Clinical practice guidelines are considered important instruments to improve quality of care. However, success is dependent on adherence, which may be improved using peer assessment, a strategy in which professionals assess performance of their peers in a simulated setting. OBJECTIVE: The aim of this …

Background: A quality improvement collaborative is an intensive project involving a combination of implementation strategies applied in a limited “breakthrough” time window. After an implementation project, it is generally difficult to sustain its success. In the current study, sustainability was described …

Background: Changes in reimbursement have been compelling for Dutch primary care practices to apply a disease management approach for patients with chronic obstructive pulmonary disease (COPD). This approach includes individual patient consultations with a practice nurse, who coaches patients in COPD …

A high level of medication adherence is important for people with refractory epilepsy. For most people, however, it is difficult to have their medication intakes as prescribed every day. In this study we investigated if Real Time Medication Monitoring (RTMM) with customized SMS-reminding had an effect …

A high level of medication adherence is important for people with refractory epilepsy. For most people, however, it is difficult to have their medication intakes as prescribed every day. In this study we investigated if Real Time Medication Monitoring (RTMM) with customized SMS-reminding had an effect …

BACKGROUND: Since the number of heart failure (HF) patients is still growing and long-term treatment of HF patients is necessary, it is important to initiate effective ways for structural involvement of primary care services in HF management programs. However, evidence on whether and when patients can …

OBJECTIVE: To reach consensus on the most important biopsychosocial factors that influence functional capacity results in patients with chronic nonspecific musculoskeletal pain, arranged in the framework of the International Classification of Functioning, Disability and Health. DESIGN: Three-round, internet-based …

Adherence to ambulance and ED protocols is often suboptimal. Insight into factors influencing adherence is a requisite for improvement of adherence. This study aims to gain an in-depth understanding of factors that influence ambulance and emergency nurses’ adherence to protocols. …

The Chemical Weapons Convention (hereinafter 'the CWC') and its implementation organ the Organization for the Prohibition of Chemical Weapons (hereinafter 'the OPCW or 'the Organization') were purposely created by states to overcome the mutual threat of chemical weapons on the global agenda. Despite …

This systematic review aims to get insight into the feasibility of cardiopulmonary exercise testing (CPET) in patients with cancer prior to a physical exercise programme. We will focus on quality (defined as the adherence to international guidelines for methods of CPET) and safety of CPET. Furthermore, …