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Co-designing diagnosis: Towards a responsible integration of Machine Learning decision-support systems in medical diagnostics.

Olya Kudina, Bas de Boer,

<h4>Rationale</h4>This paper aims to show how the focus on eradicating bias from Machine Learning decision-support systems in medical diagnosis diverts attention from the hermeneutic nature of medical decision-making and the productive role of bias. We want to show how an introduction of Machine Learning systems alters the diagnostic process. Reviewing ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2021, :]

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Existential uncertainty in health care: A concept analysis.

Conor Dwan, Carla Willig,

<h4>Rationale, aims and objectives</h4>According to an influential taxonomy of varieties of uncertainty in health care, existential uncertainty is a key aspect of uncertainty for patients. Although the term "existential uncertainty" appears across a number of disciplines in the research literature, its use is diffuse and inconsistent. To date there has ... Read more >>

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[2021, :]

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Impact of emergency short-stay unit opening on in-hospital global and cardiology indicators.

Willian Cirillo, Lidia R C Freitas, Edson L Kitaka, José R Matos-Souza, Marcos R Silva, Otávio R Coelho, Otávio R Coelho-Filho, Andrei C Sposito, Wilson Nadruz,

<h4>Rationale, aims and objectives</h4>Emergency short-stay unit (SSU) alleviates emergency department (ED) overcrowding, but may affect in-hospital indicators. Cardiology patients comprise a substantial part of patients admitted at SSU. This study evaluated whether SSU opening differentially modified in-hospital indicators at a whole general hospital and at its cardiology division (CARD).<h4>Methods</h4>We retrospectively ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2021, :]

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The basis of information to guide clinical decision-making in knee osteoarthritis management: A survey with Brazilian physical therapists.

Nívea Renata Oliveira Monteiro, Maycon Sousa Pegorari, Daniela Gonçalves Ohara, Vânia Tiê Koga Ferreira, Areolino Pena Matos,

<h4>Rationale, aims and objectives</h4>Several health information sources are available to assist physical therapists in the clinical decision-making process, with a notable increase in the importance of using evidence-based practice (EBP). The aim of this study is to investigate the health information sources most used by Brazilian physical therapists to guide ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2021, :]

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Structure, content, unsafe abbreviations, and completeness of discharge summaries: A retrospective analysis in a University Hospital in Austria.

Christine Maria Schwarz, Magdalena Hoffmann, Christian Smolle, Michael Eiber, Bianca Stoiser, Gudrun Pregartner, Lars-Peter Kamolz, Gerald Sendlhofer,

<h4>Rationale and objective</h4>The discharge summary (DS) is one of the most important instruments to transmit information to the treating general physician (GP). The objective of this study was to analyse important components of DS, structural characteristics as well as medical and general abbreviations.<h4>Method</h4>One hundred randomly selected DS from five different ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2021, :]

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"I made a mistake!": A narrative analysis of experienced physicians' stories of preventable error.

Sujane Kandasamy, Meredith Vanstone, Eamon Colvin, Teresa Chan, Jonathan Sherbino, Sandra Monteiro,

<h4>Rationale, aims, and objectives</h4>The complexity of healthcare systems makes errors unavoidable. To strengthen the dialogue around how physicians experience and share medical errors, the objective of this study was to understand how generalist physicians make meaning of and grow from their medical errors.<h4>Methods</h4>This study used a narrative inquiry approach to ... Read more >>

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[2021, :]

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Impact of a Swiss pressure ulcer prevention breakthrough collaborative.

Anthony Staines, Isabelle Amherdt, Bernard Burnand, Murielle Rotzetter, Philippe Currat, Stéphane Roux, Estelle Lécureux,

<h4>Rationale, aims and objectives</h4>Pressure ulcers may have severe impacts on the quality of life of patients, including pain, low mood and restrictions in performing daily life and social life activities. In Switzerland, 4% of patients develop hospital-acquired pressure ulcers. Six hospitals teamed up with the Vaud Hospital Federation (Switzerland) in ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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The potential use of artificial intelligence in the therapy of borderline personality disorder.

