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@article{1624176,
author = {Zahumensky, J. and Psenkova, P. and Janků, Petr and Ventruba, Pavel},
article_location = {MONTREAL},
article_number = {3},
doi = {http://dx.doi.org/10.12891/ceog4652.2019},
keywords = {Guideline adherence; Obstetrical anal sphincter injuries; OASIS management; EBM},
language = {eng},
issn = {0390-6663},
journal = {CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY},
title = {The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries},
url = {http://dx.doi.org/10.12891/ceog4652.2019},
volume = {46},
year = {2019}
}
TY - JOUR
ID - 1624176
AU - Zahumensky, J. - Psenkova, P. - Janků, Petr - Ventruba, Pavel
PY - 2019
TI - The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries
JF - CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY
VL - 46
IS - 3
SP - 413-417
EP - 413-417
PB - 7847050 CANADA INC
SN - 03906663
KW - Guideline adherence
KW - Obstetrical anal sphincter injuries
KW - OASIS management
KW - EBM
UR - http://dx.doi.org/10.12891/ceog4652.2019
L2 - http://dx.doi.org/10.12891/ceog4652.2019
N2 - Objective: To determine if the application of guidelines for obstetrical anal sphincter injuries (OASIS) management adopted by professional society in a country improves healthcare compared to a country where the guidelines are not adopted. Materials and Methods: In 2008 and 2016, a questionnaire was sent to every maternity ward in the Czech and Slovak Republics. In 2011, the guidelines for OASIS management were published in the Czech Republic. The authors compared the changes in the management of OASIS in both countries and evaluated the effect of the guidelines on healthcare improvement. Results: In 2008, the current Royal College of Obstetricians and Gynaecologists (RCOG) classification of OASIS was not used by any hospital in both countries. In 2016, the classification was used by 48.8% of hospitals in the Czech Republic and by 11.5% of hospitals in the Slovak Republic. The percentage of hospitals in the Czech Republic which used antibiotic prophylaxis while treating OASIS increased from 87.3% in 2008 to 100% in 2016. In the Slovak Republic, the percentage decreased from 85.7% to 73.1%. Active follow-up increased in the Czech Republic from 40% to 70.8%. In the Slovak Republic, it increased from 33.3% to 38.5%. In 2008, the management according to EBM was not performed by any of centres participating in the survey. In 2016, this percentage increased to 34.1% in the Czech Republic and to 3.8% in the Slovak Republic. Conclusion: The introduction of guidelines improved healthcare more significantly compared to the country where guidelines are not yet adopted.
ER -
ZAHUMENSKY, J., P. PSENKOVA, Petr JANKŮ a Pavel VENTRUBA. The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries. \textit{CLINICAL AND EXPERIMENTAL OBSTETRICS \&{}amp; GYNECOLOGY}. MONTREAL: 7847050 CANADA INC, roč.~46, č.~3, s.~413-417. ISSN~0390-6663. doi:10.12891/ceog4652.2019. 2019.
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