Analysis of secondary care data to evaluate the clinical relevance of the drug-drug interaction between amlodipine and simvastatin.
CONCLUSIONS: The present analysis shows an increasing trend of combined prescriptions of amlodipine and simvastatin. Evidence for simvastatin dose adaptation or therapy switch to another hydroxymethylglutaryl-CoA-reductase inhibitor, however, was not found. Muscular discomfort does not occur more often in patients with amlodipine and simvastatin compared to the two control groups. The results of the present analysis reveal no evidence for a clinically relevant interaction between amlodipine and simvastatin. PMID: 31324418 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - July 23, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Digital Health Literacy in Germany - demanded, but not supported? Results of the empirical study TK-DiSK].
This article develops a timely definition of digital health literacy and argues for a comprehensive and targeted promotion addressing individuals as well as organizations. PMID: 31307911 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - July 18, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Methodische Anleitung f ür Scoping Reviews (JBI-Methodologie).
This article explains the methodology of scoping reviews, their differences as compared to systematic reviews, and the reasons why they could be conducted. This guide to conducting scoping reviews is based on the methodology developed by the Joanna Briggs Institute (JBI). PMID: 31296451 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - July 14, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Structuring of inpatient case management to improve quality and cost-effectiveness of inpatient healthcare providers from a university hospital's point of view].
CONCLUSION: The homogenization of the case management activities on hospital wards by clinical case managers has the potential and possibilities to relieve both medical and nursing staff of these activities, while improving the quality and efficiency of care for patients, staff and cross-sectoral healthcare provider at the same time. PMID: 31279645 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - July 8, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Between precision medicine streichen mastery: what doctors want].
CONCLUSION: Recent advances in diagnostic methods increase the cognitive demands on clinicians and thus their uncertainty. By uncritically using advanced technologies in their practice, physicians exploit their archetypical powers of healers. In a paradoxical way, modern technologies reduce uncertainties felt by doctors and their patients in an archaic fashion. PMID: 31266739 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - July 4, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Experiences with health technologies to support physical activity in people over the age of 65: A qualitative survey of the requirements for the development of preventive technologies for a heterogeneous target group].
CONCLUSION: Experience and acceptance in dealing with future preventive technologies as well as concerns, ideas and requirements could be inferred from discussions with the heterogeneous target group. To achieve these findings, general strategies (e.g. notices, press) such as specific strategies (e.g. multipliers) and sufficient time are important to ensure a target group-specific access to different groups of people. PMID: 31235346 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - June 28, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[The state of digitization of the German healthcare system].
Authors: Caumanns J Abstract The state of digitization of the German healthcare system has often been characterized as unsatisfactory. This euphemistic classification suggests a problem of implementation. In reality, however, the problems lie much deeper in the structure of the German healthcare system, which makes both the establishment of a comprehensive eHealth governance and the sustainable implementation of digital transformation virtually impossible. Actors that could promote digitization are either not well organized (patients) or have got stuck in the last century technologically (hospitals). Focusing on am...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - June 18, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Evidence-based policy-making? The meaning of scientific knowledge in policy processes].
Authors: Saretzki T Abstract Scientific findings are often not adopted and utilized as assumed and intended by their producers and mediators. These gaps in the uptake and use of scientific "evidence" induce reflections on the communication between science and its addressees in society. If "politics" is conceived as an addressee, could its members be identified as a "target group"? What are the knowledge needs of policy-makers? What do they expect not only in terms of "the evidence" provided, but also with regard to the role that its producers play in processes of counselling?...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - June 17, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Digitalisierung und Patientensicherheit: Wo stehen wir?
Authors: Weigand M PMID: 31186179 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - June 14, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Panic disorder and agoraphobia in general practice: Advantages and pitfalls of a practice team-supported exposure training from the general practitioner's perspective - a qualitative study].
CONCLUSION: From the GP perspective, the treatment program for patients with panic disorder and/or agoraphobia seems to be a viable therapeutic option in primary care. PMID: 31176641 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - June 11, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Qualitative analysis of lean management in healthcare: perspectives of Austrian and Swiss experts].
CONCLUSION: A critical analysis of the results shows that implementing the lean management approach in a hospital will pose a major challenge. The functional, hierarchical structure as well as the understanding of leadership and the organizational culture are critical success factors. PMID: 31153810 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - June 4, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Patient safety hazards resulting from information technology usage in outpatient oncology infusion centers: A prospective analysis of information management].
