SYSTEMATIC REVIEW METHODS. Unit 1
|
|
- Russell Bell
- 6 years ago
- Views:
Transcription
1 SYSTEMATIC REVIEW METHODS Unit 1
2 GETTING STARTED Introduction Schedule Ground rules
3 EVALUATION Class Participation (20%) Contribution to class discussions Evidence of critical thinking Engagement in learning activities Systematic Review Protocol (80%) Group project Develop systematic review protocol In-class presentation
4 SYSTEMATIC REVIEW PROTOCOL Topic concerning the effectiveness of a health care intervention Rationale for the topic Team members/collaborators Clearly focused quantitative review question Inclusion and exclusion criteria Search strategy Assessment of methodological quality of the included studies Synthesis approach Communicating key messages
5 OBJECTIVES: UNIT 1 1. Differentiate between different types of reviews. 2. Identify the importance of systematic reviews in health care policy and practice decisions. 3. Identify the components of high quality systematic reviews. 4. Develop a clearly focused quantitative systematic review question about the effectiveness of an intervention.
6 WHAT IS A SYSTEMATIC REVIEW? A systematic review attempts to collate all empirical evidence that fits pre-specified eligibility criteria in order to answer a specific research question. It uses explicit, systematic methods that are selected with a view to minimizing bias thus providing more reliable findings from which conclusions can be drawn and decisions made [Cochrane Handbook]
7 WHY DO A SYSTEMATIC REVIEW Identify what we know to inform decisions about practice, programs, policy by resolving conflicting evidence addressing questions where clinical practice is uncertain exploring variations in practice Identify what we know and/or do not know to inform the rationale for conducting research When available systematic reviews are not up to date, and/or poor quality, and/or do not sufficiently address the question asked
8 INFORM PRACTICE, PROGRAMS, &/OR POLICY DECISIONS
9 INFORM PRACTICE, PROGRAMS, &/OR POLICY DECISIONS Cochrane Database Syst Rev Dec 5;(12):CD Mobile phone messaging reminders for attendance at healthcare appointme nts.gurol- Urganci I1, de Jongh T, Vodopivec- Jamsek V, Atun R, Car J.
10 INFORM RATIONALE FOR CONDUCTING RESEARCH Ivers et al. (2014) Journal of General Internal Medicine: Growing Literature, Stagnant Science? Systematic Review, Meta- Regression and Cumulative Analysis of Audit and Feedback Interventions in Health Care.
11 SYSTEMATIC REVIEW VS. REVIEW OF THE LITERATURE Systematic review strict scientific design explicit methods where more than one person is involved in each step pre-specified methods that do not change in the course of conducting the review reproducible methods
12 TYPES OF REVIEWS Scoping review Traditional systematic review Network meta-analysis Overview of reviews Realist reviews Meta-syntheses
13 NETWORK META-ANALYSIS A B C
14 SYSTEMATIC REVIEW QUESTIONS Benefits and harms of interventions used in healthcare and health policy [Intervention Reviews/Aetiology Reviews] Wound care teams for preventing and treating pressure ulcers Safety of topical corticosteroids in pregnancy Probable course or future outcome(s) of people with a health problem [Prognosis] Individual recovery expectations and prognosis of outcomes in non specific low back pain Diagnostic Test Accuracy PET CT for assessing mediastinal lymph node involvement in patients with suspected resectable non small cell lung cancer Qualitative Healthcare workers perceptions and experience on using mhealth technologies to deliver primary healthcare services Cochrane Library
15 SYSTEMATIC REVIEW: ESSENTIAL ELEMENTS Systematic search of a number of different sources to identify relevant studies Select studies for inclusion, based on predefined criteria Evaluate studies for their strengths and limitations based on clear, predefined criteria Systematically collect data Appropriately synthesize data
16 REVIEW QUESTION Is the source of all other aspects of the review flow Should be identified a priori clear, unambiguous Structured PICO PECO SPPiCE
17 REVIEW QUESTION: PI/ECO Applicable to: Intervention Reviews Aetiology Reviews Prognosis Reviews Population(s) Intervention(s)/Indicator(s) or Exposure(s) Comparator Outcome(s)
18 REVIEW QUESTION: PI/ECO Population Group of participants or patients, their clinical problem, and the healthcare setting Intervention/Indicator/Exposure/Comparator Action(s) being considered e.g. treatments, processes of care, social interventions, educational intervention, risk factors Outcome Clinical changes in health state or other related changes (e.g. health resource use)
19 REVIEW QUESTION: TEST ACCURACY Population Test Test whose predictive value is being assessed Reference Standard gold standard test that confirms or refutes the diagnosis
20 REVIEW QUESTION: SPPICE Applicable to Qualitative Reviews Sample Purpose/Phenomenon of Interest Context Emphasis
21 REVIEW QUESTION: STUDY DESIGN Driven by the components of the question Provide the most valid answer to the question Intervention Review Appropriate way to recruit participants give participants the intervention(s) and/or comparator(s) measure the outcome(s)
