干旱区生态环境知识资源中心(Arid): The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries

Arid

DOI	10.12891/ceog4652.2019
	The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries
	Zahumensky, J.1,2; Psenkova, P.1,2; Janku, P.3,4; Ventruba, P.3,4
通讯作者	Psenkova, P.
来源期刊	CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY
ISSN	0390-6663
出版年	2019
卷号	46 期号:3 页码:413-417
英文摘要	Objective: To determine if the application of guidelines for obstetrical anal sphincter injuries (OASIS) management adopted by professional society in a country improves healthcare compared to a country where the guidelines are not adopted. Materials and Methods: In 2008 and 2016, a questionnaire was sent to every maternity ward in the Czech and Slovak Republics. In 2011, the guidelines for OASIS management were published in the Czech Republic. The authors compared the changes in the management of OASIS in both countries and evaluated the effect of the guidelines on healthcare improvement. Results: In 2008, the current Royal College of Obstetricians and Gynaecologists (RCOG) classification of OASIS was not used by any hospital in both countries. In 2016, the classification was used by 48.8% of hospitals in the Czech Republic and by 11.5% of hospitals in the Slovak Republic. The percentage of hospitals in the Czech Republic which used antibiotic prophylaxis while treating OASIS increased from 87.3% in 2008 to 100% in 2016. In the Slovak Republic, the percentage decreased from 85.7% to 73.1%. Active follow-up increased in the Czech Republic from 40% to 70.8%. In the Slovak Republic, it increased from 33.3% to 38.5%. In 2008, the management according to EBM was not performed by any of centres participating in the survey. In 2016, this percentage increased to 34.1% in the Czech Republic and to 3.8% in the Slovak Republic. Conclusion: The introduction of guidelines improved healthcare more significantly compared to the country where guidelines are not yet adopted.
英文关键词	Guideline adherence Obstetrical anal sphincter injuries OASIS management EBM
类型	Article
语种	英语
国家	Slovakia ; Czech Republic
收录类别	SCI-E
WOS记录号	WOS:000475301100014
WOS关键词	ANAL-SPHINCTER INJURY ; PRIMARY REPAIR ; MANAGEMENT ; DEFECTS ; OASIS
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/214928
作者单位	1.Univ Hosp Bratislava, Dept Obstet & Gynecol 2, Ruzinovska 6, Bratislava 82106, Slovakia; 2.Comenius Univ, Ruzinovska 6, Bratislava 82106, Slovakia; 3.Brno Univ Hosp, Dept Obstet & Gynaecol, Brno, Czech Republic; 4.Masaryk Univ, Med Sch, Brno, Czech Republic
推荐引用方式 GB/T 7714	Zahumensky, J.,Psenkova, P.,Janku, P.,et al. The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries[J],2019,46(3):413-417.
APA	Zahumensky, J.,Psenkova, P.,Janku, P.,&Ventruba, P..(2019).The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries.CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY,46(3),413-417.
MLA	Zahumensky, J.,et al."The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries".CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY 46.3(2019):413-417.