Appraisal Guide: Recommendations of a Clinical Practice Guideline

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Appraisal Guide: Recommendations of a Clinical Practice Guideline APA Formatted Citation: Answer Here: Cournan, M., Fusco-Gessick, B., & Wright, L. (2018). Improving Patient Safety Through Video ... Monitoring. Rehabilitation Nursing, 43(2), 111–115. https://doiorg.ezp.waldenulibrary.org/10.1002/rnj.308. Synopsis 1. What group or groups produced the guideline? Answer Here: The group that contributed to the production of the guideline is the rehabilitation facility in upstate New York. In 2014, the facility became aware of the video monitoring system and began implementing the program. 2. What does the guideline address? Clinical questions, conditions, interventions? Answer Here: The guide lines addressed fall prevention with use of Video monitoring system on patients with high fall risk that have neurovascular injuries, brain injuries, orthopedic joint replacements, and cardiac and pulmonary diseases. 3. What population of patients is the guideline intended to address? Answer Here: Fall risk in-patient rehabilitation patients with brain injury. The focus was on a 31-bed brain injury unit where the majority of falls occurs. 4. Did the panel use existing SRs or did it conduct their own? Answer Here: The panel conducted their own research results. 5. What clinical outcomes was the guideline designed to achieve? Answer Here: The clinical outcomes of the guideline were designed to achieve a beneficial results of patient video monitoring and the decrease of patient fall. The fall on the brain injury patients decreased in the months after the introduction of the cameras. 6. What are the main recommendations? Answer Here: The main recommendation is the continuous use of video monitoring for patients with a high risk of fall with consistent monitoring. Even though the video monitoring system was effective in the reduction of falls, there is a continuous reevaluation of its use in other to provide the highest degree of patient safety 7. What system was used to grade the recommendations? Answer Here: Unit managers nurses met to discuss the effects and success of the system. Family as well as staff reported satisfaction with the use of the video monitoring system. [Show More]

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