Judit Szalai,

This paper explores the possibility of AI-based addendum therapy for borderline personality disorder, its potential advantages and limitations. Identity disturbance in this condition is strongly connected to self-narratives, which manifest excessive incoherence, causal gaps, dysfunctional beliefs, and diminished self-attributions of agency. Different types of therapy aim at boosting self-knowledge through ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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For a critical appraisal of artificial intelligence in healthcare: The problem of bias in mHealth.

Nicolas Brault, Mohit Saxena,

<h4>Rationale, aims and objectives</h4>Artificial intelligence and big data are more and more used in medicine, either in prevention, diagnosis or treatment, and are clearly modifying the way medicine is thought and practiced. Some authors argue that the use of artificial intelligence techniques to analyze big data would even constitute a ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Automating autism assessment: What AI can bring to the diagnostic process.

Yasemin J Erden, Harriet Hummerstone, Stephen Rainey,

This paper examines the use of artificial intelligence (AI) for the diagnosis of autism spectrum disorder (ASD, hereafter autism). In so doing we examine some problems in existing diagnostic processes and criteria, including issues of bias and interpretation, and on concepts like the 'double empathy problem'. We then consider how ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Evaluation of sexual orientation and gender identity documentation at school-based health centers in New York City.

Stephanie Serafino, Melinda Rajoria, Melanie A Gold, Samantha Garbers,

<h4>Rationale</h4>National organizations have called for routine collection of data on sexual orientation and gender identity (SOGI) in clinical settings to track access to and quality of care provided to sexual and gender minority patients to improve health outcomes. However, there are limited data on this implementation for among adolescent populations.<h4>Methods</h4>A ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Preventing dispensing errors through the utilization of lean six sigma and failure model and effect analysis: A prospective exploratory study in China.

Xue Chen, Xinyu Li, Yu Liu, Gaoqiong Yao, Jiadan Yang, Juan Li, Feng Qiu,

<h4>Aims</h4>To utilize lean six sigma (LSS) and failure model and effect analysis (FMEA) to prevent dispensing errors in a Chinese teaching hospital.<h4>Methods</h4>Medication errors (MEs) reported to the China Core Group of the international network for the rational use of drugs (INRUD) by pharmacists at the hospital were collected. Following LSS ... Read more >>

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[2020, :]

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Individual and organizational factors associated with evidence-based practice among physical and occupational therapy recent graduates: A cross-sectional national study.

Aliki Thomas, Fadi Al Zoubi, Nancy E Mayo, Sara Ahmed, Fatima Amari, André Bussières, Lori Letts, Joy C MacDermid, Helene J Polatajko, Susan Rappolt, Nancy M Salbach, Marie-France Valois, Annie Rochette,

<h4>Background</h4>Occupational therapy (OT) and physical therapy (PT) programs in Canada have moved to graduate-level entry education to address graduates' readiness for evidence-based practice (EBP). Whether rehabilitation professionals with advanced training in EBP are meeting their responsibilities as evidence-based professionals upon entry into practice and the factors that influence the use ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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What influences prescribing decisions in a multimorbidity and polypharmacy context on the acute medical unit? An interprofessional, qualitative study.

Peter H Rivers, Nigel Langford, Andrew Whitehead, Tim Harrison,

<h4>Rationale, aims and objectives</h4>The primary aim of the study was to understand the mindset of doctors and pharmacists, as they embark upon prescribing in a multimorbidity and polypharmacy context during routine practice at a hospital acute admissions unit. The study also aimed to evaluate to what extent attitudes, embedded within ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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The effect of empathy training given to midwives on the empathic communication skills of midwives and the birth satisfaction of mothers giving birth with the help of these midwives: A quasi-experimental study.

Songul Aktas, Türkan Pasinlioğlu,

<h4>Rationale, aims, and objectives</h4>Empathic attitudes and behaviours of midwives directly affect obstetric outcomes. The study aims to examine the effect of empathy training on the empathic communication skills of midwives and the childbirth satisfaction of primiparous mothers.<h4>Methods</h4>This quasi-experimental study has two sample groups including midwives working in the delivery unit ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Professional judgement in clinical practice (part 3): A better alternative to strong evidence-based medicine.

