文章基本信息

标题：Reducing physician voiding cystourethrogram ordering in children with first febrile urinary tract infection: evaluation of a purposefully sequenced educational intervention
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作者：Anke Banks ; Susan Samuel ; David Johnson 等
期刊名称：Canadian Medical Education Journal
电子版ISSN：1923-1202
出版年度：2018
卷号：9
期号：4
页码：1-9
DOI：10.36834/cmej.42943
出版社：Canadian Medical Education Journal
摘要：Background: Physicians often fail to implement clinical practice guidelines. Our aim was to evaluate whether a purposefully sequenced, multifaceted educational intervention would increase physician adherence to a guideline for voiding cystourethrogram (VCUG) use following first urinary tract infection (UTI) in young children. Methods: Using a single centre, pretest-posttest design, we compared the proportion of guideline adherent VCUG orders and the VCUG ordering rate before and after three educational interventions (interactive lecture, clinical pathway, faxed reminder) selected and sequenced according to the PRECEDE (Predisposing, Reinforcing and Enabling Constructs in Educational Diagnosis and Evaluation) health promotion model.Results: One hundred and nine physicians ordered 219 VCUGs for 219 children.
关键词：clinical practice guideline; knowledge translation; PRECEDE; stages of change; urinary tract infection; clinical pathway