CONCLUSIONS: Overall, it has been shown that the design of the HIT systems is not sufficiently adapted to the work processes and does not support clinicians in being fully informed about a patient. The topics identified point to future system design and areas for improvement. In this process, it is very important to align the real work requirements with the design of the HIT and to evaluate and monitor the actual implementation and use of HIT. PMID: 31080152 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 15, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[What do rehabilitation patients expect from a telemedicine cardiac rehab aftercare? Results from interviews with rehabilitation patients].
CONCLUSIONS: Overall, the option of telemedical aftercare was viewed favorably by rehabilitation patients as long as the program included personal contact with a healthcare provider. Respondents preferred interaction via familiar media, especially by phone. Low-threshold experiences with new technologies may help overcome reservations and facilitate acceptance of innovative telemedical services in rehabilitation patients. Personal interaction with an attending member of staff should occur throughout aftercare programs, at least occasionally or during initial the stage. PMID: 31072808 [PubMed - as supplied by publisher]...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 12, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Project Report: Evaluation of the Practical Year (PY) at the Charit é Medical School, University Medicine Berlin].
CONCLUSIONS: In general, the PY experience at the Charité was rated positively. Some rotations receiving poor evaluations desperately need to be reviewed. The role of the logbook seems to be imperfectly defined. The survey results suggest that further evaluation of our program is needed with ongoing participation of students and their representatives. PMID: 31072809 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 12, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Well informed? Survey results on individual out-of-pocket health services in selected GP practices].
CONCLUSION: This non-representative survey indicates that many patients make use of IGeL. However, they are often not well advised. Physicians should consider criteria of the checklist more rigorously. PMID: 31054923 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 7, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Parents as co-producers in the healthcare system: Individual perspectives and consequences for educational concepts].
CONCLUSION: Supplemented by the perspective of professionals, insights into the parents' perspective can serve as the basis for empirical impact analysis. The empirically validated intervention concepts for instructive action must be integrated into existing educational, training and further education courses in order to ensure systematic dissemination of knowledge into physiotherapy. In addition, a debate on professional policy must be launched in order to secure instructive action more strongly in the physiotherapeutic repertoire. PMID: 31056350 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fo...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 7, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Auftakt-Editorial: Aus der Ferne behandeln – geht denn das?
Auftakt-Editorial: Aus der Ferne behandeln – geht denn das? Z Evid Fortbild Qual Gesundhwes. 2019 Apr 29;: Authors: PMID: 31047826 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - May 4, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Appropriateness of physiotherapy care in Germany: a scoping review].
DISCUSSION: The review shows a lack of empirical evidence since sufficient empirical findings regarding the appropriateness of physiotherapy care are missing for many of the indications, in particular on physiotherapy in hospitals and rehabilitation facilities. The results of single studies are limited by insufficient assessment of therapeutic needs or the therapy modalities applied. Analyses which encompass multiple settings and/or providers of care have not been conducted in all studies, even though respective approaches would have been suitable. Nevertheless, suggestions for targeted improvement of the appropriateness o...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - April 22, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Telemedicine projects in rural areas of Germany A systematic evaluation with the "Model for Assessment of Telemedicine"].
CONCLUSION: Publications on telemedical projects are often characterized by unsystematic approaches. The MAST instrument identifies areas where the approaches to telemedical projects could be extended in the future to ensure the sustainability and feasibility of these prototypical telemedical applications. PMID: 30962133 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - April 11, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Developing a recommendation for handling risks through digital transformation in patient care].
Authors: Strametz R, Jahn D, Müller H, Huf W Abstract Digital transformation in healthcare presents enormous challenges as it partially redefines care processes and interaction between patients and doctors. In order to seize opportunities to improve patient care as well as patient safety by using digital innovations, arising patient safety risks due to these changes have to be considered and addressed. The German Coalition for Patient Safety, the Austrian Network for Patient Safety and the Swiss Foundation for Patient Safety decided to develop a recommendation for members of all professional groups in health c...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - April 8, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Content validity of a culturally adapted checklist for self-assessment of critical incident reporting system audit teams in a Swiss university hospital].
DISCUSSION: The adapted checklist for self-assessment of the CIRS teams' work flow received good ratings for content validity but its usefulness for CIRS teams was found to be limited. The checklist may benefit from further development. PMID: 30935787 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - April 4, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Pharmacokinetic and pharmacodynamic modelling in paediatric drug development with a focus on physiology-based pharmacokinetic simulations].
