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Evaluation Protocols (evaluation + protocol)
Selected AbstractsAppropriate utilization of hospital beds in internal medicine: evaluation in a tertiary care hospitalJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 3 2007Ömer Dizdar MD Abstract Aim, To assess the appropriateness of utilization of beds in the internal medicine department of a university hospital. Methods, The appropriateness of hospital stay was evaluated using the Appropriateness Evaluation Protocol. A random sample of 402 days of stay was assessed. Results, One hundred and thirty-nine days of stay (34.6%) were classified as inappropriate. The inappropriate stays were mostly secondary to hospital-related factors. The two major factors for inappropriate stays were ,inappropriate timing/delay in diagnostic procedures/consultations' (27%) and ,delay in obtaining test results' (27%). None of the factors including age, gender, residence and inpatient period was significantly related to inappropriate stay in univariate analysis. Conclusion, This study indicated that a significant portion of stays were inappropriate. Efforts to decrease particularly hospital-related factors associated with inappropriate stay are needed. [source] Predictive Validity of the ASAM Patient Placement Criteria for Naturalistically Matched vs.THE AMERICAN JOURNAL ON ADDICTIONS, Issue 5 2003Mismatched Alcoholism Patients This study examined the predictive validity of the ASAM Patient Placement Criteria for matching alcoholism patients to recommended levels of care. A cohort of 248 patients newly admitted to inpatient rehabilitation, intensive outpatient, or regular outpatient care was evaluated using both a computerized algorithm and a clinical evaluation protocol to determine whether they were naturalistically matched or mismatched to care. Outcomes were assessed three months after intake. One common type of undertreatment (ie, receiving regular outpatient care when intensive outpatient care was recommended) predicted poorer drinking out comes. As compared with matched treatment, independent of actual level of care received. Overtreatment did not improve outcomes. There also was a trend for better outcomes with residential vs. intensive outpatient treatment, independent of matching. Results were robust for both methods of assessment. Corroboration by more research is needed, but the ASAM Criteria show promise for reducing both detrimental undertreatment and cost-inefficient overtreatment. [source] Clinical benefit of joint distraction in the treatment of severe osteoarthritis of the ankle: Proof of concept in an open prospective study and in a randomized controlled studyARTHRITIS & RHEUMATISM, Issue 11 2002Anne C. A. Marijnissen Objective Osteoarthritis (OA) is a degenerative, disabling joint disease that affects >10% of the adult population. No effective disease-modifying treatment is available. In the present study, we used joint distraction, a relatively new treatment in which mechanical contact between the articular surfaces is avoided while intraarticular intermittent fluid pressure is maintained, to treat patients with severe OA of the ankle. Methods Patients with severe ankle OA (n = 57) who were being considered for joint fusion (arthrodesis) were treated with joint distraction in an open prospective study. In addition, a randomized trial was performed in 17 patients to determine whether joint distraction had a better outcome than debridement. A standardized evaluation protocol (physical examination, assessment of pain, mobility, and functional ability) was used, and changes in radiographic joint space width and subchondral sclerosis were measured. Thirty-eight patients in the open study have been followed up for >1 year, with up to 5 years of followup in 7 of them (mean ± SD followup 2.8 ± 0.3 years). Patients in the randomized study have been followed up for 1 year. Results Significant clinical benefit was found in three-fourths of the 57 patients in the open prospective study. Most interestingly, the improvement increased over time. Radiographic evaluation showed increased joint space width and decreased subchondral sclerosis. Moreover, joint distraction showed significantly better results than debridement. Conclusion The clinical benefit of joint distraction in the treatment of severe OA is proof of the concept. Although the followup remains relatively short and effects over time remain unpredictable, our study creates possibilities for the treatment of severe OA in general. Considering the high prevalence of OA and the lack of a cure for it, joint distraction as a treatment of severe OA may have great medical, social, and economic impact. [source] Clinical supervision in the alcohol and other drugs field: an imperative or an option?DRUG AND ALCOHOL REVIEW, Issue 3 2007ANN M. ROCHE Abstract There is a growing interest in Clinical Supervision (CS) as a central workforce development (WFD) strategy. This paper provides a definition of and rationale for CS, characterises its various forms, identifies selection and training issues, and advises on policy and implementation issues central to redressing shortcomings in supervision practice within the alcohol and other drugs (AOD) field. Relevant selective literature is reviewed. Key conceptual issues were identified, and strategies developed to address implementation barriers and facilitate relevant policy. There is a common conceptual confusion between administrative supervision and CS. Clarification of the role, function and implementation of CS is required. Priority issues for the AOD field include: enhancing belief in CS; ensuring adequate resource allocation; developing evaluation protocols; and addressing specific arrangements under which supervision should occur. CS has been underutilised to date but holds considerable potential as a WFD strategy. It is fundamental to workers' professional development, can contribute to worker satisfaction and retention, and may improve client outcomes. Critical next steps are to establish the generalisability to the AOD field of the benefits observed from CS in other disciplines, and evaluate longer-term gains of CS programs. [source] Philosophical dialogues as paths to a more ,positive psychology'JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 1 2008Sofia Triliva Abstract Although family support programmes have been in place for several decades in Greece very little attention has been paid to evaluating the effectiveness of such endeavours, the techniques that influence their outcomes and the receptiveness to their messages. The purpose of this paper is to give an overview of research findings collected during the first qualitative research phase of a community mental health promotion project. The research was conducted in order to delineate programme outcomes and the characteristics that had an impact on the participants' lives. The 3-month family support programme intended to introduce ,philosophical dialogues' as means to developing personal and communal understandings of what makes life worth living. The programme was developed and implemented on Crete under the auspices of a non-profit community organization appropriately named ,The Lyceum for Women'. The features of the programme that contributed and enhanced the participants' tendencies to become not passive targets but active partners and stakeholders in the process will be clarified, as will the conceptualization and approach. Of the 45 evaluation protocols that were analysed the following themes were most important for the participants: ,Group as-a-whole process',the sense of sharing and development understandings in a ,parea' (in-group); ,relational outcomes',feeling of belonging, ,reciprocated kindness', and giving of self to others; personal and emotional outcomes-self-efficacy and empowerment; knowledge outcomes-learning about positive emotions and enjoying the simple things in life; and group facilitator outcomes-sharing stories, ,gives of self to the community'. Copyright © 2007 John Wiley & Sons, Ltd. [source] The fundamental aspects of carbon nanotube metrologyPHYSICA STATUS SOLIDI (B) BASIC SOLID STATE PHYSICS, Issue 11 2007Ado Jorio Abstract The accurate and reproducible measurement of the properties and performance characteristics of nanoscale materials, devices and systems are essential for quality and process control, commercial transactions and effective regulations. Scientists, manufacturers, governments, regulators and health and environmental protection agencies, will need measurement systems and evaluation protocols supported by well founded and robust standards, both physical and documentary. In this paper we discuss some fundamental aspects of the use of the resonance Raman spectroscopy of the radial breathing mode (RBM) of single wall carbon nanotubes (SWNTs) for metrological purposes. The achievements and problems are pointed, hoping for the development of procedures capable of making the promised nanotechnology revolution to become a reality. (© 2007 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim) [source] | |||||||||||||