We examined the effects of a programme to improve adherence to British Thoracic Society pleural procedure guidelines at our institution. Following a baseline audit, we performed an intervention to enhance adherence to these guidelines. We then performed a postintervention audit. At baseline, there were different levels of guideline adherence depending on the specialty of the clinician inserting...

Purpose: To identify the differences in perception of and adherence to COVID-19 social distancing behavior guidelines among health care workers, patients, general public use them prevent spread COVID-19. Methods: From October 16 2020 November 30, 2020, a survey was conducted 85 82 regarding guidelines. Results: Patients scored significantly higher than guideline, there no difference between wor...

BACKGROUND Patients do not always receive guideline-adherent therapy, yet little is known about the underlying causes on the patients' side. We quantified non-guideline-adherent treatment of chronic diseases (diabetes mellitus, hypertension, cardiovascular disease, heart failure, atrial fibrillation) in primary care and analysed the causes from the physician's as well as the patient's view. M...

Objective: The adherence of the physicians to guidelines in resuscitation patients is great importance since it can predict outcome. To evaluate our center hydration traumatic with crystalloids regarding Advanced Trauma Life Support (ATLS) guidelines. Methods: We designed an algorithm obtained from ATLS using vital signs and status bleeding classify them. After categorizing according algorithm,...

BACKGROUND About 30-40% of patients do not receive care based on available scientific evidence. For subfertility, this may imply unnecessary and expensive diagnostic tests and treatments. It is therefore important to identify gaps in performance by monitoring current subfertility care. A set of 39 guideline-based performance indicators was previously developed for this purpose. This study aimed...

Objective: To study the influence of rheumatologists’ adherence to a methotrexate guideline on efficacy and toxicity in the treatment of rheumatoid arthritis. Methods: In a 48 week randomised controlled trial of methotrexate, comparing folates with placebo, rheumatologists were advised on methotrexate dosage using a guideline reflecting daily practice. The influence of guideline non-adherence o...

Purpose: To evaluate doctors’ adherence to Malaysian Clinical Practice Guideline (CPG) 2009 in established diabetic patients with hypertension, dyslipidemia, renal diseases, obesity, and also to assess factors associated with guideline adherence and diabetes mellitus control in Pulau Pinang Hospital, Malaysia. Method: Prescriptions written by 24 doctors for 480 established diabetic patients wit...

OBJECTIVE We aimed to identify barriers for meeting the fruit, vegetable and fish guidelines in older Dutch adults and to investigate socio-economic status (SES) differences in these barriers. Furthermore, we examined the mediating role of these barriers in the association between SES and adherence to these guidelines. DESIGN Cross-sectional. SETTING Longitudinal Aging Study Amsterdam (LASA...

BACKGROUND Numerous practice guidelines have been developed for patients with low back pain in an attempt to reduce inappropriate variations and improve the cost-effectiveness of care. Guideline implementation has received more research attention than the impact of adherence to guideline recommendations on outcomes and costs of care. OBJECTIVE Examine the association between adherence to the ...