22 REVIEW QUESTION: EXAMPLE Intervention Review Question Which of the many available microbial products improve healing in patients with chronic wounds Structured question P: patients with various forms of chronic wounds I/C: microbial products O: wound healing Study design: A study that allocates subjects with chronic wounds to alternative therapeutic interventions of interest and determines the effect of the interventions on wound healing [randomized trial]
23 VARIATIONS IN POPULATION How is the disease/condition defined? What are the most important characteristics that describe these people (participants)? Are there any relevant demographic factors, e.g. Age Gender Ethnicity What is the setting, e.g. Hospital Community
24 VARIATIONS IN INTERVENTION What are the experimental and control (comparator) interventions of interest Does the intervention have variations, e.g. dosage/intensity mode of delivery personnel who deliver it frequency of delivery, duration of delivery, timing of delivery)
25 VARIATIONS IN OUTCOME Essential for decision-making usually have an emphasis on patientimportant outcomes Potential as well as actual adverse effects Relevant to all potential decision makers, including economic data. Type of outcome measurements Timing of outcome measurements
26 REVIEW QUESTION: EXAMPLE Question: Are knowledge translation (KT) interventions directed to nurses in tertiary care are effective for improving EBP knowledge, skills, behaviours, and, as a result, patient outcomes Structured Question: P: nurses in tertiary care I: any KT intervention O: EBP knowledge, skills, behaviors O: patient outcomes
27 BROAD VS. NARROW: PARTICIPANTS Broad: corticosteroid injection for any tendonitis Narrow: corticosteroid injection for shoulder tendonitis Cochrane Handbook 5.6.a Advantages Comprehensive summary of the evidence. Ability to assess generalizability of findings across different implementations of the intervention Manageability for review team. Ease of reading. Disadvantages May be more appropriate to prepare an Overview of Reviews Searching, data collection, analysis and writing may require more resources. Risk of mixing apples and oranges (heterogeneity); interpretation may be difficult. Evidence may be sparse. Findings may not be generalizable to other settings or populations. Scope could be chosen by review authors to produce a desired result.
28 Broad: any exercise for depression BROAD VS. NARROW: INTERVENTION DEFINITION Advantages Comprehensive summary of the evidence. Ability to assess generalizability of findings across types of participants. Disadvantages Searching, data collection, analysis and writing may require more resources. Risk of mixing apples and oranges (heterogeneity); interpretation may be difficult. Narrow: supervised running for depression Manageability for review team. Ease of reading. Evidence may be sparse. Findings may not be generalizable to other formulations of the intervention. Scope could be chosen by review authors to produce a desired result. Cochrane Handbook 5.6.a
29 Broad: interventions for preventing bedwetting BROAD VS. NARROW: INTERVENTION/COMPARISON Advantages Comprehensive summary of the evidence. Disadvantages May be unwieldy, and more appropriate to present as an Overview of Reviews Searching, data collection, analysis and writing may require more resources. Narrow: alarms for preventing bedwetting Manageability for review team. Clarity of objectives and ease of reading. May have limited value when not included in an Overview. Cochrane Handbook 5.6.a
30 IN-CLASS ACTIVIT Y Frame the Systematic Review Question
31 IN-CLASS ACTIVIT Y 2 Minute Presentation: Systematic Review Question
32 IN-CLASS ACTIVIT Y Identify Assignment Groups
33 JUSTIFYING THE REVIEW What is the problem/issue? Why is it important to address the problem/issue? What is the magnitude of the problem/issue?
34 EXAMPLE Nurses are expected to use research evidence in practice to improve client and system outcomes. International standards of practice identify EBP as an important and integral component of effective nursing practice. Although awareness about EBP has increased, it remains inconsistently operationalized for use in practice.
35 JUSTIFYING THE REVIEW Are there relevant studies that have been done? What is the gap in the synthesized literature of these studies? Modello di ricerca delle fonti di evidenza 6 S:
36 Search databases where systematic reviews are registered Prospero Search databases/repositories of systematic reviews, e.g. ACCESSSS Federated Search Database of Abstracts of Reviews of Effects PubMed Clinical Queries Health Evidence Health Systems Evidence
37 Search of organizations producing systematic reviews, e.g. Cochrane Collaboration Joanna Briggs Institute Search of guideline developers who conduct systematic reviews to inform their guidelines National Guideline Clearinghouse NICE SIGN AHRQ CTFPHC EPPI Centre
38 EXAMPLE Previous systematic reviews have focused on effectiveness of knowledge translation (KT) interventions to promote the use of research evidence among healthcare professionals No analyses were specific to nurses in these reviews. Only one systematic review by Thompson and colleagues considered the effect of KT interventions on nurses research use. With a limited number of studies of poor quality, Thompson and colleagues concluded that there was insufficient evidence to support or refute the use of any specific intervention aimed at increasing research use in nursing.
