Department of Nephrology, Princess Alexandra Hospital, Brisbane, Australian Practice Nurses Association, The Family Practice, Bundaberg, Queensland, Department of Renal Medicine, Centre for Transplant and Renal Research, Westmead Hospital, Department of Nutrition and Dietetics, The St George Hospital, Department of General Practice, Sydney Medical School – Westmead, University of Sydney, Sydney...

BACKGROUND Patient engagement in clinical practice guideline (CPG) development is recommended by multiple institutions and instruments measuring guideline quality. Approaches to engaging patients, however, vary between oversight organizations, quality tools and guideline developers. OBJECTIVE We propose a ten-step framework outlining steps and options for patient engagement in guideline devel...

  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 carrie...

This course addresses methods in performing randomised controlled trials in general practice with a special emphasize on cluster randomised trials. Students will develop an understanding of how to plan, implement, analyze, report and evaluate RCTs. Original research will be presented by principal investigators, followed by discussions of papers with focus on design options and analytic strategi...

The unmet needs of women with breast cancer have been extensively documented. In the United Kingdom, the introduction of the specialist breast nurse (SBN) role has been one strategy to improve the psychological wellbeing of women. This paper describes a SBN model of care and clinical pathway for Australian treatment settings, developed from systematic reviews of research and clinical practice g...

In the past 20 years, there has been increasing recognition of the need to consider cost in medical decision making. This period has seen an explosion in the number of economic evaluations appearing in the medical literature. Cost-effectiveness analysis is an objective systematic technique for comparing alternative health care strategies on both cost and effectiveness simultaneously. Cost-effec...

OBJECTIVE To determine the accessibility and currency of delirium guidelines, guideline summary papers and evaluation studies, and critically appraise guideline quality. DESIGN Systematic literature search for formal guidelines (in English or French) with focus on delirium assessment and/or management in adults (≥18 years), guideline summary papers and evaluation studies.Full appraisal of del...

In clinical practice guidelines (CPGs) the medical information is stored in a narrative way. A large part of this information occurs in a negated form. The detection of negation in CPGs is an important task since it helps medical personnel to identify not occurring symptoms and diseases as well as treatment actions that should not be accomplished. We developed algorithms capable of Negation Det...

BACKGROUND Theories of behavior change indicate that an analysis of barriers to change is helpful when trying to influence professional practice. The aim of this study was to assess the perceived barriers to practice change by eliciting nurses' opinions with regard to barriers to, and facilitators of, implementation of a Fall Prevention clinical practice guideline in five acute care hospitals i...