ࡱ>  ^@\p DISS (CCL) Ba==%z8X@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial1 Arial1$Arial1Arial1Arial""#,##0;\-""#,##0""#,##0;[Red]\-""#,##0""#,##0.00;\-""#,##0.00#""#,##0.00;[Red]\-""#,##0.005*0_-""* #,##0_-;\-""* #,##0_-;_-""* "-"_-;_-@_-,)'_-* #,##0_-;\-* #,##0_-;_-* "-"_-;_-@_-=,8_-""* #,##0.00_-;\-""* #,##0.00_-;_-""* "-"??_-;_-@_-4+/_-* #,##0.00_-;\-* #,##0.00_-;_-* "-"??_-;_-@_- 0.0%"Yes";"Yes";"No""True";"True";"False""On";"On";"Off" 0.0000 0.000                + ) , *    # #   #  @ ! #P #T #  #  H,  @, #P, #T,   H,  H, #X, #\,   H, #x ,  ` , #t , #p ,  #x , !P, !X, !p , !P  #0 #4 !0 #4 + + - +8 -8 +< + +< #p )  + #T, #\, #| , # # #4 +< #T + #t #t , )8  ( !p  ` #t !  `   )8 +8 +< !p  (  8 ``i̜̙3f3333f3ffff333ff333f33f33BBB\`<Iccfinal,`i l GEmpirical estimates of ICCs from changing professional practice studiesData SetCountryOutcomeType of OutcomeSetting Speciality Prevalence No.Average SD RangeICC95%CI (if binary)clusterscluster sizesizeGAPSUKHospitalMethod of endometrial sampling Process Secondary ObstetricsDiagram used or not,Tubal patency test used (laproscopic or not)Rubella status recorded or notSemen analysis (<2 or >2) 3Proportion of instrumental delivery cases in which SPGPReferral decision recordedPrimaryGeneral Practice/PaediatricPractice"Previous medical history recorded?Items of examination recorded?Investigations recorded?Items of advice recorded?Follow up decision recorded?&Items of previous management recorded?Drug management recorded?#Previous drug management recorded? +Proprtion of patients told about dependancyGeneral Practice+Proportion of patients medication reviewed.(Proportion of patients offered withdrwal=Proportion of patients assessed on suitability for withdrawalPharmacy,Did the pharmacist discuss stopping smoking?Smoking)Did the pharmacist ask about your health?DDid the pharmacist advise you on the strength of the product to buy?5Did the pharmacist advise you how to use the product?URGEUrology'Patient discharged from consultant careAManagement decision reached at initial secondary care appointment?GP compliance with referral guidelines (number of examinations)General practice.Renal function tests performed in primary care%SF36 Physical component summary score#SF36 Mental component summary scoreCOGENTAsthma symptom scoreAsthmaAQLQ activities limitationAQLQ symptoms scoreAQLQ emotional functionAQLQ environmental stimuliAQLQ total scoreSF36 physical health componentSF36 mental health componentSAQ physical limitationAnginaSAQ anginal stabilitySAQ angina frequencySAQ treatment satisfactionSAQ disease perceptionFinland PhysicianLaboratory examinationsRadiological examinationsPhysical examinationsOther examinations Procedures PhysiotherapyNonpharmacological treatmentPharmacological treatment ReferralsAsthma Qol score HypertensionBinaryCalculted/published Calculated PublishedSF36 - physical functioningSF36 - role physicalSF36 - role emotionalSF36 - social functioningSF36 - mental healthSF36 - energy and vitality SF36 - pain SF36 - general health perceptionsatisfaction with communication$satisfaction with attitude of doctor$satisfaction with continuity of care#satisfaction with delay until visitoverall satisfactionCProportion of patients with controlled hypertension - UK guidelinesLProportion of patients with controlled hypertension - New Zealand guidelinesCProportion of patients with controlled hypertension - US guidelinesDProportion of patients with controlled hypertension - WHO guidelinesGProportion