International journal of evidence-based healthcare
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Int J Evid Based Healthc · Mar 2019
Implementing best practice into the emergency department triage process.
Triage is the process by which emergency departments (EDs) sort patients presenting for medical treatment. The Australasian Triage Scale, validated to measure urgency, answers the question 'This patient should wait for medical assessment and treatment no longer than…' Multiple patients may present within short time frames, and some will have conditions that have outcomes directly related to timeliness of treatment such as stroke, sepsis and myocardial infarction. The safety of patients within the ED is thus directly related to the triage system. This project aimed to compare current triage practice within a metropolitan ED with evidence-based practice guidelines produced by the Australasian College for Emergency Medicine and College of Emergency Nurses Australasia. ⋯ WHAT DOES THIS ARTICLE ADD.
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Int J Evid Based Healthc · Mar 2019
The updated Joanna Briggs Institute Model of Evidence-Based Healthcare.
The Joanna Briggs Institute Model for Evidence-Based Healthcare was first conceptualized in 2005. This developmental framework for evidence-based practice situated healthcare evidence, in its broadest sense, and its role and use within complex healthcare settings. The Model was recently reviewed with a view to understanding its utility by health professionals, researchers and policy makers, and the analysis revealed a need to reconsider the composition and language of the Model to ensure its currency on the international stage. ⋯ The Model has been an important part of the Institute's development, both from a scientific and organizational perspective. Given the changing international discourse relating to evidence and its translation into policy and practice over the course of the last decade, it was opportune to revisit the Model and assess its ongoing applicability in its current form. Some alterations have been made for consideration in the hope that the Model reflects the Institute's current conceptualization of evidence-based healthcare (EBHC) and to increase its relevance and use pragmatically.