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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
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Selecting and implementing overview methods: implications from five exemplar overviews.

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  • 1Nursing Midwifery and Allied Health Professions (NMAHP) Research Unit, Glasgow Caledonian University, Research Unit, 6th Floor Govan Mbeki Building, Cowcaddens Road, Glasgow, G4 0BA, UK. Alex.Pollock@gcu.ac.uk.

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|July 20, 2017
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Summary
This summary is machine-generated.

This study explores methodological challenges in overviews of systematic reviews, offering practical guidance for developing future overview protocols. Lessons learned from five exemplar overviews inform decision-making for researchers synthesizing evidence.

Keywords:
ChallengesMethodsOverviewsQuality assessmentSynthesis

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Area of Science:

  • Evidence synthesis
  • Systematic reviews
  • Health research methodology

Background:

  • Overviews of systematic reviews are a popular evidence synthesis method facing methodological challenges.
  • A lack of clear guidance exists for conducting overviews.
  • Methodological challenges of five overviews were explored at the UK Cochrane Symposium 2016.

Purpose of the Study:

  • To explore methodological challenges in completing overviews of systematic reviews.
  • To propose practical implications for authors writing protocols for future overviews.
  • To provide guidance on methodological decision-making in overview development.

Main Methods:

  • Tabulated and compared methods from five exemplar overviews with current literature debates.
  • Identified and synthesized key methodological challenges and implications for overview protocols.
  • Refined challenges and implications through discussion to reach consensus.

Main Results:

  • Summarized methodological features of three Cochrane overviews, one diagnostic test accuracy overview, and one mixed methods overview.
  • Identified eight key methodological challenges from the exemplar overviews.
  • Found good agreement between findings and emerging debates in recent published syntheses.

Conclusions:

  • Overviews are a new methodological innovation with substantial variations in approaches.
  • Significant methodological challenges exist in overviews, with unknown optimal solutions.
  • Lessons from exemplar overviews offer beneficial considerations for developing future overview protocols.