Jbi Evidence Implementation最新文献

{"title":"Enhancing physiotherapists' knowledge and skills in facilitating self-management of patients with chronic musculoskeletal pain conditions: a best practice implementation project.","authors":"Lukas Kühn, Kyung-Eun Choi, Jitka Klugarová, Małgorzata Bała, Tina Poklepović Peričić, Miloslav Klugar, Robert Prill","doi":"10.1097/XEB.0000000000000506","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000506","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence-based self-management strategies in chronic disease management are associated with increased self-efficacy and improved health-related quality of life. Physiotherapists feel unprepared to promote these strategies in patients with chronic musculoskeletal pain conditions.</p><p><strong>Objective: </strong>The objective of this best practice implementation project was to assess and promote exercise-centered self-management strategies in physiotherapy care.</p><p><strong>Methods: </strong>JBI's Evidence Implementation Framework, Practical Application of Clinical Evidence System (PACES) audit tool, and Getting Research into Practice (GRiP) method were used. The project was conducted in Germany at the University Hospital of the Brandenburg Medical School in the Department of Physiotherapy. Barriers and facilitators to implementation were identified through qualitative interviews with musculoskeletal pain experts in the team (N  =  5). All team members (N  =  16) completed a 31-item standardized questionnaire to determine compliance with seven audit criteria. The results of the baseline audit informed the implementation strategy. A post-implementation audit was conducted to measure improvements in practice.</p><p><strong>Results: </strong>Baseline compliance with audit criteria ranged from 0% to 89%. Barriers to implementation included lack of knowledge on self-management facilitation (e.g., assessment of patient capabilities, pain education, goal-setting, self-monitoring, action plan development) and no standardized documentation. The implementation strategy combined interactive educational training with the introduction of two standardized assessment and documentation forms. Moreover, a short-form exercise diary was created to facilitate patient self-monitoring. In the follow-up audit, five of the seven audit criteria improved.</p><p><strong>Conclusions: </strong>A combination of interactive educational training, standardized physiotherapy assessment and documentation, and a short-form exercise diary may be appropriate strategies to increase compliance for exercise-related self-management facilitation.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A345.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glycemic control in critically ill patients: a best practice implementation project.","authors":"Mengjuan Jing, Fan Yan, Hao Li, Chunpeng Li, Xiaojing Wei, Weihua Liu, Liming Li, Hongmei Zhang","doi":"10.1097/XEB.0000000000000505","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000505","url":null,"abstract":"<p><strong>Introduction: </strong>Prior studies have shown that about half of critically ill patients in intensive care units (ICUs) have abnormal blood glucose. Both hyperglycemia and hypoglycemia increase the risk of death in critically ill patients; therefore, controlling blood glucose in such patients is crucial. There is a significant gap between clinical practice and the current best evidence regarding glycemic control in ICU.</p><p><strong>Aim: </strong>This best practice implementation project aimed to improve glycemic control for critically ill patients in a tertiary hospital in China by promoting best practices.</p><p><strong>Methods: </strong>This project was conducted according to the JBI Evidence Implementation Framework, which is based on an audit and feedback strategy. Four audit criteria were developed for the baseline and follow-up audits. An implementation protocol was designed based on the barriers and facilitators identified in the baseline audit. Nursing documentation from patients' medical records and interviews with nurses were used to assess the baseline and follow-up audit compliance rates.</p><p><strong>Results: </strong>The results showed improved compliance with the four criteria in the follow-up audit. Except for only slight improvement in Criterion 2 (increasing from 15.3% to 26.6%), the three other criteria all achieved significant improvements. The compliance rate for Criterion 1 increased from 43.8% to 70.0%, Criterion 3 increased from 0% to 100%, and Criterion 4 increased from 46.8% to 65.8%.</p><p><strong>Conclusions: </strong>This evidence-based implementation project successfully increased nurses' compliance with best practice recommendations for glycemic control in critically ill patients.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A338.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital-at-home care in Singapore: distilling policy and implementation strategies essential to support scale-up using Policy Labs.","authors":"Shaoying Dylan Goh, Tze Yang Tan, Crystal Min Siu Chua, Yuka Asada, Karen E Peters, Yi Feng Lai","doi":"10.1097/XEB.0000000000000504","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000504","url":null,"abstract":"<p><strong>Background: </strong>The Mobile Inpatient Care at Home (MIC@Home) initiative was implemented as a potential promising solution to address challenges brought about by rising demand for hospital services due to an aging population. The initiative leveraged technology and remote care delivery.</p><p><strong>Aim: </strong>This study explored key strategies for the effective expansion of MIC@Home in Singapore.