39 IN-CLASS ACTIVIT Y Justifying the Systematic Review Question
40 INTERVENTION SYSTEMATIC REVIEW: METHODS Define the research question Identify inclusion and exclusion criteria Search for studies Select studies Assess studies for methodological quality Extract relevant data from included studies Synthesize the data Interpret the results Draw conclusions
41 TIMELINE Cochrane Handbook
42 RESOURCES NEEDED TIME Funds Web applications Team Interlibrary loan
43 Web applications Rayyan Distiller EPPI Reviewer spx?alias=eppi.ioe.ac.uk/cms/er4
44 Team Additional reviewer(s) Content expertise Methodology expertise/support Searching Familiarity with web applications Statistical support
45 EXAMPLE: TEAM Who will use the findings from the review Advisory Committee Expertise in the content area Advisory Committee Team members Expertise in systematic review methods Team members, including Health Science Librarian McMaster Evidence Review Centre
46 IN-CLASS ACTIVIT Y Systematic Review Team
KNOWLEDGE SYNTHESIS: Literature Searches and Beyond
KNOWLEDGE SYNTHESIS: Literature Searches and Beyond Ahmed M. Abou-Setta, MD, PhD Department of Community Health Sciences & George & Fay Yee Centre for Healthcare Innovation University of Manitoba Email:
More informationInstitute of Medicine Standards for Systematic Reviews
Institute of Medicine Standards for Systematic Reviews Christopher H Schmid Tufts University ILSI 23 January 2012 Phoenix, AZ Disclosures Member of Tufts Evidence-Based Practice Center Member, External
More informationEvidence-Based Practice Pulling the pieces together. Lynette Savage, RN, PhD, COI March 2017
Evidence-Based Practice Pulling the pieces together Lynette Savage, RN, PhD, COI March 2017 Learning Objectives Delineate the differences between Quality Improvement (QI), Evidence Based Practice (EBP),
More informationEvidence-Based Practice for Nursing
Evidence-Based Practice for Nursing The Essentials of Baccalaureate Education for Professional Nursing Practice Pages 15-20 in: http://www.aacn.nche.edu/educationresources/baccessentials08.pdf AACN Essential
More informationBuilding & Strengthening Your Evidence Based Practice Literature Searches
Building & Strengthening Your Evidence Based Practice Literature Searches Created and Presented by: Ken Wright, MSLS Health Sciences Librarian ktwright@mchs.com 614-234-5222 1 Outline of Evidence-Based
More informationSystematic Review. Request for Proposal. Grant Funding Opportunity for DNP students at UMDNJ-SN
Systematic Review Request for Proposal Grant Funding Opportunity for DNP students at UMDNJ-SN Sponsored by the New Jersey Center for Evidence Based Practice At the School of Nursing University of Medicine
More informationYost et al. Implementation Science DOI /s Implementation Science
Yost et al. Implementation Science DOI 10.1186/s13012-015-0286-1 Implementation Science SYSTEMATIC REVIEW Open Access The effectiveness of knowledge translation interventions for promoting evidence-informed
More informationEssential Skills for Evidence-based Practice: Evidence Access Tools
Essential Skills for Evidence-based Practice: Evidence Access Tools Jeanne Grace Corresponding author: J. Grace E-mail: Jeanne_Grace@urmc.rochester.edu Jeanne Grace RN PhD Emeritus Clinical Professor of
More informationLevel 1: Introduction to Evidence-Informed Practice
Evidence-Informed Practice Workshop Series Level 1: Introduction to Evidence-Informed Practice Session Outline What is Evidence Informed Practice Levels of Evidence Develop a research-able question PICO
More informationEvidence-Based Practice
Evidence-Based Practice R O S E L. H O F F M A N N P H D, R N A S S I S T A N T P R O F E S S O R U N I V E R S I T Y O F P I T T S B U R G H S C H O O L O F N U R S I N G S E P T E M B E R 2 1, 2 0 1
More informationM6278 Theory & Research in Applied Science and Nursing. Objectives
M6278 Theory & Research in Applied Science and Nursing Class 1 Spring, 2002 Pat Stone, RN, C, MPH, PhD Objectives 1. Get acquainted 2. Understand expectations of course 3. Understand research competency
More informationClinical Development Process 2017
InterQual Clinical Development Process 2017 InterQual Overview Thousands of people in hospitals, health plans, and government agencies use InterQual evidence-based clinical decision support content to
More informationECLEPS CEL Workshop July 16, 2008 Evidence Based Practice (EBP)
ECLEPS CEL Workshop July 16, 2008 Evidence Based Practice (EBP) Definition: Evidence Based Practice Evidence based nursing practice is the conscientious, explicit and judicious use of theoryderived, research-based
More informationObjectives. Preparing Practice Scholars: Implementing Research in the DNP Curriculum. Introduction
Objectives Preparing Practice Scholars: Implementing Research in the DNP Curriculum 2011 Symposium Produced by Members of NONPF s Research SIG To discuss the levels of DNP research competencies currently
More informationObjectives. Evidence Based Resources for Answering Clinical Questions: Only a Click Away. What is Evidence Based Practice?
