AI Article Synopsis
- The study aimed to assess if inpatients at a UK hospital received evidence-based therapies in 2008.
- A clinical librarian reviewed literature to evaluate the evidence supporting different diagnosis-therapy pairs among 102 patients, revealing a mix of evidence quality.
- The findings showed that while 41% of treatments had high-level evidence, there was no significant improvement in evidence-based care since previous studies, highlighting the ongoing need for collaboration in auditing patient care quality.
Article Abstract
Rationale, Aims And Objectives: To determine whether inpatients in a medical admissions unit in a UK district general hospital received evidence-based therapies in 2008.
Methods: The diagnoses of and therapies received by inpatients at the George Eliot Hospital National Health Service Trust in Nuneaton were recorded. A clinical librarian searched the literature (Clinical Knowledge Summaries, Cochrane Library, Medline and Embase) for the best evidence for each diagnosis-therapy pair. Evidence was graded on the following scale: systematic review, randomized controlled trial, non-experimental evidence and no or contrary evidence.
Results: One hundred and two patients generated 150 diagnosis-therapy pairs. Of these 61 (41%) had systematic review level evidence supporting them, 17 (11%) randomized controlled trial evidence, 48 (32%) non-experimental evidence and 24 (16%) no evidence.
Conclusions: Results were comparable with previous studies. Care in a medical admissions unit in 2008 is still evidence-based, but, despite the vast growth in medical literature, no more than it was. The process was a useful collaboration between medical and library staff to audit the quality of patient care.
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| http://dx.doi.org/10.1111/j.1365-2753.2009.01345.x | DOI Listing |
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