2026-06-14T03:53:14Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/127872025-03-27T09:58:19Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19618

00925njm 22002777a 4500 dc Martínez-Gimeno, María-Lara author Fernández-Martínez, Nélida author Escobar-Aguilar, Gema author Moreno-Casbas, Teresa author Brito-Brito, Pedro-Ruymán author Caperos, José-Manuel author 2021-03-28 The use of certain strategies for the implementation of a specific recommendation yields better results in clinical practice. The aim of this study was to assess the effectiveness of an evidence-based model using clinical audits (GRIP model), for the implementation of recommendations in pain and urinary incontinence management as well as fall prevention, in the Spanish National Health System during the period 2015-2018. A quasi-experimental study has been conducted. The subjects were patients treated in hospitals, primary care units and nursing home centers. There were measures related to pain, fall prevention and urinary incontinence. Measurements were taken at baseline and at months 3, 6, 9, and 12. The sample consisted of 22,114 patients. The frequency of pain assessment increased from 59.9% in the first cycle to a mean of 71.6% in the last cycle, assessments of risk of falling increased from 56.8% to 87.8% in the last cycle; and finally, the frequency of assessments of urinary incontinence increased from a 43.4% in the first cycles to a mean of 62.2% in the last cycles. The implementation of specific evidence-based recommendations on pain, fall prevention, and urinary incontinence using a model based on clinical audits improved the frequency of assessments and their documentation. Healthcare (Basel) . 2021 Mar 28;9(4):374. 10.3390/healthcare9040374 2227-9032 Healthcare (Basel, Switzerland) 33800670 http://hdl.handle.net/20.500.12105/12787 Accidental falls Clinical audit Evidence-based clinical practice Pain Urinary incontinence SUMAMOS EXCELENCIA® Project: Results of the Implementation of Best Practice in a Spanish National Health System (NHS).