</p><p><strong>Methods: </strong>This study examined local qualitative insights reported in the literature and explored the implementation and policy implications through the Policy Labs method. Thirty-two clinicians, administrators, and policymakers participated in the study. Data were collected through facilitated discussions in three Policy Lab sessions. The findings were analyzed and key strategies were identified to prioritize plans for implementation improvements and policy redesign.</p><p><strong>Results: </strong>The priorities that would aid in upscaling MIC@Home in Singapore included (1) policy redesign: optimize manpower, shift stakeholder mindsets, enhance third-party providers, and integrate mainstream financing options to support effective implementation; (2) guidelines and clinical operations: emphasize innovative IT solutions for triage, quality-focused training programs, operational efficiency through standardized protocols, nationalized logistics, and collaboration across MIC@Home clusters; (3) leadership and governance: advocate a clear mandate to establish professional societies for accreditation and create a balanced governance structure that addresses MIC@Home's unique complexities.</p><p><strong>Conclusion: </strong>This study offers valuable insights into the challenges and strategies affecting the MIC@Home model's scalability, highlighting critical areas for implementation and policy redesign. By addressing the identified challenges through targeted strategies, Singapore can champion the MIC@Home model as a viable and sustainable alternative to traditional inpatient care.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A340.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving post-operative pain management after total hip and knee replacement in a special care unit: a best practice implementation project.","authors":"Silvia Ruiz González, Tamara López Rico, Esperanza Arribas Arauzo, Janire García Prieto, Laura Albornos Muñoz","doi":"10.1097/XEB.0000000000000507","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000507","url":null,"abstract":"<p><strong>Introduction: </strong>Post-operative pain is often underestimated (70% of surgical patients experience some degree of pain) and is insufficiently treated. This increases morbidity and mortality, mainly due to respiratory and thromboembolic complications, longer hospital stays, deterioration in quality of life, and occurrence of chronic pain.</p><p><strong>Objectives: </strong>This study aimed to improve post-operative pain management in the first 4 hours after total hip and knee replacement by promoting best practices.</p><p><strong>Methods: </strong>This project used the JBI Evidence Implementation Framework. JBI's Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) audit tools were used to collect data and develop implementation strategies, in line with identified barriers. The project was conducted in a special care unit in a primary hospital in Spain using a sample of 30 patients. Three phases of activity were followed: conducting a baseline audit, implementing improvement strategies, and conducting follow-up audits to assess intervention outcomes. The evaluation criteria used in the audits were derived from a JBI evidence summary on post-operative pain management.</p><p><strong>Results: </strong>The baseline audit identified five barriers: lack of nursing staff knowledge of appropriate pain assessment scales; lack of complete pain assessment record in the electronic nursing records; lack of staff confidence in evidence-based practice; lack of dedicated training time for staff; and low staff participation in consensus process. Strategies were formulated to address these barriers using JBI's GRiP method. Following implementation, compliance with all audit criteria significantly improved.</p><p><strong>Conclusion: </strong>The strategies developed using the JBI Evidence Implementation Framework positively impacted compliance with best practices.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A339.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral hygiene of palliative patients in hospice wards: a best practice implementation project.","authors":"Yun-Chain Roger Yau, Sing-Jyun Lin, Chien-Mi Chang, Pi-Sia Chen, Yu-Ting Chen, Shih-Ping Liu, Ya-Wen Lee","doi":"10.1097/XEB.0000000000000502","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000502","url":null,"abstract":"<p><strong>Introduction: </strong>Oral hygiene is crucial in palliative care, as it directly affects patient comfort and quality of life.</p><p><strong>Aim: </strong>This study aimed to enhance oral hygiene practices in hospice wards by aligning them with evidence-based guidelines, evaluating current practices, identifying barriers, and implementing targeted interventions.</p><p><strong>Methods: </strong>This study was conducted at Changhua Christian Hospital in Taiwan and involved 18 nurses and 30 unique patients. Using the JBI Evidence Implementation Framework, the project followed a structured methodology to assess and improve compliance with oral hygiene practices by conducting baseline and follow-up audits. An Oral Assessment Guide (OAG) was used to track and analyze oral health status.</p><p><strong>Results: </strong>The baseline audit revealed significant deficiencies: 0% compliance for denture care, 10% compliance for twice-daily cleaning of natural teeth, and 50% compliance for assessing mouthwash options for patients with swallowing difficulties. Post-intervention, the follow-up audit revealed that compliance for all nine audit criteria was 100%. Notably, the OAG scores improved from an average of 14.1 to 11.7, indicating enhanced oral health and patient quality of life.