FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2900706621> ?p ?o ?g. }

• W2900706621 abstract "Introduction Published national guidelines on chronic obstructive pulmonary disease (COPD) highlight the importance of oxygen therapy, bronchodilators, corticosteroids, and appropriate antibiotics during acute exacerbations of COPD (AECOPD). We wished to assess how the implementation of local COPD guidelines affects emergency department (ED) staff awareness, knowledge, the use of such guidelines, and patient outcomes, including treatment failure and rates of return to the ED. Methods This study was conducted at a tertiary hospital ED. Local COPD guidelines were developed by a quality improvement group. Guidelines were posted in the department, and educational sessions were provided for staff. We conducted a retrospective chart review and looked at 1849 patient visits before and after COPD guideline implementation. All visits with a diagnosis of COPD or AECOPD were included in the study (for a total of 130 patient visits), and data were collected using a standardized abstraction tool. For non-admitted patients, we recorded 30-day return rates and treatment failures occurring within 30 days of presenting to the ED. Pre- and post-implementation outcomes were analyzed with Fisher's exact tests. We also assessed ED staff awareness, knowledge, and use of COPD guidelines through surveys given out before implementation, and both one and 10 months after the implementation. We calculated proportions and 95% confidence intervals (CI) for our surveys. Pre- and post-implementation survey responses were compared with Fisher's exact tests. Results For ED physicians, the survey response rate was 78%, 79%, and 58% at pre-implementation, one-month follow-up, and 10-month follow-up, respectively. Prior to implementation, 14.3% (95% CI 4.1%-35.5%) were aware and 0% (0%-18.2%) reported using guidelines. One month after implementation, 90.9% (71.0%-98.7%) were aware and 81.8% (60.9%-93.3%) reported using guidelines. At 10 months, 100% (76.1%-100%) were aware and 100% (82%-100%) reported using local guidelines. Similar trends were seen among nurses and respiratory therapists. To assess actual guideline use, 130 visits were evaluated (51 visits prior to implementation and 79 post-implementation). Prior to implementation, 57% (43%-70%) received bronchodilators, systemic steroids, and antibiotics appropriately. Following guideline implementation, 57% (46%-67%) received the respective treatments (p=1.0). For patient-related outcomes, 86 non-admission patient visits were evaluated (35 visits prior to implementation and 51 post-implementation). Prior to guideline implementation, 17% (8%-33%) failed their initial AECOPD treatment, compared to 10% (4%-21%) following guideline implementation (p=0.34). Prior to guideline implementation, 23% (12%-39%) returned to the ED within 30 days in the pre-implementation period while 14% (7%-26%) returned post-implementation (p=0.39). Conclusion Our introduction of local COPD guidelines was successful at increasing self-reported awareness, knowledge, and the use of best practice guidelines among ED staff. At the 10-month follow-up, increased awareness, knowledge, and use of COPD guidelines among ED staff was maintained. However, in practice, guideline adherence, treatment failure, and return rates did not improve significantly after the implementation of local guidelines." @default.
• W2900706621 created "2018-11-29" @default.
• W2900706621 creator A5029119036 @default.
• W2900706621 creator A5037261486 @default.
• W2900706621 creator A5038423912 @default.
• W2900706621 creator A5041061214 @default.
• W2900706621 creator A5060061182 @default.
• W2900706621 creator A5062483784 @default.
• W2900706621 creator A5073814269 @default.
• W2900706621 creator A5081260905 @default.
• W2900706621 creator A5084562007 @default.
• W2900706621 date "2018-11-13" @default.
• W2900706621 modified "2023-10-18" @default.
• W2900706621 title "Do Guidelines Influence Emergency Department Staff Behaviours and Improve Patient Outcomes? Evaluation of a Multifaceted Intervention for the Implementation of Local Acute Exacerbations of Chronic Obstructive Pulmonary Disease Guidelines" @default.
• W2900706621 cites W1584076526 @default.
• W2900706621 cites W1973363875 @default.
• W2900706621 cites W1973998064 @default.
