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Healthcare Informatics and Information Synthesis
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Healthcare Informatics and Information Synthesis
Developing and Applying Clinical Knowledge to Improve Outcomes


Other Titles in:
Clinical Medicine

© 2002 | 704 pages | SAGE Publications, Inc
This work is a useful resource that covers the process of research synthesis for the purpose of evidence based healthcare improvement. Williamson et al. integrate the conceptual and procedural dimensions of research synthesis in each of the five stages of the process to produce step-by-step instructions for clinically applicable research syntheses. The book includes a compendium of Internet sources and addresses as well as several blank forms that serve as checklists and for the recording of important information. Medical specialists and researchers, graduate students, and those who write health science articles for the lay public will find this an invaluable resource for conducting healthcare research syntheses.
 
About the Authors
 
Foreword: How to Read This Book
 
1. Introduction: Healthcare Information Synthesis and Informatics
Section A. Fundamental Goals of This Book  
Section B. Basic Concepts: 'Information Synthesis' and ' Healthcare Informatics'  
Section C. Organization of This Book  
Section D. Information Synthesis Methods Literature  
Section E. Synthesis Evaluation Criteria  
Section F. Potential Contributions of This Book  
Summary  
 
STAGE I: PLANNING AND PREPARATION
 
2. Synthese Planning Prerequisites and Conceptual Issues
Section A. Information Synthesis and Resource Constraints  
Section B. Informatics and Internet Background  
Section C. Alternative Synthesis Designs to Consider  
Section D. Formulation of Synthesis Topic and Model  
Section E. Synthesis Audience and Their Needs  
Section F. Linking Synthesis to Healthcare Outcomes Improvement  
Section G. Final Project Planning Issues  
Summary  
 
3. Procedures for Synthesis Planning and Preparation
Procedure A. Formulate Topic by Group Consensus  
Procedure B. Establish a Project Plan  
Procedure C. Obtain Informatics Resources  
Procedure D. Recruit and Train Project Staff  
Procedure E. Organize Project Files  
Procedure F. Finalize Preparations  
Products of the Procedures in Chapter 3  
Summary  
 
4. Evaluation and Improvement of Stage I
Procedure A. Assess and Enhance Documentation Adequacy  
Procedure B. Assess and Enhance Clinical Significance  
Procedure C. Assess and Enhance Scientific Soundness  
Procedure D. Assess and Enhance Cost-Effectiveness  
Summary  
 
STAGE II: DATABASE DEVELOLPMENT
 
5. Conceptual Issues in Database Development
Section A. Bias  
Section B. Levels of Information Soundness  
Section C. Strategic Searth Considerations  
Section D. Generic Sources of Halth Science Information  
Section E. Fugitive Literature  
Summary  
 
6. Healthcare Information Search Procedures
Procedure A. Search Prepaation Update  
Procedure B. Initial Search Iterations  
Procedure C. Subsequent Iterations  
Procedure D. Search Termination  
Summary  
 
7. Evaluation and Improvement of Stage II
Procedure A. Assess and Enhance Documentation Adequacy  
Procedure B. Assess and Enhance Clinical Significance  
Procedure C. Assess and Enhance Scientific Soundness  
Procedure D. Assess and Enhance Cost-Effectiveness  
Summary  
 
STAGE III: DATABASE VALIDATION
 
8. Data Extraction and Coding
Section A. Theoretical Issues in Data Extracting and Coding  
Section B. Procedures for Extracting and Coding Data  
Summary  
 
9. Princip0les of Information Validation
Section A. Importance of Validation of Individual Studies  
Section B. Causes of Poor Scientific Quality in Published Research  
Section C. Analysis of Quantitative Validity  
Section D. Analysis of Qualitative Validity  
Section E. Use of Validated Information for Synthesis  
Summary  
 
10. Procedures for Database Validation
Procedure A. Categorize Studies by Research Design  
Procedure B. Develop Validation Protocols  
Procedure C. Select and Train Reviewers  
Procedure D. Calibrate and Standardize Validity Ratings  
Procedure E. Validate Literature for Synthesis  
Summary  
 
11, Evaluation and Improvement of Stage III
Procedure A. Assess and Enhance Validation of Database Documentation Adequacy  
Procedure B. Assess and Enhance Validation of Database Clinical Significance  
Procedure C. Assess and Enhance Validation of Database Scientific Soundness  
Procedure D. Assess and Enhance Validation of Database Cost-Effectiveness  
Summary  
 
STAGE IV: INFORMATION ANALYSIS AND SYNTHESIS
 
12. Basic Statistics for Quantitative Synthesis
Section A. Basic Statistical Concepts  
Section B. Effect Sizes; Calculation and Use  
Section C. Hypothesis Testing in Meta-Analysis  
Summary  
 
13. Conceptual Aspects of Meta-Analysis
Section A. Designing Multivariate Models  
Section B. Selecting Effect Size Index  
Section C. Managing Missing Data  
Section D. Managing Artifacts and Biases  
Section E. Heterogeneity of Effect Sizes Among Studies  
Section F. Combining Effect Sizes  
Section G. Sensitively Analysis  
Summary  
 
14. Step-by-Step Procedures for Meta-Analysis
Procedure A. Develop a Strategic Plan  
Procedure B. Implement One of Seven Variations of a Meta-Analysis  
Procedure C. Conduct a Sensitivity Analysis  
Summary  
 
15. Evaluation and Improvement of Stage IV Results
Procedure A. Assess and Enhance Documentation Adequacy  
Procedure B. Assess and Enhance Clinical Importance  
Procedure C. Assess and Enhance Scientific Soundness  
Procedure D. Assess and Enhance Cost-Effectiveness  
Summary  
 
STAGE V: SYNTHESIS REPORT COMPLETION AND EVALUATION
 
16. Synthesis Manuscript Preparation Primer
Procedure A. Prepare to Write Synthesis Manuscript  
Procedure B. Write Body of Synthesis Report  
Procedure C. Write Front and Trailing Matter for a Journal Article  
Procedure D. Write Front and Trailing Matter for a Book  
Summary  
 
17. Applying Synthesis Results for Healthcare Outcomes Improvement
Procedure A. Coping With the Difficulty of Behavioral Change and Diffusion of Innovation  
Procedure B. Avoiding Conflicts of Interest and Hazards of Science Propaganda  
Procedure C. Achieving Healthcare Outcomes Improvement  
Summary  
 
18. Evaluation and Refinement of Synthesis Report
Procedure A. Understanding Considerations for Project Finalization  
Procedure B. Finalizaing the Synthesis Project  
Procedure C. Self-Assessing the Final Synthesis  
Procedure D. Has Your Final Product Been Worth the Effort and Cost Involved?  
Summary  
 
Glossary
 
References
 
Index
 
Synopsis of Compendium
Summary  

“Comprehensive, thoughtful, and well-organized . . . an excellent guide to searching, evaluating, organizing, and reporting the results of information syntheses.”

CANADIAN JOURNAL OF PUBLIC HEALTH

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ISBN: 9780761908241
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