Table 5 Selected clinical outcomes at pre and post guideline implementation ‡
Guideline | Selected process of care indicators and patient outcomes | Pre % | Post % | p-value | Changes†Source of Data |
|---|---|---|---|---|---|
Asthma N = 80 Pre N = 48 Post | Assessment of patient use of β2 agonist | 52.5 | 72.9 | 0.026 | + chart |
| Â | Individual action plan for client discharge | 3.8 | 23.9 | 0.001 | + chart |
| Â | Teaching information provided | 3.8 | 27.1 | 0.000 | + chart |
Breastfeeding | Breast-feeding in hospital N = 75 Pre; N = 76 Post | Â | Â | Â | - Interview in hospital |
|  |    Exclusive | 80.0 | 67.1 |  |  |
|  |    Mixed | 20.0 | 22.4 | 0.012 |  |
|  |    Formula only | 0.0 | 10.5 |  |  |
| Â | Infant supplementation given N = 103 Pre; N = 89 Post | 24.3 | 34.8 | 0.115 | ns chart |
Delirium, Dementia and Depression N = 196 Pre N = 186 Post | Assessment on admission for memory problems | 66.3 | 76.9 | 0.024 | + chart |
| Â | Assessment on admission for mood (i.e. depression) | 29.6 | 45.0 | 0.003 | + chart |
| Â | Assessment during stay for memory problems | 62.4 | 72.7 | 0.037 | + chart |
Diabetes Foot Care N = 97 Pre N = 119 Post | Assessment for risk factors for foot ulceration/amputation | 16.5 | 60.7 | 0.000 | + chart |
| Â | Monofilament used to assess sensation in the feet | Â | Â | Â | + chart |
|  |    Yes | 0.0 | 57.1 | 0.000 |  |
|  |    No | 75.8 | 5.9 |  |  |
|  |    No note | 24.2 | 37.0 |  |  |
Smoking Cessation | Received advice on stopping smoking or staying quit N = 116 Pre; N = 93 Post | 1.7 | 17.4 | 0.000 | + chart |
| Â | Self-help information given N = 116 Pre; N = 93 Post | 1.7 | 28.0 | 0.000 | + chart |
| Â | Have you tried to quit smoking in the past 2 months? N = 36 Pre; N = 21 Post | 66.7 | 33.3 | 0.026 | - Telephone call at home |
Venous Leg Ulcers N = 87 Pre N = 52 Post | Assessed for clinical history and features associated with venous disease | 58.6 | 96.2 | 0.000 | + Chart |
| Â | Doppler measurement of Ankle Brachial Pressure Index (ABPI) | 3.7 | 45.7 | 0.000 | + Chart |