Authors: Läer S Abstract Pharmacokinetic and pharmacodynamic models are mandatory for dosing and the safe use of drugs in the paediatric population. Different modelling methods allow for the development of dosing regimens for children requiring only a small number of blood samples or none at all. The medicines regulatory authorities recommend using these methods for paediatric drug development programs. Taking sildenafil as an example, the least invasive method of physiology-based pharmacokinetic simulation for the development of dosing regimens in the paediatric population is presented. PMID: 30935788 [Pu...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - April 4, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Emergency care in nursing homes in the City of Braunschweig: A cross-sectoral view with indicators from deaths, resuscitation, emergency department visits and EMS deployment].
CONCLUSION: Compared to the entire population of the City of Braunschweig, EMS deployment was more frequent in nursing homes. The chance of hospital death or failed CPR was slightly lower. There are large variations between the different nursing homes. Indicators from routine data can provide guidance for more specific surveys but do not allow benchmarking. PMID: 30922714 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 31, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Reasons for non-acceptance and non-use of a home telemonitoring application by multimorbid patients aged 65 years and over].
CONCLUSION: In order to increase the acceptance and the added value of TMA for patients, the individual needs of the future target group should be analyzed at the beginning of the development. To ensure maximum user centricity, individual development steps should be continuously evaluated by the target group. TMA should be adapted to the functional abilities of elderly, multimorbid patients through, e. g., an appropriate design of the content, which is tailored to patients' individual needs. TMA should be used to an appropriate degree to avoid overburdening and should fit unobtrusively into patients' usual daily routine. F...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 28, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Early diagnosis of a rare disease in children through better communication between parents, physicians and academic centers].
Authors: Kohlschütter A, van den Bussche H Abstract The correct and early diagnosis of a rare disease in children is of particular importance in regard to the frequently fateful consequences for young families. Even well-known rare diseases are diagnosed with unacceptable delay in many countries. After decades of studying medical histories with delayed diagnoses and the respective literature, we describe the often severe aftereffects of a late diagnosis. We point out the underlying problems on the part of the physicians involved, of the affected families and of the health system in Germany, in particular with ...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 19, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Internal diagnostic validation of patients with a chronic wound - possibilities of identification on the basis of routine data].
CONCLUSION: It is possible to define patients with a chronic florid wound on the basis of wound-relevant treatments using SHI data and to make estimates of administrative prevalence. Depending on the question, the criteria for defining cases can be narrowed down or broadened. The comparison provides information on the internal validity of diagnostic coding. However, further studies are needed to verify external validity. PMID: 30876780 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 18, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[GRADE: Evidence to Decision (EtD) frameworks - a systematic and transparent approach to making well informed healthcare choices. 2: Clinical guidelines].
This article focuses on the selection and operationalization of those criteria of the EtD framework that are relevant for clinical recommendations in guidelines. These include the priority of the problem, benefits and harms, certainty of the evidence, importance of the outcome, balance, resource use, equity, acceptability and feasibility. To make a recommendation, a panel must consider the implication and importance of each of the above judgments. The EtD framework helps ensure consideration of key criteria that determine whether an intervention should be recommended and that judgments are informed by the best available ev...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 13, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Considering context in assessing the transferability of evidence].
Authors: Gerhardus A, Barbek R Abstract Practitioners and providers who want to apply evidence from studies will usually face the following two questions: 1) 'Are the study results valid?', and 2) 'Will these results be the same in my setting?' Major progress has been achieved in regard to the first question. An array of tools to assess the validity has been developed. Much less effort, though, has been put into developing and applying methods to assess the transferability of evidence from one setting to another. Existing concepts to assess transferability aim at identifying similarities and differences between the...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 9, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[What speech therapists, occupational therapists and physical therapist need to know to become evidence-based practitioners: A cross-sectional study].
DISCUSSION: Scientific qualification of healthcare practitioners must address the learning requirements for evidence-based practice. For this purpose, teaching of scientific work skills such as scientific writing, evidence-based practice and quantitative and qualitative methods is recommended. The fact that the questionnaire has not been validated may limit the validity of the results. Due to the indirect distribution of the questionnaires, the survey may have been liable to non-response bias. PMID: 30837124 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 8, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

["Transferability": Is GRADE the solution?]
