue, Farias and colleagues describe how to develop a clinical care pathway by using a structured, continuous learning process embedded within the day-to-day delivery of care. Their method is called Standardized Clinical Assessment and Management Plans (SCAMPs). A care pathway, such as a SCAMP, includes multiple decision points and related recommendations. The SCAMP process can test th...

BACKGROUND Implementing clinical practice guidelines (CPGs) in healthcare settings is a complex intervention involving both independent and interdependent components. Although the Consolidated Framework for Implementation Research (CFIR) has never been evaluated in a practical context, it appeared to be a suitable theoretical framework to guide an implementation process. The aim of this study w...

BACKGROUND Evidence-based clinical practice guidelines (CPGs) are defined as "statements that are scientifically reviewed about evidence and systematically developed to assist in the doctors' and patients' decision making in certain clinical situations." This recommendation aims to promote good clinical practice for the provision of safe and effective practices of conscious sedation in dentistr...

background and objective: laboratory errors are one of the major factors that affect the diagnosis, prognosis, treatment and monitoring in patients.the objective of study is to evaluate the frequency and type of errors in different phases of testing at the pathology department of the shalamar hospital, lahore and to evaluate the causes of errors. methods: this observational study was carried o...