Evidence Based Resources for Answering Clinical Questions: Only a Click Away Janet G Schnall, MS, AHIP Objectives Describe web resources to use for evidencebased nursing (EBN) practice Identify strategies
More informationEssential Skills for Evidence-based Practice: Strength of Evidence
Essential Skills for Evidence-based Practice: Strength of Evidence Jeanne Grace Corresponding Author: J. Grace E-mail: Jeanne_Grace@urmc.rochester.edu Jeanne Grace RN PhD Emeritus Clinical Professor of
More informationComparative Effectiveness Research and Patient Centered Outcomes Research in Public Health Settings: Design, Analysis, and Funding Considerations
University of Kentucky UKnowledge Health Management and Policy Presentations Health Management and Policy 12-7-2012 Comparative Effectiveness Research and Patient Centered Outcomes Research in Public Health
More informationGRADUATE PROGRAM IN PUBLIC HEALTH
GRADUATE PROGRAM IN PUBLIC HEALTH CULMINATING EXPERIENCE EVALUATION Please complete and return to Ms. Rose Vallines, Administrative Assistant. CAM Building, 17 E. 102 St., West Tower 5 th Floor Interoffice
More informationRapid Review Evidence Summary: Manual Double Checking August 2017
McGill University Health Centre: Nursing Research and MUHC Libraries What evidence exists that describes whether manual double checks should be performed independently or synchronously to decrease the
More informationEffect of DNP & MSN Evidence-Based Practice (EBP) Courses on Nursing Students Use of EBP
Effect of DNP & MSN Evidence-Based Practice (EBP) Courses on Nursing Students Use of EBP Richard Watters, PhD, RN Elizabeth R Moore PhD, RN Kenneth A. Wallston PhD Page 1 Disclosures Conflict of interest
More informationThis article is Part 1 of a two-part series designed. Evidenced-Based Case Management Practice, Part 1. The Systematic Review
CE Professional Case Management Vol. 14, No. 2, 76 81 Copyright 2009 Wolters Kluwer Health Lippincott Williams & Wilkins Evidenced-Based Case Management Practice, Part 1 The Systematic Review Terry Throckmorton,
More informationHow to Find and Evaluate Pertinent Research. Levels and Types of Research Evidence
AACN Advanced Critical Care Volume 24, Number 4, pp. 416-420 2013 AACN Clinical Inquiry Bradi B. Granger, RN, PhD Department Editor How to Find and Evaluate Pertinent Research Adrianne Leonardelli, MLIS
More informationEvidence based practice: Colorectal cancer nursing perspective
Evidence based practice: Colorectal cancer nursing perspective Professor Graeme D. Smith Editor Journal of Clinical Nursing Edinburgh Napier University China Medical University, August 2017 Editor JCN
More informationSearching for Clinical Guidelines, Algorithms, and Mixed Methods Studies: What s Wrong with PICO?
Searching for Clinical Guidelines, Algorithms, and Mixed Methods Studies: What s Wrong with PICO? Janice M. Jones, PhD, CNS, RN University at Buffalo School of Nursing Buffalo, NY 43 rd BIENNIAL STTI CONVENTION
More informationSystematic Review Search Strategy
Registered Nurses Association of Ontario Nursing Best Practice Guidelines Program Adult Asthma Care: Promoting Control of Asthma, Second Edition- March 2017 Systematic Review Search Strategy Concurrent
More informationEvidence Based Practice Template: Rotating PIV Sites in Adults
Professional Nursing Staff Organization Evidence Based Practice Template: Rotating PIV Sites in Adults Statement of problem/issue: Rotation of peripheral intravenous catheter sites in the adult population
More informationVersion 1.0 (posted Aug ) Aaron L. Leppin. Background. Introduction
Describing the usefulness and efficacy of discharge interventions: predicting 30 day readmissions through application of the cumulative complexity model (protocol). Version 1.0 (posted Aug 22 2013) Aaron
More informationEffectiveness and safety of intravenous therapy at home for children and adolescents with acute and chronic illnesses: a systematic review protocol
Effectiveness and safety of intravenous therapy at home for children and adolescents with acute and chronic illnesses: a systematic review protocol Helena Hansson 1 Anne Brødsgaard 2 1 Department of Paediatric
More informationNursing skill mix and staffing levels for safe patient care
EVIDENCE SERVICE Providing the best available knowledge about effective care Nursing skill mix and staffing levels for safe patient care RAPID APPRAISAL OF EVIDENCE, 19 March 2015 (Style 2, v1.0) Contents
More informationWashington State Council of Perioperative Nurses October 14, 2011 Janet G. Schnall, MS, AHIP HEAL-WA University of Washington Health Sciences
Washington State Council of Perioperative Nurses October 14, 2011 Janet G. Schnall, MS, AHIP HEAL-WA University of Washington Health Sciences Libraries Seattle, WA schnall@uw.edu Objectives By the end
More informationSearching for the Best Evidence
Evidence Informed Decision Making Workshop May 11, 2010 Liz Bayley, Health Sciences Library Learning Objectives Explain and demonstrate use of preappraised sources of evidence Give an overview of resources
More informationThis is a Brief Online Learning Tutorial (or BOLT) brought to you by the LISTEN project, a HRSA funded project focused on improving the information
This is a Brief Online Learning Tutorial (or BOLT) brought to you by the LISTEN project, a HRSA funded project focused on improving the information literacy competencies of nursing students and professional
More informationEvidence-Based Nursing Practice
Evidence-Based Nursing Practice Day 2: What is a systematic review? Critically appraising a systematic review Levels of evidence Using critical appraisal to synthesize evidence for a P&P Dec 18, 2015 Francesca
More informationSearching Your EBSCO Research Databases ASUM: September 2016
Searching Your EBSCO Research Databases ASUM: September 2016 Cindy Slater Training Specialist, Australia/New Zealand cslater@ebsco.com In this session we will cover: Overview of EBSCO Resources Searching:
More informationEver Wonder? DO YOU DO EBP? Does not have to be new knowledge!