["Transferability": Is GRADE the solution?] Z Evid Fortbild Qual Gesundhwes. 2019 Feb 26;: Authors: Goldkuhle M, Jakob T, Kreuzberger N, Skoetz N Abstract Biological and social factors, such as age, comorbidities and the care system, may - as well-established effect-modifiers - limit the transferability of study results to populations with dissimilar characteristics. In order to enable transparent and evidence-based decisions in systematic reviews and guidelines targeting subpopulations that are little or not represented in the study landscape, the GRADE approach is a valid tool to assess the...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - March 5, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Prevalence and influencing factors of chronic wounds among clients of home care services in Germany].
CONCLUSION: In view of the fact that one out of nine care recipients receiving assistance from home care services is affected by at least one non-healing wound, special attention should be paid to the prevention, detection and treatment of chronic wounds. Furthermore, it seems particularly necessary to identify the relevant risk groups in order to be able to initiate adequate and preventive measures at an early stage. PMID: 30777680 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - February 20, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

From bioequivalence to biosimilars: How much do regulators dare?
Authors: Weise M Abstract The main advantage of an abbreviated licensing pathway is the possibility of extrapolating efficacy and safety data from an original medicinal product to a subsequent "copy" version, thereby reducing the clinical development programme in particular. For small-molecule chemically synthesized generics, such an abbreviated licensing pathway was established decades ago, whereas it was only more recently implemented for similar biological medicinal products, so-called biosimilars. Clinicians and patients have repeatedly expressed concerns about the efficacy and safety of biosimilars, ...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - January 11, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Evaluation and assessment of the health care process in patients with carbon monoxide poisoning in Germany].
CONCLUSION: In order to achieve a consistent treatment of patients with COP which meets the standard of recommended care, there is an urgent need for a consented national guideline. Another objective is to establish a nationwide prospective registry evaluating the treatment of carbon monoxide poisoning. PMID: 30598287 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - January 3, 2019 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Development of empirical recommendations for regional hospice and palliative care networks in Germany: A qualitative study.
CONCLUSIONS: The call for establishing and developing standards for hospice and palliative care networks was situated within the current policy climate of Germany and the broader international community. The present recommendations can aid implementation of this request and have a strong relevance for practice. PMID: 30591230 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - December 30, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[The M ünsteraner Memorandum on Alternative Practitioners - Analysis and evaluation of critical commentaries].
[The Münsteraner Memorandum on Alternative Practitioners - Analysis and evaluation of critical commentaries]. Z Evid Fortbild Qual Gesundhwes. 2018 Nov;137-138:27-35 Authors: Reichardt JO, Friedrich DR Abstract With its "Münsteraner Memorandum on Alternative Practitioners" the author collective "Münsteraner Kreis" has recently criticized current German double standards for physicians versus alternative practitioners with regard to minimal competency and to quality assurance. The authors' main goal was to attract attention to the problem and to provide systematic argum...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - December 14, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Signs of social inequality in information seeking and evaluation of information among young women with breast cancer - results of a cohort study].
CONCLUSION: To young breast cancer patients, the internet is crucial for obtaining further information. The indication of a social gradient underlines the importance of addressing the information needs of patients with a lower socioeconomic status. PMID: 30473447 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 28, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Formal and informal support of patients with dementia at home: A mixed methods study within the Actifcare project].
CONCLUSION: People with dementia and their informal caregivers should be informed about formal care services and involved in decision-making processes as early as possible. To this purpose, account must be taken of the various informal social networks. This could improve the use of formal care services and the further development of these offers and thus prolong care at home. PMID: 30477972 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 28, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Significant others' experience of hospitalized patients' transfer to home: A systematic review and meta-synthesis.
CONCLUSIONS: The studies in this review provided useful and credible statements from caregivers' voices that are not previously aggregated nor presented. The findings enlighten both positive and burdensome experiences in the everyday life of caring for a significant other after discharge. PMID: 30477973 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 28, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[The role of migrant organizations in health care: An integrative review].
CONCLUSION: MOs, as protected social spaces in everyday life, provide an opportunity to offer healthcare services to organizationally affine people with a migration background. However, the research process (e.g., selection of MOs, field access, recruitment of participants) does not seem to be methodologically stringent. Above all, it is still unclear which principles are effective when MOs are integrated into health services. This is where future projects should be started. PMID: 30477974 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 28, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Estimating the incidence of venous thromboembolism (VTE) using various types of routine data of the German healthcare system].