• W2900706621 cites W1990171448 @default.
• W2900706621 cites W2060293366 @default.
• W2900706621 cites W2069612613 @default.
• W2900706621 cites W2099903944 @default.
• W2900706621 cites W2117531535 @default.
• W2900706621 cites W2130054980 @default.
• W2900706621 cites W2144390940 @default.
• W2900706621 cites W2149849734 @default.
• W2900706621 cites W2315481603 @default.
• W2900706621 cites W24014937 @default.
• W2900706621 doi "https://doi.org/10.7759/cureus.3588" @default.
• W2900706621 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6338401" @default.
• W2900706621 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30680255" @default.
• W2900706621 hasPublicationYear "2018" @default.
• W2900706621 type Work @default.
• W2900706621 sameAs 2900706621 @default.
• W2900706621 citedByCount "1" @default.
• W2900706621 crossrefType "journal-article" @default.
• W2900706621 hasAuthorship W2900706621A5029119036 @default.
• W2900706621 hasAuthorship W2900706621A5037261486 @default.
• W2900706621 hasAuthorship W2900706621A5038423912 @default.
• W2900706621 hasAuthorship W2900706621A5041061214 @default.
• W2900706621 hasAuthorship W2900706621A5060061182 @default.
• W2900706621 hasAuthorship W2900706621A5062483784 @default.
• W2900706621 hasAuthorship W2900706621A5073814269 @default.
• W2900706621 hasAuthorship W2900706621A5081260905 @default.
• W2900706621 hasAuthorship W2900706621A5084562007 @default.
• W2900706621 hasBestOaLocation W29007066211 @default.
• W2900706621 hasConcept C126322002 @default.
• W2900706621 hasConcept C142724271 @default.
• W2900706621 hasConcept C159110408 @default.
• W2900706621 hasConcept C1862650 @default.
• W2900706621 hasConcept C194828623 @default.
• W2900706621 hasConcept C2776780178 @default.
• W2900706621 hasConcept C2780182762 @default.
• W2900706621 hasConcept C2780724011 @default.
• W2900706621 hasConcept C2992779976 @default.
• W2900706621 hasConcept C71924100 @default.
• W2900706621 hasConceptScore W2900706621C126322002 @default.
• W2900706621 hasConceptScore W2900706621C142724271 @default.
• W2900706621 hasConceptScore W2900706621C159110408 @default.
• W2900706621 hasConceptScore W2900706621C1862650 @default.
• W2900706621 hasConceptScore W2900706621C194828623 @default.
• W2900706621 hasConceptScore W2900706621C2776780178 @default.
• W2900706621 hasConceptScore W2900706621C2780182762 @default.
• W2900706621 hasConceptScore W2900706621C2780724011 @default.
• W2900706621 hasConceptScore W2900706621C2992779976 @default.
• W2900706621 hasConceptScore W2900706621C71924100 @default.
• W2900706621 hasLocation W29007066211 @default.
• W2900706621 hasLocation W29007066212 @default.
• W2900706621 hasLocation W29007066213 @default.
• W2900706621 hasLocation W29007066214 @default.
• W2900706621 hasOpenAccess W2900706621 @default.
• W2900706621 hasPrimaryLocation W29007066211 @default.
• W2900706621 hasRelatedWork W1982035602 @default.
• W2900706621 hasRelatedWork W1989047233 @default.
• W2900706621 hasRelatedWork W2032675594 @default.
• W2900706621 hasRelatedWork W2367868208 @default.
• W2900706621 hasRelatedWork W2372071230 @default.
• W2900706621 hasRelatedWork W2555752316 @default.
• W2900706621 hasRelatedWork W2592969970 @default.
• W2900706621 hasRelatedWork W2911819920 @default.
• W2900706621 hasRelatedWork W2969901322 @default.
• W2900706621 hasRelatedWork W3088074456 @default.
• W2900706621 isParatext "false" @default.
• W2900706621 isRetracted "false" @default.
• W2900706621 magId "2900706621" @default.
• W2900706621 workType "article" @default.