Journal of evaluation in clinical practice
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Previous studies have demonstrated that the adoption of injection-to-oral conversion strategies in hospitalised patient yields both clinical and economic benefits. The objective of this study was to provide a comprehensive description of the current state of implementation and evaluate the perspectives of hospital pharmacists to guide future initiatives towards conversion implementation in Indonesia. ⋯ Pharmacists appreciated conversion activity and grasped its concepts despite little clinical experience. Consider possible enabling and barrier factors and essential considerations before taking action. Local guidelines and instructional materials that emphasise application or implementation are encouraged. Furthermore, the implementation project must be piloted and evaluated for clinical and economic outcomes.
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To validate codelists for defining a range of mental health (MH) conditions with primary care data, using a mixed qualitative and quantitative approach and without requiring external data. ⋯ We produced a comprehensive set of medical codes lists for 12 MH conditions validated by a combination of clinical consensus panel and quantitative cluster analysis with cross-validation.
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Optimal mobility is crucial for healthy aging, particularly among older adults with balance impairments. This research examines the psychometric properties of the modified Dynamic Gait Index (mDGI) translated into Icelandic, highlighting its suitability for evaluating mobility in this demographic group and within the context of healthy aging. Addressing the scarcity of international psychometric research on the mDGI, this study contributes to the translation of geriatric outcome measures into different languages, enhancing clinical applications and international research. ⋯ The Icelandic version of the mDGI provides reliable and valid measures for evaluating balance and gait in older adults with balance impairments. Its sound psychometric properties support its use in similar demographic settings globally, providing a reliable tool for geriatric care practitioners and researchers worldwide.
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Understanding drivers of antibiotic use is key to limiting the development of antimicrobial resistance. Outpatient antibiotic prescribing rates vary substantially across and within states. Kentucky is one of the highest prescribing states, and the southeastern region has rates that are drastically higher than the national average and urban areas of the state. We sought to examine provider perceptions of antibiotic use in this rural area to more effectively guide future interventions and policy. ⋯ This study highlights unique challenges associated with antibiotic prescribing in rural areas. Findings will guide future interventions through adaptation of existing strategies to better serve this vulnerable population.
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Comparative Study
A Comparison of Patient Self-Reported Fatigue in the FRAIL Scale With a Validated Fatigue Measure.
The FRAIL scale is a self-administered tool used to screen for frailty in clinical, community and long-term nursing settings. Patient's self-reporting of fatigue in the FRAIL scale may raise concerns of subjectivity and accuracy in frailty assessment. ⋯ Patient-reported fatigue largely reflects validated measure of fatigue. Physicians should therefore be encouraged to use the FRAIL scale to assess frailty.