DISCUSSION: Results on the VTE incidence based on DaTraV or HRI date are comparable to international evidence, whereas the use of the IMS Disease Analyzer data presumably led to an overestimation due to double-counting of VTE cases. Different types of routine healthcare data sources can therefore lead to very heterogeneous results. Thus, the selection of adequate data sources strongly depends on the study question and the quality of the dataset. PMID: 30477975 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 28, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Einf ührendes Editorial.
Einführendes Editorial. Z Evid Fortbild Qual Gesundhwes. 2018 Nov 21;: Authors: Lange S PMID: 30472274 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 27, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Undisclosed conflicts of interest in German-language textbooks of anesthesiology, critical care, and emergency medicine.
CONCLUSIONS: Recommendations on volume resuscitation with HES are highly controversial in German-language electronic textbooks; about one-quarter of relevant textbooks are inconsistent with regulatory authority or international guideline criteria. Undisclosed potential COI of textbook authors making controversial recommendations of HES were frequent, linking roughly one in five authors to the HES-producing industry. Against this background, COI statements must become part of standard textbook publication ethics. PMID: 30472275 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualita...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 27, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Analysis of individual quality categories from quality management systems and their influence on the overall system].
CONCLUSION: 17 quality categories have a significant influence on the overall rating based on sample documents, flow charts, process flows, interview guidelines, maintenance protocols, or job advertisements. There are also eleven categories with a significant and pronounced effect on all three QM systems. PMID: 30472276 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 27, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Extrapolation of data to inform system-level decisions of the Federal Joint Committee].
Authors: Pfenning E, Nolting A Abstract The evaluation procedures of the Federal Joint Committee (G-BA) often raise the question of whether and under what conditions findings can be transferred to other areas of application or interventions. Additional information is required in each case to test transferability. On the basis of selected examples from the decision-making practice of the G-BA, the complex weighing processes are outlined and the need for transparent illustration of the reasons for decisions is pointed out. The criteria, which in any case must be examined, cannot be described conclusively. Depending o...
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 25, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Robotic systems for care at home: A scoping review].
DISCUSSION: Robotic systems in home care have mainly been investigated in exploratory or pilot studies. Apart from technical aspects, the studies focussed on ease of use and, to this purpose, predominantly employed prototype robots. No reference was made to users' living environment, and there was no proof of effectiveness. The devices are far from being in the stage of broad practical application. PMID: 30420249 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 15, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Comorbidity of chronic back pain and depression in Germany: Results from the GEDA study, 2009 and 2010.
CONCLUSION: The results show a strong association of depression and chronic back pain. The direction of association cannot be determined due to the cross-sectional design of the study. Identifying patients at risk for comorbid depression and chronic back pain early on might improve treatment and reduce the economic impact. PMID: 30415830 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 14, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Methods to detect inappropriate use of MRI and CT for musculoskeletal conditions: A scoping review.
CONCLUSIONS: We could not find a single method of choice to detect inappropriate use of MRI or CT in the musculoskeletal system. A combination of different approaches is the preferred strategy to deal with the advantages and disadvantages of the individual methods. PMID: 30413357 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - November 11, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Information on migration-sensitive websites of orthopedic rehabilitation facilities: Results of a document analysis].
CONCLUSIONS: Just a few rehabilitation facilities provide information regarding migration-sensitive services on their websites. The presentation of information about treatment concepts was neither transparent nor patient-centered. Patients with a migration background and especially with language problems will face several barriers when searching the internet for rehabilitation services which meet their needs. PMID: 30348594 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - October 25, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

Pediatric communication training: A project report on an innovative approach and its effects on student acceptance.
CONCLUSIONS: Despite large efforts to improve teaching, evaluation results do not necessarily meet educators' expectations. If evaluations are more likely to measure acceptance alone among students, improvements in teaching might not be fully communicated to medical educators. PMID: 30344093 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - October 24, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research

[Structuring and supporting specialist training in general practice: Evaluation of a Hesse-wide mentoring program for doctors].
CONCLUSION: The provided mentoring program fulfilled the expectations of the DiTs in general practice. Combined with the Specialist Training Academy's seminar program, the two programs complement each other and are an important step towards making specialist training in general practice more attractive. PMID: 30297261 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - October 11, 2018 Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research