</p><p><strong>Conclusions: </strong>This study demonstrated that targeted educational interventions and adherence to best practice guidelines can significantly improve oral hygiene in hospice settings. Achieving full compliance across all criteria, including those initially at full compliance, underscores the importance of continuous improvement in care practices. These findings advocate for the integration of evidence-based practices to enhance the quality of patient care in palliative settings.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A332.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of complexity in clinical practice guidelines: a Delphi study including perspectives from guideline developers and implementers.","authors":"Marleen Corremans, Zachary Munn, Sanne Peters, Pascale Jonckheer, Heidi Parisod, Gerlinde Lenaerts, Marlène Karam, Nancy Durieux, Anne-Lise Leclercq, Ashley Boers, Herman Vandevijvere","doi":"10.1097/XEB.0000000000000499","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000499","url":null,"abstract":"<p><strong>Abstract: </strong>The Medical Research Council proposed a framework to develop and implement complex interventions in practice. How to adopt these interventions is described in recommendations of evidence-based clinical practice guidelines. Many factors may influence the complexity of a guideline. The aim of this paper is to describe the determinants of complexity in the development and implementation of an evidence-based clinical practice guideline.A working group with 16 participants was established, consisting of a debate team and a Delphi panel. The debate team discussed online to define the key elements of the MRC's definition of a complex intervention to see whether these elements are applicable to guidelines. These elements were presented to the Delphi panel to assess their relevance.After the first round, consensus was reached on eight elements, with the inter-rater reliability varying from 0.83 to 1.00. After the second Delphi round, consensus was reached on two more elements. The consensus stated that these ten elements all define an aspect of the complexity in guidelines. There was no agreement regarding the exclusion of a specific element.Developers and end-users consider that the complexity of a guideline and its implementation is affected when the number of components, settings, targeted behaviors, and stakeholders increase; when a gap exists between the guideline and the reality of clinical practice; or when differences in education are evident between end-users. Moreover, the level of collaboration required of the different end-users, the scope of change, the level of evidence in the guideline, and the workload for end-users also determine complexity.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A333.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An integrated, multidisciplinary, early identification, and triage program for university students at risk of anxiety and depression: a best practice implementation project.","authors":"Sarah J Templeton, Andrea L Canada","doi":"10.1097/XEB.0000000000000498","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000498","url":null,"abstract":"<p><strong>Introduction: </strong>Rising mental health issues among university students in the United States may significantly affect their academic progress, contributing to a variety of negative outcomes, ranging from poor academic performance to forced attrition.</p><p><strong>Objective: </strong>This study evaluated the implementation of an evidence-based practice (EBP) interdisciplinary approach to universal proactive mental health screening and triage at a university student health center (SHC).</p><p><strong>Methods: </strong>Using the Knowledge to Action framework, a comprehensive program was developed to identify and triage university undergraduate students at risk of mental health conditions, to address a gap between current practice and emerging EBP. Potential barriers to implementation were identified and strategies were developed to improve the translation of knowledge to practice. A retroactive chart audit was used to evaluate the effectiveness of practice improvements.</p><p><strong>Results: </strong>EBP interventions were implemented to proactively identify and triage mental health concerns in students, with positive results. Provider compliance with assessment and referral was 100%. Further studies are needed to assess long-term effectiveness.</p><p><strong>Conclusion: </strong>Our results confirm the usefulness of a comprehensive, proactive mental health program for detecting and triaging undergraduate students at risk of anxiety and/or depression. This interdisciplinary approach has the potential to address mental health issues among college students in a timely fashion and to best steward limited campus resources.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A327.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment, patency, and management of occlusion of central venous catheters in ICU and hemodialysis patients in a Hospital in Badajoz, Spain: a best practice implementation project.","authors":"Diego Javier Morcillo-Oliva, Laura Albornos-Muñoz","doi":"10.1097/XEB.0000000000000500","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000500","url":null,"abstract":"<p><strong>Introduction: </strong>Central venous catheters (CVCs) and other central venous access devices (CVADs) facilitate the administration of intravenous drugs, fluids, blood products, and parenteral nutrition in patients with chronic or critical illnesses. A lack of standardized practices had been identified in some countries, leading to the development and publication of guidelines.</p><p><strong>Aim: </strong>This project aimed to improve CVAD care by promoting evidence-based practices in an intensive care unit and a hemodialysis unit in a hospital in Badajoz, Spain.