of patients with controlled hypertension - Canada guidelinesTIGERSF36 - health transitionEpilepsyContinuous/binary Continuousn/aMultiplebenzodiazapine users0Proportion prescribed cholesterol lowering drugs#Proportion prescribed beta-blockerProportion prescribed aspirinWeight recordedCholesterol recordedWeight loss/diet advice Exercise adviceBlood pressure Smoking habitSmoking advice"CHD consultation with doctor/nursePatient made change to food#Patients think they can reduce riskPatients gave up smokingCoronary heart disease7Proportion of patients with repeat episode of self harmDeliberate self harmZ(Very small ICCs rounded to 0.0001; Negative ICCs truncated at zero; n/a = not applicable)POSTHypertension guidelinesFinnish guidelinesGreenwich asthmaBenzodiazapinesSmoking cessation Out-of-hoursDeliberate self-harm trialObstetric unit4,1015,3030,30Labour managementBenign prostatic hyperplasiaMicroscopic haematuria0,0.0290,0.0690,0.0710,0.0590,0.0780,0.0360,0.0380,0.0730,0.0490,0.1170,0.1560,0.0950,0.0790,0.0580,0.084.Liverpool epilepsy score - Impact of epilepsy /Liverpool epilepsy score - Nature of seizures >Liverpool epilepsy score - Perception of severity of seizures 7Liverpool epilepsy score - Adverse drug effects profile4Liverpool epilepsy score - Mastery of epilepsy score!ESI-55 scale - Cognitive functionUnit of allocation/clusteringDoctorMixed Bedwetting Acute coughAcute vomiting Itchy rashRecurrent wheezeDisease/clinical area2,324,534,542,152,112,92,86,576,562,332,312,342,352,282,242,172,16Infertility guidelines3Proportion of couples for whom management plan made?Duration between first appointment and management plan (months):Number of outpatient visits before management plan reached9Midluteal progesterone concentration checked pre-referral#Semen analysis checked pre-referral3Cervical smear in past 3 years checked pre-referral:Advice given about folic acid supplementation pre-referral,Rubella immunity status checked pre-referral Infertility2,132,140,0.19317,78IMPACT&Women offered appointment in five days9Womens' cervical cytology history reviewed pre-assessmentAStrategy adopted for minimising post-abortion infective morbidity,Misprostol given as alternative to geneprostAContraceptive supplies offered to start immediately post-abortion30,7523,5731,76Abortion managementObstetrics & gynaecology%Items of current management recorded? Reasons for management recorded?4,202,192,102,1813,8315,8115,862,362,72,23TEMPESTHospital directorateHeight recordedDVT management14,309Patient thought they had made the right decision for them1Patient thought their clinical care was excellent3Patient thought their confidentiality was protectedSPatient thought there were some things about their care that could have been better not reported Data sourcePost-intervention control groupPre-interventionAuditCompliance checkedInhaler technique assessedLung function assessedAsthma education givenSmoking status recordedSmoking advice given21,4232,6925,5732,6328,6031,63Blood pressure recordedExercise recorded/advisedWeight recorded/advisedSmoking education given ECG recordedExercise ECG recorded"Haemoglobin concentration recordedThyroid function recorded!Cholesterol/other lipids recordedBlood glucose/HbA1c recordedEuroQol 12,5015,67 0.026, 0.07215,65 0.003, 0.02715,69 0.010, 0.04115,68 0.013, 0.046 0.025, 0.07014,63 0.022, 0.065 0.025, 0.07114,66 0.039, 0.099 0.035, 0.095 0.048, 0.116 0.041, 0.102 0.029, 0.079 0.049, 0.117 0.019, 0.062 0.013, 0.050 0.033, 