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Clinical practice guidelines : directions for a new program /

The Alberta clinical practice guidelines program is supporting appropriate, effective and quality medical care in Alberta through promotion, development and implementation of evidence-based clinical practice guidelines.

Detalles Bibliográficos
Clasificación:Libro Electrónico
Autores Corporativos: Institute of Medicine (U.S.). Committee to Advise the Public Health Service on Clinical Practice Guidelines, United States. Department of Health and Human Services
Otros Autores: Field, Marilyn J. (Marilyn Jane), Lohr, Kathleen N., 1941-
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Washington, D.C. : National Academy Press, 1990.
Colección:IOM publication ; 90-08.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Clinical Practice Guidelines
  • Copyright
  • Acknowledgments
  • Contents
  • Summary
  • CONTEXT
  • OVERVIEW OF PRACTICE GUIDELINES INITIATIVES
  • Public Initiatives
  • Private Initiatives
  • INSTITUTE OF MEDICINE COMMITTEE AND PROJECT
  • FINDINGS AND CONCLUSIONS
  • State of the Art
  • Ahcpr and the Forum
  • Roles of Public and Private Sectors
  • RECOMMENDATIONS: DEFINITIONS
  • RECOMMENDATIONS: ATTRIBUTES OF GOOD GUIDELINES
  • RECOMMENDATIONS: IMPLEMENTATION AND EVALUATION
  • DIVERSITY IN CLINICAL PRACTICES AND GUIDELINES
  • EXPECTATIONS FOR PRACTICE GUIDELINESNEXT STEPS FOR THE INSTITUTE OF MEDICINE
  • FINAL COMMENT
  • 1 Introduction and Background
  • CONTEXT
  • OVERVIEW OF PRACTICE GUIDELINES INITIATIVES
  • Public Initiatives
  • Private Initiatives
  • SPECIFIC RESPONSIBILITIES OF AHCPR
  • Deadlines and Priorities
  • Development Procedures and Requirements
  • Dissemination
  • Use of Guidelines
  • Evaluation and Further Research
  • THE INSTITUTE OF MEDICINE COMMITTEE AND PROJECT
  • OVERVIEW OF THE REPORT
  • CONCLUSIONS AND CAUTIONARY NOTES
  • REFERENCES
  • 2 Definitions of Key Terms THE COMMITTEE'S APPROACH
  • PRACTICE GUIDELINES
  • Common Usage: The Dictionary
  • Professional and Technical Usage
  • The Committee's Definition: Practice Guideline
  • Guidelines and the Strength of Evidence
  • Relation of Guidelines to Review Criteria and Other Evaluation Tools
  • Definition of Appropriate Care
  • Guidelines and Costs
  • EVALUATION INSTRUMENTS
  • MEDICAL REVIEW CRITERIA
  • Common Usage: The Dictionary
  • Professional and Technical Usage
  • The Committee's Definition: Medical Review Criteria
  • STANDARDS OF QUALITYCommon Usage: The Dictionary
  • Professional and Technical Usage
  • The Committee's Definition: Standards of Quality
  • PERFORMANCE MEASURES
  • Common Usage: The Dictionary
  • Professional and Technical Usage
  • The Committee's Provisional Definition: Performance Measures
  • CONCLUSIONS AND SUMMARY
  • REFERENCES
  • 3 Attributes of Good Practice Guidelines
  • BACKGROUND AND TERMINOLOGY
  • WORKING ASSUMPTIONS
  • PRINCIPLES
  • PAST WORK ON DEFINING ATTRIBUTES
  • ATTRIBUTES FOR ASSESSING PRACTICE GUIDELINES: OVERVIEW
  • VALIDITY
  • Projected Health OutcomesProjected Costs
  • Relationship Between the Evidence and the Guidelines
  • Preference for Empirical Evidence Over Expert Judgement
  • Thorough Literature Review
  • Methods Used to Evaluate the Scientific Literature
  • Strength of Evidence
  • Use of Expert Judgment
  • Strength of Expert Consensus
  • Independent Review
  • Pretesting
  • RELIABILITY/REPRODUCIBILITY
  • CLINICAL APPLICABILITY
  • CLINICAL FLEXIBILITY
  • CLARITY
  • MULTIDISCIPLINARY PROCESS
  • SCHEDULED REVIEW
  • DOCUMENTATION
  • CONCLUSION
  • REFERENCES