</p><p><strong>Methods: </strong>The study was based on the JBI approach to evidence implementation. A retrospective baseline audit was conducted before developing and implementing an evidence-based protocol for the assessment, patency, and management of occlusions in CVCs. The JBI Getting Research into Practice (GRiP) method was used to identify the factors underpinning gaps between evidence and everyday practice, as well as strategies to overcome them. A follow-up post-implementation audit was also conducted. The sample size was 34 patients.</p><p><strong>Results: </strong>Improvements in compliance were found in four of the six audited criteria. The barriers identified during the implementation process were mostly addressed, contributing to the positive results.</p><p><strong>Conclusions: </strong>This evidence implementation project resulted in the development of an evidence-based protocol on CVAD care in the selected units and can now be expanded to other settings. The project also improved the quality of nursing records and the maintenance of best practices.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A325.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward the sustainability of health care innovations to \"transform our world\": current status and the road ahead.","authors":"Gabrielle Chicoine, Sharon E Straus","doi":"10.1097/XEB.0000000000000496","DOIUrl":"10.1097/XEB.0000000000000496","url":null,"abstract":"<p><strong>Abstract: </strong>Inadequate sustainability of health care innovations or evidence-based interventions has led to calls from policymakers, researchers, and funders for research on how sustainability can be optimized to avoid research waste. In this discussion paper, we argue that research on health care innovation sustainability needs to be advanced. We critically examine the literature on the concept of sustainability and propose that research should address the fundamental question: How can we advance knowledge on health care innovation sustainability? We provide examples of important work undertaken in the field of implementation science, including definitions and conceptualizations of sustainability. We also highlight theories, models, and frameworks that have been proposed to inform sustainability research and guide how to plan for sustainability. Our analysis of the literature reveals a growing interest in the sustainability of health care innovations but also confirms that implementation science has yet to put sustainability at the center of its research endeavors. To assist this shift, we identify priority research gaps and use the United Nations 2030 Agenda for Sustainable Development as a road map for an implementation science research agenda to drive health care innovation sustainability. We propose three new research directions that, overall, aim for \"better health for all, leaving no one behind.\" These directions include: (1) advancing substantive research on sustainability while avoiding duplication; (2) identifying barriers, facilitators, and strategies to sustain engagement with multiple partners; and (3) advancing methods and tools to support monitoring, evaluation, and revision of strategies over time.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A323.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic investigations in adults with suspected stroke-improvement of door-to-imaging time: a best practice implementation project.","authors":"Radim Licenik, Petra Sedova, Tahir Ismail, Hasan Muhammad Khaled, Miloslav Klugar, Abanoub Riad, Jitka Klugarová","doi":"10.1097/XEB.0000000000000497","DOIUrl":"10.1097/XEB.0000000000000497","url":null,"abstract":"<p><strong>Objectives: </strong>This evidence implementation project aimed to assess and improve compliance with evidence-based neuroimaging criteria for adult patients with suspected stroke.</p><p><strong>Introduction: </strong>Stroke is the second leading cause of mortality and severe disability, requiring timely and accurate diagnosis. Clinical guidelines recommend brain imaging within 60 minutes of hospital arrival for suspected stroke patients. This project involved hospitals in North West Anglia NHS Foundation Trust, UK, serving 850,000 people with over 800 admissions annually.</p><p><strong>Methods: </strong>The JBI Evidence Implementation Framework was used to guide this project. JBI software, the Practical Application of Clinical Evidence System (PACES), as well as JBI's Getting Research into Practice (GRiP) approach, were used to conduct the audit and implementation phases. The project followed three stages: (1) implementation planning, (2) baseline assessment and implementation, and (3) impact evaluation. Three audit criteria were used to represent best practices for diagnosing suspected stroke patients.</p><p><strong>Results: </strong>The baseline audit revealed low compliance with the first criterion, with only 2.9% (1/35) of patients receiving a CT head scan within 1 hour of admission. In the follow-up audit, compliance improved to 45.2% (14/31). The other two criteria, diagnosis by a trained health care professional and baseline ECG assessment, had already achieved 100% compliance in the baseline audit.</p><p><strong>Conclusions: </strong>Compliance with evidence-based neuroimaging criteria improved after implementing targeted educational strategies and training. The rate of CT scans conducted within 1 hour increased, although door-to-imaging times remain suboptimal compared with achievable benchmarks of ≤ 20 minutes. Ongoing education and training are crucial for sustaining high compliance and improving stroke patient outcomes.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A324.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}