Title |
Theory of planned behaviour can help understand processes underlying the use of two emergency medicine diagnostic imaging rules
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Published in |
Implementation Science, August 2014
|
DOI | 10.1186/s13012-014-0088-x |
Pubmed ID | |
Authors |
Richard Perez, Jamie C Brehaut, Monica Taljaard, Ian G Stiell, Catherine M Clement, Jeremy Grimshaw |
Abstract |
Clinical decision rules (CDRs) can be an effective tool for knowledge translation in emergency medicine, but their implementation is often a challenge. This study examined whether the Theory of Planned Behaviour (TPB) could help explain the inconsistent results between the successful Canadian C-Spine Rule (CCR) implementation study and unsuccessful Canadian CT Head Rule (CCHR) implementation study. Both rules are aimed at improving the accuracy and efficiency of emergency department radiography use in clinical contexts that exhibit enormous inefficiency at the present time. The rules were prospectively derived and validated using the same methodology demonstrating high sensitivity and reliability. The rules subsequently underwent parallel implementations at 12 Canadian hospitals, yet only the CCR was observed to significantly reduce radiography ordering rates, while the CCHR failed to have any significant impact at all. The drastically different results are unlikely to be the result of differences in implementation strategies or the decision rules. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 2 | 33% |
Unknown | 4 | 67% |
Demographic breakdown
Type | Count | As % |
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Scientists | 3 | 50% |
Members of the public | 2 | 33% |
Science communicators (journalists, bloggers, editors) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
South Africa | 1 | 1% |
Unknown | 69 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 16 | 23% |
Student > Ph. D. Student | 9 | 13% |
Researcher | 8 | 11% |
Student > Doctoral Student | 7 | 10% |
Librarian | 3 | 4% |
Other | 10 | 14% |
Unknown | 17 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 20 | 29% |
Nursing and Health Professions | 11 | 16% |
Social Sciences | 5 | 7% |
Psychology | 5 | 7% |
Economics, Econometrics and Finance | 2 | 3% |
Other | 2 | 3% |
Unknown | 25 | 36% |