Evidenced based practice Berdette Reuer, MSN, RN Ever Wonder? Have questions about what you do? Wonder if there is a better way to do it? Notice a policy/procedure that needs updating? This is how we do
More informationSearching the Nursing Research Literature. Created and Presented by: Ken Wright, MSLS Health Sciences Librarian
Searching the Nursing Research Literature Created and Presented by: Ken Wright, MSLS Health Sciences Librarian ktwright@mchs.com 614-234-5222 1 Introduction This self-directed learning resource includes
More informationMETHODOLOGY. Transparency. Conflicts of Interest. Multidisciplinary Steering Committee Composition. Evidence Review
METHODOLOGY In order to support the accuracy, integrity and clinical relevance of recommendations from the Women s Preventive Services Initiative, the recommendation development process is based on adaption
More informationExploring the Science of Evidence Based Nursing. Presented by Geneva Craig, PhD, RN
Exploring the Science of Evidence Based Nursing Presented by Geneva Craig, PhD, RN Exploring To make a careful investigation or study of something Making a careful search Searching for the purpose of discovery
More informationNational Institute for Health and Clinical Excellence. The guidelines manual
National Institute for Health and Clinical Excellence The guidelines manual January 2009 The guidelines manual About this document This document describes the methods used in the development of NICE guidelines.
More informationemja: Measuring patient-reported outcomes: moving from clinical trials into clinical p...
Página 1 de 5 emja Australia The Medical Journal of Home Issues emja shop My account Classifieds Contact More... Topics Search From the Patient s Perspective Editorial Measuring patient-reported outcomes:
More informationDisposable, Non-Sterile Gloves for Minor Surgical Procedures: A Review of Clinical Evidence
CADTH RAPID RESPONSE REPORT: SUMMARY WITH CRITICAL APPRAISAL Disposable, Non-Sterile Gloves for Minor Surgical Procedures: A Review of Clinical Evidence Service Line: Rapid Response Service Version: 1.0
More informationIntroduction Patient-Centered Outcomes Research Institute (PCORI)
2 Introduction The Patient-Centered Outcomes Research Institute (PCORI) is an independent, nonprofit health research organization authorized by the Patient Protection and Affordable Care Act of 2010. Its
More informationDisclosures. The Nuts and Bolts of Orthopaedic Nursing Research. Objectives. Learner Outcome 12/7/2016
The Nuts and Bolts of Orthopaedic Nursing Research Dawn Denny, PhD, RN, ONC Disclosures Conflict of Interest I hereby certify that, to the best of my knowledge, no aspect of my current personal or professional
More informationPCORI s Approach to Patient Centered Outcomes Research
PCORI s Approach to Patient Centered Outcomes Research David H. Hickam, MD, MPH Director, PCORI Clinical Effectiveness and Decision Science Program Charleston, SC July 18, 2017 Goals of this Presentation
More informationEvidence-Based Practice. An Independent Study Short Course for Medical-Surgical Nurses
Evidence-Based Practice An Independent Study Short Course for Medical-Surgical Nurses This module was developed by the Clinical Practice Committee of the Academy of Medical-Surgical Nurses, in accordance
More informationFANNP 28TH NATIONAL NNP SYMPOSIUM: CLINICAL UPDATE AND REVIEW OCTOBER 17-21, 2017
How Can NNPs Perform Evidence-Based Practice at the Bedside? Bobby B. Bellflower, DNSc, APRN-BC, NNP-BC Associate Professor, Director of DNP Programs University of Tennessee Health Science Center Neonatal
More informationRelevant Courses and academic requirements. Requirements: NURS 900 NURS 901 NURS 902 NURS NURS 906
Department/Academic Unit: School of Nursing, Doctoral (PhD) Degree Level Expectations, Learning Outcomes, Indicators of Achievement and the Program Requirements that Support the Learning Outcomes Expectations
More informationCritical Review: What effect do group intervention programs have on the quality of life of caregivers of survivors of stroke?
