Table 4 Description of recommendations and proportion of indicators which improved or not from pre to post implementation
| Â | Asthma | Breastfeeding | Delirium, Dementia, Depression | Foot Complications Diabetes | Smoking Cessation | Venous Leg Ulcers |
|---|---|---|---|---|---|---|
Recommendations implemented | 4//4 | 3/7 | 7/7 | 6/6 | 3/7 | 52/56 |
Content of recommendations implemented†| -Assess asthma control -Educate re Asthma -Develop action plans -Assess inhaler device technique | -Endorse WHO Baby Friendly Hospital Initiative Advocate friendly environments -Promote community action -Assess Postnatal factors -Educate and support | -Maintain suspicion for DDD in the older adult -Screen for cognition, function, behaviour and mood -Use structured assessment & standardized tools | -Physical exam of feet to assess risk factors -Educate about foot care Educate tailored to knowledge, needs and risk factors | Minimal smoking cessation intervention using ask, advice, assist, arrange protocol Recognize relapse is common and need to re-engage. | -Assess risk factors -Measure surface areas -Ankle Brachial Pressure Index -Assess Pain Debride wound -Assess Infection -Graduated compression bandaging |
Number of chart audit items | 12 | 4 | 19 | 13 | 12 | 15 |
   Improvements* | 7 | 0 | 3 | 12 | 4 | 9 |
   No difference | 5 | 3 | 16 | 1 | 8 | 6 |
   Worse* | 0 | 1 | 0 | 0 | 0 | 0 |
Number of patient interview items | 5 | 9 | N/A | 7 | 12 | N/A |
   Improvements* | 1 | 0 |  | 7 | 0 |  |
   No difference | 4 | 9 |  | 0 | 12 |  |
   Worse* | 0 | 0 |  | 0 | 0 |  |
Observation | 1 | N/A | N/A | N/A | N/A | N/A |
   Improvements* (Inhaler use) | 1 |  |  |  |  |  |
Number of items in follow-up telephone call | 3 | 6 | N/A | 3 | 11 | N/A |
   Improvements* | 2 | 1 |  | 0 | 0 |  |
   No difference | 0 | 5 |  | 3 | 10 |  |
   Worse* | 0 | 0 |  | 0 | 1 |  |
Total # indicators N% | 21 | 19 | 19 | 23 | 35 | 15 |
   Improvements* | 11 52.4% | 1 5.3% | 3 15.8% | 19 82.6% | 4 11.4% | 9 60.0% |
   No difference | 10 47.6% | 17 89.5% | 16 84.2% | 4 17.4% | 30 85.7% | 6 40.0% |
   Worse* | 0 | 1 5.3% | 0 | 0 | 1 2.9% | 0 |