Adherence to Clinical Practice Guidelines
The Malaysian Dengue Clinical Practice Guidelines (CPG) have been developed to provide evidence-based guidance in the management of dengue infections. The use of these guidelines is essential to ensure its recommendations are being practiced. However, the adherence to the guidelines for management o...
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Veröffentlicht in: | PloS one 2017-11, Vol.12 (11), p.e0184559 |
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creator | Abd.Rahman, Marzilawati Ahmad Zaki, Rafdzah Sarimin, Roza Ariff, Mohd Izhar Suli, Zailiza Mahmud, Maimunah Hong Bee, Ker Anthonysamy, Cecilia Abdul Rahim, Azahirafairud Singh Gill, Balvinder Rudra Deva, Shanti Abdullah Sani, Ana Fizalinda Romli, Erni Zurina Mohamed Ghazali, Izzuna Mudla Mohd. Yusof, Mohd. Aminuddin Ahmad Lutfi, Nafisah Shuib, Shahril Effendi Mohd Darus, Noormah Bakri, Rugayah Yahya, 'Abqariyah |
description | The Malaysian Dengue Clinical Practice Guidelines (CPG) have been developed to provide evidence-based guidance in the management of dengue infections. The use of these guidelines is essential to ensure its recommendations are being practiced. However, the adherence to the guidelines for management of dengue (revised 2.sup.nd edition) by healthcare providers still remains unknown. Therefore, the aim of this study was to evaluate the proportion among healthcare providers that adhere to this Dengue CPG. A retrospective cohort study of dengue cases registered from 1 January 2014 to 1 June 2015 was conducted in public hospitals and health clinics in Selangor, Putrajaya and Kuala Lumpur. Adherence to the CPG recommendations were recorded by reviewing patients' case notes. Overall proportion of adherence in clinical components of the recommendation were (7.1 to 100.0% versus 7.7 to 73.8%) in history taking, (6.7 to 100.0% versus 12.3 to 60.0%) in physical examinations, (18.4 to 100.0% versus 23.1 to 83.2%) in assessment of warning signs, (0.6 to 100.0% versus 12.3 to 87.7%) in assessment of haemodynamic status, (60.0 to 100.0% versus 27.7 to 40.0%) in diagnosis, (46.6 to 80.0% versus 52.3%) in case notifications, (73.2 to 100.0% versus 89.2 to 96.9%) in performing specific laboratory investigations and (7.9 to 100.0% versus 21.5%) in monitoring, for outpatient versus inpatient, respectively. Adherence trends were demonstrated to be higher in hospital settings compared to outpatient settings. Adherence to this Dengue CPG varies widely with overall good clinical outcomes observed. |
doi_str_mv | 10.1371/journal.pone.0184559 |
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Yusof, Mohd. Aminuddin ; Ahmad Lutfi, Nafisah ; Shuib, Shahril Effendi ; Mohd Darus, Noormah ; Bakri, Rugayah ; Yahya, 'Abqariyah</creator><creatorcontrib>Abd.Rahman, Marzilawati ; Ahmad Zaki, Rafdzah ; Sarimin, Roza ; Ariff, Mohd Izhar ; Suli, Zailiza ; Mahmud, Maimunah ; Hong Bee, Ker ; Anthonysamy, Cecilia ; Abdul Rahim, Azahirafairud ; Singh Gill, Balvinder ; Rudra Deva, Shanti ; Abdullah Sani, Ana Fizalinda ; Romli, Erni Zurina ; Mohamed Ghazali, Izzuna Mudla ; Mohd. Yusof, Mohd. Aminuddin ; Ahmad Lutfi, Nafisah ; Shuib, Shahril Effendi ; Mohd Darus, Noormah ; Bakri, Rugayah ; Yahya, 'Abqariyah</creatorcontrib><description>The Malaysian Dengue Clinical Practice Guidelines (CPG) have been developed to provide evidence-based guidance in the management of dengue infections. The use of these guidelines is essential to ensure its recommendations are being practiced. However, the adherence to the guidelines for management of dengue (revised 2.sup.nd edition) by healthcare providers still remains unknown. Therefore, the aim of this study was to evaluate the proportion among healthcare providers that adhere to this Dengue CPG. A retrospective cohort study of dengue cases registered from 1 January 2014 to 1 June 2015 was conducted in public hospitals and health clinics in Selangor, Putrajaya and Kuala Lumpur. Adherence to the CPG recommendations were recorded by reviewing patients' case notes. Overall proportion of adherence in clinical components of the recommendation were (7.1 to 100.0% versus 7.7 to 73.8%) in history taking, (6.7 to 100.0% versus 12.3 to 60.0%) in physical examinations, (18.4 to 100.0% versus 23.1 to 83.2%) in assessment of warning signs, (0.6 to 100.0% versus 12.3 to 87.7%) in assessment of haemodynamic status, (60.0 to 100.0% versus 27.7 to 40.0%) in diagnosis, (46.6 to 80.0% versus 52.3%) in case notifications, (73.2 to 100.0% versus 89.2 to 96.9%) in performing specific laboratory investigations and (7.9 to 100.0% versus 21.5%) in monitoring, for outpatient versus inpatient, respectively. Adherence trends were demonstrated to be higher in hospital settings compared to outpatient settings. Adherence to this Dengue CPG varies widely with overall good clinical outcomes observed.