0.087European renal studyHospital renal unit2Mode of renal replacement changed in first 90 daysGAllocation to haemodialysis as chosen mode of renal replacement therapyPatient received transplant Patient deaths within 90 daysEurope Nephrology 0.158, 0.402 0.129, 0.427 0.037, 0.157 0.189, 0.605 0.091, 0.347 0.194, 0.454 0.362, 0.863 0.142, 0.333 0.105, 0.400 0.033, 0.1710, 0.0490, 0.067 0.042, 0.1850, 0.1840, 0.0920, 0.093 0.043, 0.191 0.067, 0.320 0.129, 0.3200, 0.058 0.005, 0.161 0.011, 0.1500, 0.1110, 0.077 0.004, 0.0410, 0.0960, 0.117- 0.141, 0.3140, 0.1340, 0.2060, 0.1590, 0.1660, 0.1810, 0.2190, 0.343 0.053, 0.3340, 0 0.049, 0.3530, 0.1620, 0.1300, 0.069 0.035, 0.1630, 0.1970, 0.2570, 0.1310, 0.161 0.085, 0.296 0.013, 0.1410, 0.053 0.124, 0.332 0.040, 0.2100, 0.0620, 0.073 0.007, 0.1650, 0.052 0.065, 0.2230, 0.082 0.020, 0.1060, 0.0950, 0.213 0, 0.244 0, 0.193 0.015, 0.209 0, 0.201 0.110, 0.194 0.059, 0.133 0.051, 0.110 0.045, 0.195 0.045, 0.151 0.007, 0.08< 1 0.018, 0.068 0.036, 0.096 0.053, 0.164 0.049, 0.1340,0.006 0.003, 0.031 0.007, 0.033 0.022, 0.0820, 0.026 0.025, 0.061 0.013, 0.062 0, 0.017 0, 0.013 0, 0.040 0, 0.122 0, 0.142 0, 0.550 0, 0.260 0, 0.1770.0006, 0.0800, 0.164 0.059, 0.319 0.017, 0.201 0, 0.3060, 0.1760, 0.231 0.053, 0.223 0.214, 0.572 0.028, 0.223 0.004, 0.142 0.143, 0.4650, 0.1200, 0.003 0.151, 0.390 0.260, 0.557 0.004, 0.090 0.021, 0.283 0.005, 0.046 0.011, 0.047 0, 0.188 0, 0.225 0.102, 0.438 0.051, 0.4010, 0.2100, 0.222 0, 0.189 0, 0.1720, 0.317 0, 0.3430, 0.2450, 0.284Any prophylaxis used 0.071, 0.229jProportion of caesarean section deliveries in which any antibiotics were given within six hours of surgery6Proportion of cases in which polyglycolic acid sutures)Proportion of cases in which prophylactic ProportionLength of stay 0.016, 0.159EU BIOMED 1 renal studyZMonitoring  Proportion of patient episodes where ferritin was measured at least 3 monthly 0.100, 0.731XManagement  Proportion of patient episodes where erythropoeitin was used appropriately?0, 0.038WOutcome  Proportion of patient episodes where haemoglobin was in centre s target range0, 0.106\Monitoring  Proportion of patient episodes where plasma PTH was measured at least 6 monthly0, 0.357Management  Proportion of patient episodes in which vitamin D was decreased or stopped if serum calcium was high and PTH was low or within target range.20,65 0, 0.0203rOutcome  Proportion of patient episodes where serum calcium and serum phosphate were in the centre s target range0, 0.128Monitoring  Proportion of patient episodes where serum IgG was measured in the donor AND IgG and IgM were measured in the recipient immediately pre-transplant0, 0.778Management  Proportion of patient episodes in which ganciclovir was given if the transplanted patient had mild disease and rejection OR had severe disease*_Outcome  Proportion of patient episodes in which the transplanted patients were still alive?0, 0.214Nephrology-anaemiaNephrology-bone diseaseNephrology-cytomegalovirus1 sNL'=sNe@-X3  tO u d? ,DE pW 2  ""$$$$%&O'*'(z(w)Rc*>*d+?+),,`,M-(-..L/g//K00l 12t6+:y ^@ 0GfU2+4  dMbP?_*+%M \\MEGAERA\MED-POL-DKW5-PRN-A  4&XXA4PRIV''''X\KhC XRJPHADMINBELLUntitled" &XX??U} m} } 2} } $ } $ G} I} } $ } m } G} } 2} m} } } m Column OColumn B?h";""","+     33 !//$C####C#2 / %//$C####C#/ ///$C####C#/ / & & & 0 0v ( D ' '  '  '  D  '  0 & & 0 & )^' // ( D ' '  '  '  D#/ /*11,M- .  *  *  E-1 1 F4  # $  ]+?G+?O@@Px@   G+η?  ;=  2   ! 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