Critical Review: What effect do group intervention programs have on the quality of life of caregivers of survivors of stroke? Stephanie Yallin M.Cl.Sc (SLP) Candidate University of Western Ontario: School
More informationChapter 2: Evidence-Based Nursing Practice
Nieswiadomy, 7e IRM Chapter 2 1 Chapter 2: Evidence-Based Nursing Practice LEARNING OUTCOMES 1. Summarize the importance of evidence-based practice in the field of nursing 2. Differentiate between research
More informationOnline Data Supplement: Process and Methods Details
Online Data Supplement: Process and Methods Details ACC/AHA Special Report: Clinical Practice Guideline Implementation Strategies: A Summary of Systematic Reviews by the NHLBI Implementation Science Work
More informationCreating Care Pathways Committees
Presentation Creating Care Title Pathways Committees December 12, 2012 December 12, 2012 Creating Care Pathways Committees LeadingAge Indiana Integrated Care & Payment Executive Series 1 2012 Health Dimensions
More informationDoes pay-for-performance improve the quality of health care?
August 2008 SUPPORT Summary of a systematic review Does pay-for-performance improve the quality of health care? Explicit financial incentives have been proposed as a strategy to change physician and healthcare
More informationDOCUMENT E FOR COMMENT
DOCUMENT E FOR COMMENT TABLE 4. Alignment of Competencies, s and Curricular Recommendations Definitions Patient Represents patient, family, health care surrogate, community, and population. Direct Care
More informationQuality Standards. Process and Methods Guide. October Quality Standards: Process and Methods Guide 0
Quality Standards Process and Methods Guide October 2016 Quality Standards: Process and Methods Guide 0 About This Guide This guide describes the principles, process, methods, and roles involved in selecting,
More informationJBI Database and Your Journals on Ovid
JBI Database and Your Journals on Ovid Tom McGeogh Sales Manager 8/2016 Joanna Briggs Institute Evidence Based Practice Objectives & agenda Introducing the features & functionality of Ovid Introduction
More informationEvidence-Based Nursing Practice. Day 1: Intro To EBNP
Evidence-Based Nursing Practice Day 1: Intro To EBNP Dec 11, 2015 Francesca Frati, BFA, MLIS Julia Kleinberg, BA, MLIS EBNP for infection prevention & control Two day-long workshops designed to help develop
More informationObjectives. EBP: A Definition. EBP: A Definition. Evidenced-Based Practice and Research: The Fundamentals. EBP: The Definition
Objectives Evidenced-Based Practice and Research: The Fundamentals March 22, 2011 EBP Boot Camp Presentation by Cynthia A. Oster, PhD, MBA, RN, CNS-BC, ANP Upon completion of this educational activity,
More informationClinical Practice Guideline Development Manual
Clinical Practice Guideline Development Manual Publication Date: September 2016 Review Date: September 2021 Table of Contents 1. Background... 3 2. NICE accreditation... 3 3. Patient Involvement... 3 4.
More informationEvidence-Based Nursing Practice (Infection prevention & control)
Evidence-Based Nursing Practice (Infection prevention & control) Session 5: Critical appraisal Part 2: Implementation/evaluation, case control & cohort studies April 14, 2015 Francesca Frati, MLIS Jacynthe
More informationIntegrated approaches to worker health, safety and wellbeing: Review Update
Integrated approaches to worker health, safety and wellbeing: Review Update Dr Nerida Joss Samantha Blades Dr Amanda Cooklin Date: 16 December 2015 Research report #: 088.1-1215-R01 Further information
More informationUpdate on ACG Guidelines Stephen B. Hanauer, MD President American College of Gastroenterology
Update on ACG Guidelines Stephen B. Hanauer, MD President American College of Gastroenterology Clifford Joseph Barborka Professor of Medicine Northwestern University Feinberg School of Medicine Guideline
More informationC. Agency for Healthcare Research and Quality
Page 1 of 7 C. Agency for Healthcare Research and Quality Draft Guidelines for Ensuring the Quality of Information Disseminated to the Public Contents I. Agency Mission II. Scope and Applicability of Guidelines
More informationONTARIO PATIENT ORIENTED RESEARCH STRATEGY: Patient Reported Outcome-informed Innovation
BRIEFING DOCUMENT SUMMARY: The following represents an initiative that has linked and implemented all of the tools, organizations, research strategies, and participatory research Knowledge User (KU)-End
More informationPriority Program Translational Oncology Applicants' Guidelines Letter of Intent / Project Outlines
Stiftung Deutsche Krebshilfe Dr. h.c. Fritz Pleitgen Präsident Spendenkonto Kreissparkasse Köln IBAN DE65 3705 0299 0000 9191 91 BIC COKSDE33XXX Priority Program Translational Oncology Applicants' Guidelines
More informationWinona State University
Winona State University Doctor of Nursing Practice DNP Project Guideline 2016 2017 APPENDICES Appendix A Roles and Responsibilities of Student, Advisor/Chair, Committee Members of the DNP Project Stages
More informationThe Use Of Guidelines And Clinical Pathways
The Use Of Guidelines And Clinical Pathways Quality & Safety In Healthcare First Congress Lebanese Society for Quality & Safety in Healthcare 15-16 November 2013 Ashraf Ismail, MD, MPH, CPHQ Managing Director,
More information13. Research utilization is essentially synonymous with evidence-based practice. A) True B) False
1. Research utilization is a process that begins with: A) A clinical problem that needs to be solved B) A problem-focused trigger C) A knowledge-focused trigger or research finding D) A well-worded clinical
More informationPHARMACIST INDEPENDENT PRESCRIBING MEDICAL PRACTITIONER S HANDBOOK
PHARMACIST INDEPENDENT PRESCRIBING MEDICAL PRACTITIONER S HANDBOOK 0 CONTENTS Course Description Period of Learning in Practice Summary of Competencies Guide to Assessing Competencies Page 2 3 10 14 Course
More informationProfessional Student Outcomes (PSOs) - the academic knowledge, skills, and attitudes that a pharmacy graduate should possess.
