Clinical Pathway and Monthly Feedback Improve Adherence to Antibiotic Guideline Recommendations for Community-Acquired Pneumonia

Background: Compliance with community-acquired pneumonia (CAP) guidelines remains poor despite a substantial body of evidence indicating that guideline-concordant care improves patient outcomes. The aim of this study was to compare the relative effectiveness of a general educational and a targeted emergency department intervention on improving physicians’ concordance with CAP guidelines. Methods: Two distinct interventions were implemented over specific time periods. The first intervention was educational, focusing on the development of local CAP guidelines and their dissemination through hospital-wide educational programmes. The second intervention was a targeted one for the emergency department, where a clinical pathway for the initial management of CAP patients was introduced, followed by monthly feedback to the emergency department (ED) physicians about concordance rates with the guidelines. Data on the concordance rate to CAP guidelines was collected from a retrospective chart review. Results: A total of 398 eligible patient records were reviewed to measure concordance to CAP guidelines over the study period. Concordance rates during the baseline and educational intervention periods were similar (28.1% vs. 31.2%; p > 0.05). Significantly more patients were treated in accordance with the CAP guidelines after the ED focused intervention when compared to the baseline (61.5% vs. 28.1%; p < 0.05) or educational period (61.5% vs. 31.2%; p < 0.05). Conclusions: A targeted intervention with a CAP clinical pathway and monthly feedback was a successful strategy to increase adherence to empirical antibiotic recommendations in CAP guidelines

Wetlands Of the Western Davenports Water Control Distric

Made available by the Northern Territory Library via the Publications (Legal Deposit) Act 2004 (NT)

Wetlands of the Great Artesian Basin Water Control District (Northern Territory)

Made available by the Northern Territory Library via the Publications (Legal Deposit) Act 2004 (NT).This report summarises existing knowledge about wetlands in the area declared as the Great Artesian Basin Water Control District (GABWCD). It covers the entire area overlying the Great Artesian Basin (GAB) within the Northern Territory and is abbreviated here as ?NT-GAB?. This assessment of wetlands provides information for the Water Allocation Plan being prepared for the Water Control District. The main emphasis of the allocation plan will be sustainable management of the groundwater resource. However, water allocation plans in the Northern Territory also cover surface water resources and any interaction between groundwater and dependent ecosystems, and plans are required to consider the water requirements for the natural environment

Wetlands of the Alice Springs Water Control District

Made available by the Northern Territory Library via the Publications (Legal Deposit) Act 2004 (NT).This report describes wetlands of the Alice Springs Water Control District (ASWCD). The primary purpose of this report is to support water allocation planning in the ASWCD, so that the natural values of surface waters can be given due consideration. The report provides a summary of the district?s wetlands that will also be useful for people with a general interest in nature and wetlands. The different types of wetland that occur are described with examples, along with known biological values. Wetlands of particular conservation significance are described.Introduction -- Background Information -- Wetlands Types and Examples -- Characteristics and Significant Biota -- Wetland Condition and Invasive Species -- Significant Wetlands -- Reference

Matthew White ... [et al.]

This report provides a benchmark for the conservation status of botanical values in the southern, predominantly arid part of the Northern Territory. It will have many and varied uses, providing information about conservation values to land holders and managers as well as government departments and conservation groups.Made available by the Northern Territory Library via the Publications (Legal Deposit) Act 2004 (NT).Volume 1 : Significant vascular plants -- Volume 2 : Significant site

Wetlands in the Arid Northern Territory

Made available by the Northern Territory Library via the Publications (Legal Deposit) Act 2004 (NT).This report summarises current knowledge of wetlands in the arid part of the Northern Territory, defined as that portion of the Northern Territory (NT) that is south of 20 degrees latitude (20? S). It is based on a project to inventory the wetlands and assess their significance for ecological conservation. The project was carried out with financial assistance from the Natural Heritage Trust (NHT), as part of the National Wetlands Program, administered by Environment Australia (now the Australian Government Department of the Environment and Heritage).A report to the Australian Government Department of the Environment and Heritage, for the project ?Inventory and Significance of Wetlands in the Arid NT?, NT Project ID: 98017, Commonwealth Project ID: 13582, carried out with assistance from the Natural Heritage Trust.A report to the Australian Government Department of the Environment and Heritage on the inventory and significance of wetlands in the Arid Northern Territor