SUMAMOS EXCELENCIA® Project: Results of the Implementation of Best Practice in a Spanish National Health System (NHS)
| Autor: | Pedro-Ruyman Brito-Brito, Jose-Manuel Caperos, Gema Escobar-Aguilar, María-Lara Martínez-Gimeno, Nélida Fernández-Martínez, María-Teresa Moreno-Casbas |
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| Přispěvatelé: | Ministerio de Economía y Competitividad (España), Instituto de Salud Carlos III - ISCIII, Instituto de Salud Carlos III |
| Rok vydání: | 2021 |
| Předmět: |
Clinical audit
medicine.medical_specialty Leadership and Management Best practice Urinary incontinence lcsh:Medicine Pain Health Informatics Audit Evidence-based clinical practice 03 medical and health sciences 0302 clinical medicine Health Information Management Pain assessment medicine pain 030212 general & internal medicine Baseline (configuration management) Accidental falls National health urinary incontinence business.industry 030503 health policy & services Health Policy lcsh:R evidence-based clinical practice clinical audit Physical therapy accidental falls medicine.symptom 0305 other medical science business Fall prevention |
| Zdroj: | Repisalud Instituto de Salud Carlos III (ISCIII) Healthcare Volume 9 Issue 4 Healthcare, Vol 9, Iss 374, p 374 (2021) |
| Popis: | The use of certain strategies for the implementation of a specific recommendation yields better results in clinical practice. The aim of this study was to assess the effectiveness of an evidence-based model using clinical audits (GRIP model), for the implementation of recommendations in pain and urinary incontinence management as well as fall prevention, in the Spanish National Health System during the period 2015–2018. A quasi-experimental study has been conducted. The subjects were patients treated in hospitals, primary care units and nursing home centers. There were measures related to pain, fall prevention and urinary incontinence. Measurements were taken at baseline and at months 3, 6, 9, and 12. The sample consisted of 22,114 patients. The frequency of pain assessment increased from 59.9% in the first cycle to a mean of 71.6% in the last cycle, assessments of risk of falling increased from 56.8% to 87.8% in the last cycle and finally, the frequency of assessments of urinary incontinence increased from a 43.4% in the first cycles to a mean of 62.2% in the last cycles. The implementation of specific evidence-based recommendations on pain, fall prevention, and urinary incontinence using a model based on clinical audits improved the frequency of assessments and their documentation. |
| Databáze: | OpenAIRE |
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