Professional Student Outcomes (PSOs) - the academic knowledge, skills, and attitudes that a pharmacy graduate should possess. Number Outcome SBA SBA-1 SBA-1.1 SBA-1.2 SBA-1.3 SBA-1.4 SBA-1.5 SBA-1.6 SBA-1.7
More informationNurse Practitioner Student Learning Outcomes
ADULT-GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER Nurse Practitioner Student Learning Outcomes Students in the Nurse Practitioner Program at Wilkes University will: 1. Synthesize theoretical, scientific,
More informationService Line: Rapid Response Service Version: 1.0 Publication Date: June 22, 2017 Report Length: 5 Pages
CADTH RAPID RESPONSE REPORT: SUMMARY OF ABSTRACTS Syringe and Mini Bag Smart Infusion Pumps for Intravenous Therapy in Acute Settings: Clinical Effectiveness, Cost- Effectiveness, and Guidelines Service
More informationOSH Evidence. Search Documentation Form. How can needlestick injuries in health workers be prevented?
OSH Evidence Clearinghouse of Systematic Reviews Search Documentation Form Collected systematic reviews for the topic: How can needlestick injuries in health workers be prevented? Update 2014 - actual
More informationDraft National Quality Assurance Criteria for Clinical Guidelines
Draft National Quality Assurance Criteria for Clinical Guidelines Consultation document July 2011 1 About the The is the independent Authority established to drive continuous improvement in Ireland s health
More informationEvidence-based Practice (EBP) Robin Newhouse, PhD, RN, NEA-BC
Evidence-based Practice (EBP) Robin Newhouse, PhD, RN, NEA-BC Participants will be able to: Objectives 1. Describe the evidence based practice process for decision making to promote quality patient care.
More informationMaster of Clinical Science
Master of Clinical Science Venous Thromboembolism (VTE) Risk Assessment and Prophylaxis: A Comprehensive Systematic Review of the Facilitators and Barriers to Healthcare Worker Compliance with Clinical
More informationCHAPTER 3. Research methodology
CHAPTER 3 Research methodology 3.1 INTRODUCTION This chapter describes the research methodology of the study, including sampling, data collection and ethical guidelines. Ethical considerations concern
More informationRutgers School of Nursing-Camden
Rutgers School of Nursing-Camden Rutgers University School of Nursing-Camden Doctor of Nursing Practice (DNP) Student Capstone Handbook 2014/2015 1 1. Introduction: The DNP capstone project should demonstrate
More informationCurrent practice of closed-loop mechanical ventilation modes on intensive care units a nationwide survey in the Netherlands
ORIGINAL ARTICLE Current practice of closed-loop mechanical ventilation modes on intensive care units a nationwide survey in the Netherlands E.F.E. Wenstedt 1 *, A.J.R. De Bie Dekker 1, A.N. Roos 1, J.J.M.
More informationCardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers
Cardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers Community Preventive Services Task Force Finding and Rationale Statement Ratified March 2015 Table of Contents
More informationJanet E Squires 1,2*, Katrina Sullivan 2, Martin P Eccles 3, Julia Worswick 4 and Jeremy M Grimshaw 2,5
Squires et al. Implementation Science 2014, 9:152 Implementation Science SYSTEMATIC REVIEW Open Access Are multifaceted s more effective than single-component s in changing health-care professionals behaviours?
More informationOffice of Surveillance, Epidemiology, and Laboratory Services Epidemiology and Analysis Program Office
Taking a Critical Look at the Evidence Base for Community Health Improvement: The US Preventive Services Task Force and the Task Force on Community Preventive Services Shawna L. Mercer, MSc, PhD, Director
More informationThe Staff Nurse s Role in Nursing Research. 2 Contact Hours
The Staff Nurse s Role in Nursing Research 2 Contact Hours Objectives: 1. Define terms relevant to nursing research. 2. Explain how evidence-based practice incorporates research findings into practice.
