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PubMed2006

Challenges and obstacles in measuring outcomes.

Numerous factors contribute to the need for consultant pharmacists to understand and measure outcomes. Consumer groups, legislatures, regulatory and certification agencies, among others, are interested in this information. The science of quality improvement is still young. Distinguishing among three terms--quality indicators, quality measures, and benchmarks--is easy enough once they become familiar. The roots of most long-term care quality models rest on the Donabedian model. Care is necessary when selecting outcomes measures because several pitfalls exist. When carefully selected, outcomes measures can improve care immensely and decrease the risk of adverse events.

Humans↗
PubMedDate not supplied

Obstacles to using a database in midwifery.

The increasing emphasis on evidence-based care poses a range of practical problems, not least of which is access to the information on which care is to be based. This article reports on a Scottish study that examined the impact of giving midwifery units access to the Cochrane pregnancy and childbirth database. The results suggest that installing the database had little effect on practice. A key issue was computer use. Although the midwives had a positive attitude towards computers, they did not feel they had the necessary skills to find information on the databases. Given that 70% of those questioned used computers regularly, the cause of their uncertainty is not clear.

Databases as Topic↗