Table 4

Description of recommendations and proportion of indicators which improved or not from pre to post implementation

Asthma

Breastfeeding

Delirium, Dementia, Depression

Foot Complications Diabetes

Smoking Cessation

Venous Leg Ulcers


Recommendations implemented

4//4

3/7

7/7

6/6

3/7

52/56

Content of recommendations implemented†

-Assess asthma control

-Educate re Asthma

-Develop action plans

-Assess inhaler device technique

-Endorse WHO Baby Friendly Hospital Initiative

Advocate friendly environments

-Promote community action

-Assess Postnatal factors

-Educate and support

-Maintain suspicion for DDD in the older adult

-Screen for cognition, function, behaviour and mood

-Use structured assessment & standardized tools

-Physical exam of feet to assess risk factors

-Educate about foot care Educate tailored to knowledge, needs and risk factors

Minimal smoking cessation intervention using ask, advice, assist, arrange protocol Recognize relapse is common and need to re-engage.

-Assess risk factors

-Measure surface areas

-Ankle Brachial Pressure Index

-Assess Pain

Debride wound

-Assess Infection

-Graduated compression bandaging

Number of chart audit items

12

4

19

13

12

15

Improvements*

7

0

3

12

4

9

No difference

5

3

16

1

8

6

Worse*

0

1

0

0

0

0

Number of patient interview items

5

9

N/A

7

12

N/A

Improvements*

1

0

7

0

No difference

4

9

0

12

Worse*

0

0

0

0

Observation

1

N/A

N/A

N/A

N/A

N/A

Improvements* (Inhaler use)

1

Number of items in follow-up telephone call

3

6

N/A

3

11

N/A

Improvements*

2

1

0

0

No difference

0

5

3

10

Worse*

0

0

0

1

Total # indicators N%

21

19

19

23

35

15

Improvements*

11 52.4%

1 5.3%

3 15.8%

19 82.6%

4 11.4%

9 60.0%

No difference

10 47.6%

17 89.5%

16 84.2%

4 17.4%

30 85.7%

6 40.0%

Worse*

0

1 5.3%

0

0

1 2.9%

0


* p < 0.05, N/A or not applicable, †Excludes recommendations about referrals which are discussed in another paper [ref referrals paper] For full description see [16]

Davies et al. BMC Health Services Research 2008 8:29   doi:10.1186/1472-6963-8-29

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