J 2019

The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries

ZAHUMENSKY, J., P. PSENKOVA, Petr JANKŮ and Pavel VENTRUBA

Basic information

Original name

The impact of national guidelines on EBM implementation in clinical practice: a comparison between the practices in two countries

Authors

ZAHUMENSKY, J. (703 Slovakia), P. PSENKOVA (703 Slovakia, guarantor), Petr JANKŮ (203 Czech Republic, belonging to the institution) and Pavel VENTRUBA (203 Czech Republic, belonging to the institution)

Edition

CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY, MONTREAL, 7847050 CANADA INC, 2019, 0390-6663

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

Canada

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 0.139

RIV identification code

RIV/00216224:14110/19:00112996

Organization unit

Faculty of Medicine

DOI

UT WoS

000475301100014

Keywords in English

Guideline adherence; Obstetrical anal sphincter injuries; OASIS management; EBM

Tags

Tags

International impact, Reviewed
Změněno: 18/2/2020 14:43, Mgr. Tereza Miškechová

Abstract

V originále

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.