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0184559</identifier><language>eng</language><publisher>Public Library of Science</publisher><subject>Care and treatment ; Dengue fever ; Diagnosis ; Management ; Medical personnel ; Practice ; Practice guidelines (Medicine)</subject><ispartof>PloS one, 2017-11, Vol.12 (11), p.e0184559</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Abd.Rahman, Marzilawati</creatorcontrib><creatorcontrib>Ahmad Zaki, Rafdzah</creatorcontrib><creatorcontrib>Sarimin, Roza</creatorcontrib><creatorcontrib>Ariff, Mohd Izhar</creatorcontrib><creatorcontrib>Suli, Zailiza</creatorcontrib><creatorcontrib>Mahmud, Maimunah</creatorcontrib><creatorcontrib>Hong Bee, Ker</creatorcontrib><creatorcontrib>Anthonysamy, Cecilia</creatorcontrib><creatorcontrib>Abdul Rahim, Azahirafairud</creatorcontrib><creatorcontrib>Singh Gill, Balvinder</creatorcontrib><creatorcontrib>Rudra Deva, Shanti</creatorcontrib><creatorcontrib>Abdullah Sani, Ana Fizalinda</creatorcontrib><creatorcontrib>Romli, Erni Zurina</creatorcontrib><creatorcontrib>Mohamed Ghazali, Izzuna Mudla</creatorcontrib><creatorcontrib>Mohd. Yusof, Mohd. Aminuddin</creatorcontrib><creatorcontrib>Ahmad Lutfi, Nafisah</creatorcontrib><creatorcontrib>Shuib, Shahril Effendi</creatorcontrib><creatorcontrib>Mohd Darus, Noormah</creatorcontrib><creatorcontrib>Bakri, Rugayah</creatorcontrib><creatorcontrib>Yahya, 'Abqariyah</creatorcontrib><title>Adherence to Clinical Practice Guidelines</title><title>PloS one</title><description>The Malaysian Dengue Clinical Practice Guidelines (CPG) have been developed to provide evidence-based guidance in the management of dengue infections. The use of these guidelines is essential to ensure its recommendations are being practiced. However, the adherence to the guidelines for management of dengue (revised 2.sup.nd edition) by healthcare providers still remains unknown. Therefore, the aim of this study was to evaluate the proportion among healthcare providers that adhere to this Dengue CPG. A retrospective cohort study of dengue cases registered from 1 January 2014 to 1 June 2015 was conducted in public hospitals and health clinics in Selangor, Putrajaya and Kuala Lumpur. Adherence to the CPG recommendations were recorded by reviewing patients' case notes. Overall proportion of adherence in clinical components of the recommendation were (7.1 to 100.0% versus 7.7 to 73.8%) in history taking, (6.7 to 100.0% versus 12.3 to 60.0%) in physical examinations, (18.4 to 100.0% versus 23.1 to 83.2%) in assessment of warning signs, (0.6 to 100.0% versus 12.3 to 87.7%) in assessment of haemodynamic status, (60.0 to 100.0% versus 27.7 to 40.0%) in diagnosis, (46.6 to 80.0% versus 52.3%) in case notifications, (73.2 to 100.0% versus 89.2 to 96.9%) in performing specific laboratory investigations and (7.9 to 100.0% versus 21.5%) in monitoring, for outpatient versus inpatient, respectively. Adherence trends were demonstrated to be higher in hospital settings compared to outpatient settings. Adherence to this Dengue CPG varies widely with overall good clinical outcomes observed.</description><subject>Care and treatment</subject><subject>Dengue fever</subject><subject>Diagnosis</subject><subject>Management</subject><subject>Medical personnel</subject><subject>Practice</subject><subject>Practice guidelines (Medicine)</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkE1LAzEQhoMoWKv_wENBEHrYNZNs0uyxFFsLhYpf15LNTtqUdFeaLPjzDehhCx5kDjM8PO8wDCG3QHPgE3jYt92x0T7_bBvMKahCiPKMDKDkLJOM8vPefEmuQthTKriSckDG03qHR2wMjmI7mnnXOKP96PmoTXQJLjpXY6IYrsmF1T7gzW8fkvf549vsKVutF8vZdJVtQUrISrCTAgQ3TIBUWLEKtaXWMlNVFgUYpg3K2rCiVooJDopPKoGmqktg1Bo-JHc_e7fa48Y1to3pmIMLZjMVwFQpoYBk5X9YqWo8OJP-YF3iJ4HxSSA5Eb_iVnchbJavL_931x-n7n3P3aH2cRda30XXNqEvfgNjJH3A</recordid><startdate>20171102</startdate><enddate>20171102</enddate><creator>Abd.Rahman, Marzilawati</creator><creator>Ahmad Zaki, Rafdzah</creator><creator>Sarimin, Roza</creator><creator>Ariff, Mohd