[PDF] Top 20 “Many miles to go …”: a systematic review of the implementation of patient decision support interventions into routine clinical practice

... DESI implementation, where patients were either sent the DESI by mail and asked to view it, or were directed to use the DESI (at home or in clinic) by either the clinician or another member of the clinical ... See full document

... the clinical environment is complex, and although nurses may have adequate EBP knowledge (Suemoto et ...in patient care or outcomes to the EBP intervention itself and little is known about how best to ... See full document

... improve patient safety, adjust the dose, duration or form of prescribed drugs or increase the laboratory testing rates for patients on long-term ...when decision support was initiated automatically ... See full document

... consistent clinical evidence of benefit [3, 16, 34, 35, 51, 55, 56, 68, 74, 89] or good applicability relevant to setting [3, 35, 68] were shown to facilitate ...impede implementation [33, 57]. Add- ... See full document

... in clinical practice and clinicians are regularly confronted with needing to make informed decisions about CFO or ...therefore routine use of CFO and CSI for plantar fasciitis should be carefully ... See full document

... what interventions and intensity of interventions are actually required ...ongoing support beyond the educational workshop ...shared decision-making [23]. During calls, nurses discussed how ... See full document

... this review are consistent with theoretical approaches to under- standing implementation of ...technological interventions become embedded in clinical ...in practice to facilitate ... See full document

... problem-solving support” [47] and to support daily decision-making to improve health-related behaviors and clinical outcomes ...the patient-caregiver rela- tionship into a collaborative ... See full document

... CDS implementation with a given factor to CDS without that factor by searching CENTRAL, MEDLINE, EMBASE, and CINAHL and checking reference lists of relevant ...CDS interventions that were either displayed ... See full document

... included interventions for clinicians or organizations, and only 2 of 16 studies assessed the im- pact of PKT interventions on clinicians or ...in decision-making such as reluctance to give up ... See full document

... Our review highlights the need for further methodologically robust evaluations of critical care ...of interventions and consid- eration of contextual factors and interaction effects need to be provided ... See full document

... previous review was excluded because the CCDSS did not provide patient- specific information), and exhaustive searches that were originally completed in September 2004 were extended and updated to 6 January ... See full document

... with patient-centred medicine and with taking into account individual choice and preference ...ical practice guidelines are typically derived from popu- lation-based studies and perceived as limiting ... See full document

... dividual patient and/or the clinician on the personal ...inspect decision support panels and statistics summarising and visualizing the patient’s data, integrated with research, personalized ... See full document

... create implementation guides to support clinical use of pharmacogenetic and/or genetic ...rst implementation guide that was created and pilot-tested focused on a single pharmacogenetic test ... See full document

... of implementation interventions have often not addressed key mechanisms of action hypothesized be specific to nursing practice and the clin- ical context [3, 4, ...tiple interventions have ... See full document

... the systematic reviews consid- ered here is that the studies that underpin them often fail to adequately describe all aspects of the KT inter- vention under investigation and (where relevant) the control ... See full document

... for implementation trials, trying to optimize the natural context in which adoption is being measured is a threat to validity of the ...some implementation trials even limiting research sup- port to ... See full document

... Third, a variety of PPIs were used in the included studies with a variety of intervention length and frequency. As almost all studies did measure meaningful results or an effectiveness as standard psychotherapeutic ... See full document

... to, many YLWHA experienced shock and struggled with the knowledge that they were HIV-positive [57, ...in many, which in turn prevented them from taking their medicine ... See full document