The science of health care improvement had advanced dramatically through the work of pioneers such as Avedis Donabedian and health care providers who championed systematic use of evidence-based medicine. This work helped lay the groundwork for an emerging body of consensus measures based on evidence that provided important tools for assessing the care delivered by health care providers. However...

INTRODUCTION Avoidable attendances (AAs; defined as non-urgent, self-referred patients who could be managed more effectively and efficiently by other services) have been identified as a contributor to ED crowding. Internationally, AAs have been estimated to constitute 10%-90% of ED attendances, with the UK 2013 Urgent and Emergency Care Review suggesting a figure of 40%. METHODS This pilot st...

Background: The first year of life is the most important period of an extra uterine brain development requires environmental stimulation for developmental capabilities expression. Mean while, due to the repeated environmental disparity, nursery children are at great risk of developmental delay. Aim: To determine the effect of an evidence-based care package on infant gross motor development. Met...

Evidence based medicine has had an increasing impact on primary care over the last few years. In the UK it has influenced the development of guidelines and quality standards for clinical practice and the allocation of resources for drug treatments and other interventions. It has informed the thinking around patient involvement in decision making with the concept of evidence based patient choice...

PURPOSE This document represents the consensus guidelines recommended by the ICCS on how to evaluate and treat children with nonmonosymptomatic nocturnal enuresis (NMNE). The document is intended to be clinically useful in primary, secondary and tertiary care. MATERIALS AND METHODS Discussions were held by the board of the ICCS and a committee was appointed to draft this document. The documen...

OBJECTIVE To determine the extent to which implementation of an evidence based treatment, antithrombotic treatment in atrial fibrillation, is possible in general practice. DESIGN Audit and qualitative study of patients with atrial fibrillation and an educational intervention for patients judged eligible for antithrombotic treatment. SETTING South east England. SUBJECTS 56 patients with a ...

EEP Tops Tower 19-12 The Great Dane harr iers of Albany State rolled to their seventh straight victory and eighh over-all Saturday, when they soundly defeated Oneonta State by he score of 20-40, in a meet held at the New Campus course. In an afternoon affair on the same day, State's freshman runners copped a third place trophy in the first Albany | S l Run for frosh and junior colleges. Boston ...

BACKGROUND Evidence-based practice is important to.clinical health care professionals. Clinical nurses can make informed decisions by applying the best evidence to their care. However, standardized curricula on evidence-based medicine are lacking in nursing education programs. This study evaluated a critical appraisal education program and assessed its value in increasing nurses' knowledge of c...

One of the unfortunate side consequences of evidencebased medicine (EBM) is that sometimes there is no escaping how small the benefit of any individual treatment may seem. In the “days of the giants,” doctors saved lives; now we can consult league tables that bloodlessly inform us how many patients—10, 50, or 200—must receive a treatment to avert even a single bad outcome,1 EBM’s venerable numb...