Robert Mugerauer,

Parts 1 and 2 in this series of three articles have shown that and how strong evidence-based medicine has neither a coherent theoretical foundation nor creditable application to clinical practice. Because of its core commitment to the discredited positivist tradition it holds both a false concept of scientific knowledge and ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Exploring readiness for implementing best practices: A mixed methods study.

Daisy S Garcia, Katherine Camacho Carr, Weichao Yuwen,

<h4>Rationale</h4>Evidence-based practice (EBP) can improve health care in underprivileged countries. Bolivia's EBP movement is nascent and the factors contributing to better implementation in nursing are unknown.<h4>Aim</h4>To explore Bolivian nurses' readiness to engage in EBP while highlighting the facilitators and barriers for pursuing EBP.<h4>Method</h4>The study used a sequential explanatory mixed methods ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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A simple index predicting 30-day readmissions in acutely hospitalized patients.

Paul Froom, Zvi Shimoni, Jochanan Benbassat,

<h4>Background</h4>There are various models attempting to predict 30-day readmissions of acutely admitted internal medicine patients. However, it is uncertain how to create a parsimonious index that has equivalent predictive ability and can be extrapolated to other settings.<h4>Methods</h4>We developed a regression equation to predict 30-day readmissions from all acute hospitalizations in ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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India requires a resilient population to confront the current and future pandemics.

Govindasamy Agoramoorthy, Minna J Hsu, Pochuen Shieh,

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Best practices toolkit for family participation in ICU rounds.

Selena S Au, Amanda L Roze des Ordons, Kenneth G Blades, Henry T Stelfox,

<h4>Rationale, aims and objectives</h4>Guidelines recommend inviting family members of intensive care unit (ICU) patients to rounds. We aimed to create a toolkit to support family participation in ICU bedside rounds, based upon evidence from research and in collaboration with ICU family member representatives and healthcare providers.<h4>Methods</h4>Ethnographic observations of rounds and ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Professional judgement in clinical practice (part 1): Recovering original, moderate evidence-based health care.

Robert Mugerauer,

Evidence-based medicine announced its entry as heralding a new paradigm in health care practices, but it has been widely criticized for lacking a coherent theoretical basis. This paper presents the first part of a three-article series examining the epistemological, practical, and ethical dimensions of strong EBM, as well as considering ... Read more >>

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[2020, :]

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Professional judgement in clinical practice (part 2): knowledge into practice.

Robert Mugerauer,

<h4>Rationale, aims, and objectives</h4>Though strong evidence-based medicine is assertive in its claims, an insufficient theoretical basis and patchwork of arguments provide a good case that rather than introducing a new paradigm, EBM is resisting a shift to actually revolutionary complexity theory and other emergent approaches. This refusal to pass beyond ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Shared decision-making and maternity care in the deep learning age: Acknowledging and overcoming inherited defeaters.

Keith Begley, Cecily Begley, Valerie Smith,

In recent years there has been an explosion of interest in Artificial Intelligence (AI) both in health care and academic philosophy. This has been due mainly to the rise of effective machine learning and deep learning algorithms, together with increases in data collection and processing power, which have made rapid ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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How discourses of gender equity during COVID-19 become exclusionary: Lessons from parenthood.

Gianni R Lorello, Ayelet Kuper, Sophie Soklaridis, Brett Schrewe,

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

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Physicians' cognitive strategies for avoiding overconfidence.

Dana Yagil, Yehudit Reuveni, Dikla Segal-Karpas,

<h4>Background</h4>Physicians' overconfidence damages the quality of medical care. Due to their high social status and intense impact on people lives, physicians need to develop strategies to avoid overconfidence. Yet until now, the strategies physicians use to avoid overconfidence have not been explored. This study aimed to identify strategies physicians use ... Read more >>

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[2020, :]

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