BACKGROUND In 2005, the International Patient Decision Aids Standards Collaboration identified twelve quality dimensions to guide assessment of patient decision aids. One dimension-the delivery of patient decision aids on the Internet-is relevant when the Internet is used to provide some or all components of a patient decision aid. Building on the original background chapter, this paper provide...

INTRODUCTION Each mother has the legal right to decide about her delivery, but this decision should be made based on scientific knowledge. Instructions during pregnancy help to choose the proper type of delivery. This study conducted aimed to compare two instructional methods of role playing and lecture on primigravida decision about type of delivery. SUBJECTS AND METHODS In this single-blind...

BACKGROUND The rate of caesarean sections is increasing worldwide, yet medical literature informing women with uncomplicated pregnancies about relative risks and benefits of elective caesarean section (CS) compared with vaginal delivery (VD) remains scarce. A decision board may address this gap, providing systematic evidence-based information so that patients can more fully understand their tre...

OBJECTIVE The aim of this study was to characterize parental decision-making regarding delivery room resuscitation for infants born extremely prematurely or with potentially lethal congenital anomalies. METHODS This was a qualitative multicenter study. We identified English-speaking parents at 3 hospitals whose infants had died as a result of extreme prematurity or lethal congenital anomalies...

Clinical governance requires evidence based standards of clinical relevance to assess performance. The recommended interval between the decision to perform an “emergency” caesarean section and the procedure is 30 minutes 2 but there is little objective evidence to support this recommendation. We conducted a prospective 12 month study in a large consultant obstetric teaching unit to examine whet...

Just as the mobile phone allowed developing countries to leapfrog technology in personal communication, the delivery drone has the potential to have the same effect on traditional transportation infrastructure. Inaccessible roads no longer will prevent delivery of blood, medications or other healthcare items. This paper reviews the current status of innovative drone delivery with a particular e...

According to the Agency for Health Care Research and Quality, “comparative effectiveness research is designed to inform health-care decisions by providing evidence on the effectiveness, benefits, and harms of different treatment options” (1). The data derived from clinical registries play an important role in assessing the effectiveness and appropriateness of various treatments, and their use i...