Severe traumatic brain injury (TBI) is a leading cause of morbidity and mortality in children. In 2003 and 2012, the Brain Trauma Foundation established and refined evidence-based guidelines for management of severe TBI in children. A recent multicenter study demonstrated an association between TBI guideline adherence and improved discharge survival. However, this study also showed large variat...

objective: the  implementation of  family  psychoeducation at  the  service delivery level is not without difficulty. few mental health professionals receive special training to work with families especially in iran.   the aim of the present study was to evaluate the effectiveness of training health professionals in terms of their adherence to protocol. method: eight professionals (general prac...

OBJECTIVES The objectives of this study were (1) to determine clinician adherence to the 2004 American Academy of Pediatrics guideline for phototherapy use in newborns; (2) to compare adherence to the guideline in 2 different hospitals; and (3) to determine whether adherence to the guideline improved after the phototherapy nomogram was available in newborn charts. METHODS This study was a ret...

BACKGROUND The 19 Norwegian Emergency medical communication centres (EMCCs) use Norwegian Index for medical emergency assistance (Index) as dispatch guidelines. Little is known about the use of Index, nor its validity. We aimed to document the epidemiology of contacts made to the public emergency medical phone number and the operators' self-reported use of Index as a first step towards a valida...

Objective and Setting. After successful implementation, adherence to hospital guidelines should be sustained. Long-term adherence to two hospital guidelines was audited. The overall aim was to explore factors accounting for their long-term adherence or non-adherence. Design and Participants. A fluid balance guideline (FBG) and body temperature guideline (BTG) were developed and implemented in o...

BACKGROUND The link between guideline adherence and outcomes is a highly demanded issue in diabetes care. We aimed to assess the adherence to guidelines and its impact on hospitalization using a simple set of performance measures among patients with diabetes. METHODS We performed a retrospective cohort study, using health care claims data for adult patients with treated diabetes (2011-2013). ...

PURPOSE Even with the dissemination of several clinical guidelines, chronic obstructive pulmonary disease (COPD) remains underdiagnosed and mismanaged by many primary care physicians (PCPs). The objective of this study was to elucidate barriers to consistent implementation of COPD guidelines. PATIENTS AND METHODS A cross-sectional study implemented in July 2008 was designed to assess attitude...

OBJECTIVE Little is known about the guideline adherence of nurses to chemotherapy administration guidelines. We determined the guideline adherence of nurses to the Chemotherapy Administration Safety Standards and the relationship between demographic characteristics and guideline adherence. METHODS Survey sheets containing two questions on demographic characteristics and 16 questions on the gu...