More informationGraduate Interdisciplinary Specialization in Biomedical, Clinical, and Translational Science Curriculum
Curriculum Requirements Graduate Interdisciplinary Specialization in Biomedical, Clinical, and Translational Science Curriculum All students enrolled in the GISBCTS must take PUBHEPI 6412 Conducting and
More informationCritical appraisal of systematic reviewsijn_1863
414..418 International Journal of Nursing Practice 2010; 16: 414 418 TIPS AND TRICKS Critical appraisal of systematic reviewsijn_1863 Dónal P O Mathúna PhD Senior Lecturer in Ethics, Decision-Making and
More informationResearch Design: Other Examples. Lynda Burton, ScD Johns Hopkins University
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this
More informationNASP Graduate Student Research Grants
NASP Graduate Student Research Grants The NASP Graduate Student Research Grants (GSRG) program was created by the NASP Research Committee to support high-quality, theory-driven, graduate student research
More informationKnowledge Translation: Cochrane Strategy to disseminate evidence
Knowledge Translation: Cochrane Strategy to disseminate evidence Francesca Gimigliano, MD PhD Cochrane Rehabilitation Communication Committee Chair ISPRM Secretary Associate Professor of PRM University
More informationTitle:The impact of physician-nurse task-shifting in primary care on the course of disease: a systematic review
Author's response to reviews Title:The impact of physician-nurse task-shifting in primary care on the course of disease: a systematic review Authors: Nahara Anani Martínez-González (Nahara.Martinez@usz.ch)
More informationCOMPUS Procedure Evidence-Based Best Practice Recommendations
COMPUS Procedure Evidence-Based Best Practice Recommendations Introduction The Canadian Optimal Medication Prescribing and Utilization Service (COMPUS) identifies, evaluates, promotes, and facilitates
More informationMixed Methods Appraisal Tool MMAT
SYSTEMATIC MIXED STUDIES REVIEWS: RELIABILITY TESTING OF THE MIXED METHODS APPRAISAL TOOL Rafaella Souto, PhD (C), University of Sao Paulo, Brazil Vladimir Khanassov, MD, MSc (C), Family Medicine, McGill
More informationTargeted technology and data management solutions for observational studies
Targeted technology and data management solutions for observational studies August 18th 2016 Zia Haque Arshad Mohammed Copyright 2016 Quintiles Your Presenters Zia Haque Senior Director of Data Management,
More informationStandard methods for preparation of evidence reports
University of Pennsylvania Health System Center for Evidence-based Practice Standard methods for preparation of evidence reports January 2018 The University of Pennsylvania Health System (UPHS) Center
More informationPatient -Centered Comparative Effectiveness Research and Quality Improvement: Their Relationship in Transformative Research
Patient -Centered Comparative Effectiveness Research and Quality Improvement: Their Relationship in Transformative Research Beth Kosiak, Ph.D. Program Officer Improving Healthcare Systems Program PCORI
More informationNHS. The guideline development process: an overview for stakeholders, the public and the NHS. National Institute for Health and Clinical Excellence
NHS National Institute for Health and Clinical Excellence Issue date: April 2007 The guideline development process: an overview for stakeholders, the public and the NHS Third edition The guideline development
More informationEvidence-Based Practices in Vocational Rehabilitation: Results of a National Delphi Study
Evidence-Based Practices in Vocational Rehabilitation: Results of a National Delphi Study Rehabilitation Research and Training Center on Evidence-Based Practices in Vocational Rehabilitation (RRTC-EBP
More informationFacilitating evidence-based practice in nursing and midwifery in the WHO European Region
Facilitating evidence-based practice in nursing and midwifery in the WHO European Region Facilitating evidence-based practice in nursing and midwifery in the WHO European Region By: Virpi Jylhä, Ashlee
More informationWORKPLACE VIOLENCE IN THE HEALTH SECTOR COUNTRY CASE STUDIES RESEARCH INSTRUMENTS RESEARCH PROTOCOL. Joint Programme on
Page 1 of 9 International Labour Office ILO World Health Organisation WHO International Council of Nurses ICN Public Services International PSI Joint Programme on WORKPLACE VIOLENCE IN THE HEALTH SECTOR
More information6 TH CALL FOR PROPOSALS: FREQUENTLY ASKED QUESTIONS
6 TH CALL FOR PROPOSALS: FREQUENTLY ASKED QUESTIONS MARCH 2018 Below are some of the most common questions asked concerning the R2HC Calls for Proposals. Please check this list of questions before contacting
More informationThe Assessment of Postoperative Vital Signs: Clinical Effectiveness and Guidelines
CADTH RAPID RESPONSE REPORT: REFERENCE LIST The Assessment of Postoperative Vital Signs: Clinical Effectiveness and Guidelines Service Line: Rapid Response Service Version: 1.0 Publication Date: February
More informationAssessing competence during professional experience placements for undergraduate nursing students: a systematic review
University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health 2012 Assessing competence during professional experience placements for
More information