Re: The evidence in evidence‐based practice. Why the confusion?

Suttle, Catherine; Jalbert, Isabelle; Alnahedh, Taghreed

doi:10.1111/cxo.12018

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…10 Assessment of the appropriateness of eye care delivery requires that recommendations from evidence-based clinical practice guidelines or expert-based consensus be transformed into measurable clinical indicators which are designed to assess, compare and determine the potential to improve care 11Definitions used Condition means clinical ocular conditions (eg, glaucoma and diabetes) or preventative care. Evidence-based care involves clinical decision making based on the existing best evidence for the care (including eye care) of individual patients 37. The practice of evidence-based care means the integration of the clinical expertise of the practitioners with the best available clinical evidence and patient’s preferences 38…”

Section: Introductionmentioning

confidence: 99%

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Can the appropriateness of eye care be measured through cross-sectional retrospective patient record review in eye care practices in Australia? The iCareTrack feasibility study

Rahardjo

Stapleton

et al. 2019

BMJ Open

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ObjectivesThe CareTrack study found that a wide range of appropriateness of care (ie, care in line with evidence-based or consensus-based guidelines) was delivered across many health conditions in Australia. This study therefore aimed to demonstrate the feasibility of using the CareTrack method (a retrospective onsite record review) to measure the appropriateness of eye care delivery.DesignCross-sectional feasibility study.Setting and participantsTwo hundred and thirteen patient records randomly selected from eight optometry and ophthalmology practices in Australia, selected through a combination of convenience and maximum variation sampling.MethodsRetrospective record review designed to assess the alignment between eye care delivered and 93 clinical indicators (Delphi method involving 11 experts) extracted from evidence-based clinical practice guidelines.Primary outcome measureNumber of eligible patient records, sampling rates and data collection time. This feasibility study also tested the ability of 93 clinical indicators to measure percentage appropriate eye care for preventative, glaucoma and diabetic eye care. A secondary outcome was the percentage of practitioner–patient encounters at which appropriate eye care was received.ResultsA median of 20 records (range 9 to 63) per practice were reviewed. Data collection time ranged from 3 to 5.5 hours (median 3.5). The most effective sampling strategy involved random letter generation followed by sequential sampling. The appropriateness of care was 69% (95% CI 67% to 70%) for preventative eye care, 60% (95% CI 56% to 58%) for glaucoma and 63% (95% CI 57% to 69%) for diabetic eye care.ConclusionsAppropriateness of eye care can be measured effectively using retrospective record review of eye care practices and consensus-based care indicators.

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Section: Introductionmentioning

confidence: 99%

“…Evidence-based care involves clinical decision making based on the existing best evidence for the care (including eye care) of individual patients 37. The practice of evidence-based care means the integration of the clinical expertise of the practitioners with the best available clinical evidence and patient’s preferences 38…”

Section: Introductionmentioning

confidence: 99%

Can the appropriateness of eye care be measured through cross-sectional retrospective patient record review in eye care practices in Australia? The iCareTrack feasibility study

Rahardjo

Stapleton

et al. 2019

BMJ Open

Self Cite

View full text Add to dashboard Cite

show abstract

“…EBP is increasingly recognized in allied health disciplines including optometry. 2,3,[6][7][8][9][10][11][12][13][14][15] However, recognition of the need for EBP is only one step toward it becoming a reality for a profession; this cannot occur unless practitioners are properly trained and know how to practice in this way. EBP requires a set of skills and knowledge including the ability to find and appraise evidence and to apply the best evidence at the point of clinical decision-making.…”

Section: Introductionmentioning

confidence: 99%