Izhar</creator><creator>Suli, Zailiza</creator><creator>Mahmud, Maimunah</creator><creator>Hong Bee, Ker</creator><creator>Anthonysamy, Cecilia</creator><creator>Abdul Rahim, Azahirafairud</creator><creator>Singh Gill, Balvinder</creator><creator>Rudra Deva, Shanti</creator><creator>Abdullah Sani, Ana Fizalinda</creator><creator>Romli, Erni Zurina</creator><creator>Mohamed Ghazali, Izzuna Mudla</creator><creator>Mohd. Yusof, Mohd. Aminuddin</creator><creator>Ahmad Lutfi, Nafisah</creator><creator>Shuib, Shahril Effendi</creator><creator>Mohd Darus, Noormah</creator><creator>Bakri, Rugayah</creator><creator>Yahya, 'Abqariyah</creator><general>Public Library of Science</general><scope>IOV</scope><scope>ISR</scope></search><sort><creationdate>20171102</creationdate><title>Adherence to Clinical Practice Guidelines</title><author>Abd.Rahman, Marzilawati ; Ahmad Zaki, Rafdzah ; Sarimin, Roza ; Ariff, Mohd Izhar ; Suli, Zailiza ; Mahmud, Maimunah ; Hong Bee, Ker ; Anthonysamy, Cecilia ; Abdul Rahim, Azahirafairud ; Singh Gill, Balvinder ; Rudra Deva, Shanti ; Abdullah Sani, Ana Fizalinda ; Romli, Erni Zurina ; Mohamed Ghazali, Izzuna Mudla ; Mohd. Yusof, Mohd. 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Yusof, Mohd. Aminuddin</creatorcontrib><creatorcontrib>Ahmad Lutfi, Nafisah</creatorcontrib><creatorcontrib>Shuib, Shahril Effendi</creatorcontrib><creatorcontrib>Mohd Darus, Noormah</creatorcontrib><creatorcontrib>Bakri, Rugayah</creatorcontrib><creatorcontrib>Yahya, 'Abqariyah</creatorcontrib><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abd.Rahman, Marzilawati</au><au>Ahmad Zaki, Rafdzah</au><au>Sarimin, Roza</au><au>Ariff, Mohd Izhar</au><au>Suli, Zailiza</au><au>Mahmud, Maimunah</au><au>Hong Bee, Ker</au><au>Anthonysamy, Cecilia</au><au>Abdul Rahim, Azahirafairud</au><au>Singh Gill, Balvinder</au><au>Rudra Deva, Shanti</au><au>Abdullah Sani, Ana Fizalinda</au><au>Romli, Erni Zurina</au><au>Mohamed Ghazali, Izzuna Mudla</au><au>Mohd. Yusof, Mohd. Aminuddin</au><au>Ahmad Lutfi, Nafisah</au><au>Shuib, Shahril Effendi</au><au>Mohd Darus, Noormah</au><au>Bakri, Rugayah</au><au>Yahya, 'Abqariyah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to Clinical Practice Guidelines</atitle><jtitle>PloS one</jtitle><date>2017-11-02</date><risdate>2017</risdate><volume>12</volume><issue>11</issue><spage>e0184559</spage><pages>e0184559-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The Malaysian Dengue Clinical Practice Guidelines (CPG) have been developed to provide evidence-based guidance in the management of dengue infections. The use of these guidelines is essential to ensure its recommendations are being practiced. However, the adherence to the guidelines for management of dengue (revised 2.sup.nd edition) by healthcare providers still remains unknown. Therefore, the aim of this study was to evaluate the proportion among healthcare providers that adhere to this Dengue CPG. A retrospective cohort study of dengue cases registered from 1 January 2014 to 1 June 2015 was conducted in public hospitals and health clinics in Selangor, Putrajaya and Kuala Lumpur. Adherence to the CPG recommendations were recorded by reviewing patients' case notes. Overall proportion of adherence in clinical components of the recommendation were (7.1 to 100.0% versus 7.7 to 73.8%) in history taking, (6.7 to 100.0% versus 12.3 to 60.0%) in physical examinations, (18.4 to 100.0% versus 23.1 to 83.2%) in assessment of warning signs, (0.6 to 100.0% versus 12.3 to 87.7%) in assessment of haemodynamic status, (60.0 to 100.0% versus 27.7 to 40.0%) in diagnosis, (46.6 to 80.0% versus 52.3%) in case notifications, (73.2 to 100.0% versus 89.2 to 96.9%) in performing specific laboratory investigations and (7.9 to 100.0% versus 21.5%) in monitoring, for outpatient versus inpatient, respectively. Adherence trends were demonstrated to be higher in hospital settings compared to outpatient settings. Adherence to this Dengue CPG varies widely with overall good clinical outcomes observed.</abstract><pub>Public Library of Science</pub><doi>10.1371/journal.pone.0184559</doi><tpages>e0184559</tpages></addata></record> |
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subjects | Care and treatment Dengue fever Diagnosis Management Medical personnel Practice Practice guidelines (Medicine) |
title | Adherence to Clinical Practice Guidelines |
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