Lack of chart reminder effectiveness on family medicine resident JNC-VI and NCEP III guideline knowledge and attitudes

BMC Family Practice
Paul S EchlinTsveti P Markova

Abstract

The literature demonstrates that medical residents and practicing physicians have an attitudinal-behavioral discordance concerning their positive attitudes towards clinical practice guidelines (CPG), and the implementation of these guidelines into clinical practice patterns. A pilot study was performed to determine if change in a previously identified CPG compliance factor (accessibility) would produce a significant increase in family medicine resident knowledge and attitude toward the guidelines. The primary study intervention involved placing a summary of the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) and the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (NCEP III) CPGs in all patient (>18 yr.) charts for a period of three months. The JNC VI and NCEP III CPGs were also distributed to each Wayne State family medicine resident, and a copy of each CPG was placed in the preceptor's area of the involved clinics. Identical pre- and post- intervention questionnaires were administered to all residents concerning CPG knowledge and attitude. Post-intervention analysis fa...Continue Reading

References

Mar 4, 1998·Academic Medicine : Journal of the Association of American Medical Colleges·K H Bachman, D J Mazur
Sep 16, 1998·Academic Medicine : Journal of the Association of American Medical Colleges·E HolmboeR Hawkins
Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
May 23, 2001·JAMA : the Journal of the American Medical Association·UNKNOWN Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults
Nov 6, 2001·Annals of Internal Medicine·L S PhillipsC S Barnes
Dec 12, 2001·Academic Medicine : Journal of the Association of American Medical Colleges·G D DentonE Holmboe
May 15, 2002·The Journal of Continuing Education in the Health Professions·Karen Tu, Dave Davis
Jun 1, 2002·Archives of Pediatrics & Adolescent Medicine·Sumathi NambiarMichael J Sheridan
Oct 18, 2002·Journal of the American Geriatrics Society·John F SchnelleJoseph G Ouslander
Dec 5, 2002·Injury Control and Safety Promotion·Ronald LettDinesh Sethi
Jan 15, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Philip J MichelsYuko Palesch
Sep 13, 2003·Health and Quality of Life Outcomes·Barbara Ann Shelton Broome
Jan 7, 2004·Journal of the American Medical Directors Association·John F Schnelle, Sandra F Simmons
Jan 20, 2004·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Mark R NelsonJohn J McNeil
Apr 27, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Tara KennedyLorelei Lingard
Nov 1, 2005·Journal of Oncology Practice·Antonio C Wolff, Christopher E Desch

❮ Previous
Next ❯

Citations

May 12, 2006·The Journal of Clinical Hypertension·Stephen D SissonMark T Hughes
Jul 28, 2007·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Prasuna JamiBernardo J Reyes
May 16, 2019·BMC Health Services Research·Hiba Salah AbdelgadirMounkaila Noma

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
E A BorawskiE Kahana
© 2022 Meta ULC. All rights reserved