To adopt, to adapt, or to contextualise The big question in clinical practice guideline development. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
National Guideline Clearinghouse (NGC) is a public database of evidence-based clinical practice guidelines and related documents. The NGC currently houses over 2700 clinical practice guidelines. It is maintained as a public resource by the Agency for Healthcare Research and Quality (AHRQ) of the U.S. Department of Health and Human Services. The NGC aims to provide health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use. The database is updated weekly with new and revised guidelines. The currency of all guidelines is verified annually through NGCs Annual Verification process ...
The National Guideline Clearinghouse™ (NGC) is a public resource for evidence-based clinical practice guidelines. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. The NGC mission is to provide physicians and other health professionals, health care providers, health plans, integrated delivery systems, purchasers, and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation, and use. NGC does not have professionals on staff who are available to directly answer patients questions and/or to advise on health-related issues or experiences. ...
Previous guidelines for the management of asthma produced by the British Thoracic Society and others have been disseminated widely and have been influential on the approach to asthma management in the United Kingdom and internationally. The latest full version was produced in 1993,1 with a review and position statement in 1995.2 The coordinating committee at that time predicted that the next revision would be a rewrite in 1997-8, so a new version is overdue. When we reviewed the 1993 guidelines we pointed out a lack of clarity on the evidence base and the need for expert opinion where evidence is lacking.3 Both of these areas are addressed in the new guidelines4 through the methods and format familiar from the Scottish Intercollegiate Guidelines Network (http://www.sign.ac.uk/). The new British guidelines have been produced jointly by the British Thoracic Society and Scottish Intercollegiate Guidelines Network, in collaboration with various other bodies.. The levels of evidence and grades of ...
The authors who recently reviewed the barriers that inhibit the implementation of hypertension management guidelines in Canada1 neglected to mention what might be one of the most important factors: the powerful influence of pharmaceutical manufacturers marketing campaigns on physician practice patterns.2 The freebie phenomenon was addressed in a news item in the same issue of CMAJ in which the review appeared.3 Flip through the pages of that particular issue and you will come across 5 glossy advertisements promoting angiotensin-converting-enzyme inhibitors or AT1 receptor blockers in the treatment of hypertension. Clinical practice guidelines are reflected only in footnotes in tiny print stating that the drugs being advertised are indicated when treatment with diuretics or β-blockers is ineffective or not appropriate.. If the groups that create clinical practice guidelines are wondering how to influence physicians practices more effectively across the country, perhaps they should take a ...
Glaucoma-service provision in Scotland: introduction and need for Scottish Intercollegiate Guidelines Network guidelines Andreas Syrogiannis,1 Alan P Rotchford,2 Pankaj Kumar Agarwal,1 Manjula Kumarasamy,1 Donald Montgomery,1 Jennifer Burr,1 Roshini Sanders1,2 On behalf of the SIGN working group 1SIGN Working Group, SIGN Guidelines for Glaucoma Referral and Safe Discharge, 2Healthcare Improvement Scotland, Edinburgh, Scotland Purpose: To describe the pattern of glaucoma-service delivery in Scotland and identify areas for improvement, taking into account Scottish General Ophthalmic Services (GOS) arrangements and the Eye Care Integration project, and to design Scottish Intercollegiate Guidelines Network (SIGN) guidelines to refine the primary and secondary interface of glaucoma care.Materials and methods: A glaucoma-survey questionnaire was sent to all consultant glaucomatologists in Scotland. The design of SIGN guidelines was based on the results of the questionnaire using SIGN methodology.Results:
Note: Clinical practice guidelines are guides only and may not apply to all patients and all clinical situations. Thus, they are not intended to override clinicians judgment. All ACP clinical practice guidelines are considered automatically withdrawn or invalid 5 years after publication or once an update has been issued.. Annals of Internal Medicine encourages readers to copy and distribute this paper, provided that such distribution is not for profit. Commercial distribution is not permitted without the express permission of the publisher.. Disclaimer: The authors of this article are responsible for its contents, including any clinical or treatment recommendations. No statement in this article should be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.. Grant Support: Financial support for the development of this guideline comes exclusively from the ACP operating budget.. Potential Financial Conflicts of ...
The broad scope of the National Clinical Guidelines on Intraoperative Massive Haemorrhage project includes unanticipated massive haemorrhage events caused by the operating/surgical procedure itself. More ...
New!. Keep up with current practice guidelines and policies with the latest, most up-to-date edition of this clinical reference classic. This evidence-based decision-making tool for managing common pediatric conditions has been revised and updated for 2014, with the latest clinical practice guidelines for more than 30 conditions, plus every AAP policy statement, clinical report, and technical report through December 2013.. Updated and expanded for 2014 including:. - Three new AAP clinical practice guidelines. - Management of Newly Diagnosed Type 2 Diabetes Mellitus. - Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years. - Diagnosis and Management of Acute Otitis Media. - New Periodicity Schedule. - Full text of more than 60 new or revised AAP policies. - CD-ROM includes the full text of more than 400 AAP clinical practice guidelines, policy statements, clinical reports, and technical reports.. - More than 30 clinical practice guidelines including Sleep Apnea, ...
The National Guideline Clearinghouseâ ¢ (NGC) does not develop, produce, approve, or endorse the guidelines represented on this site.. All guidelines summarized by NGC and hosted on our site are produced under the auspices of medical specialty societies, relevant professional associations, public or private organizations, other government agencies, health care organizations or plans, and similar entities.. Guidelines represented on the NGC Web site are submitted by guideline developers, and are screened solely to determine that they meet the NGC Inclusion Criteria which may be found at http://www.guideline.gov/about/inclusion-criteria.aspx.. NGC, AHRQ, and its contractor ECRI Institute make no warranties concerning the content or clinical efficacy or effectiveness of the clinical practice guidelines and related materials represented on this site. Moreover, the views and opinions of developers or authors of guidelines represented on this site do not necessarily state or reflect those of NGC, ...
ESMO has Clinical Practice Guidelines on the following Gastrointestinal Cancers: Oesophageal Cancer, Gastric Cancer, Pancreatic Adenocarcinoma, ...
The ESMO Clinical Practice Guidelines on Melanoma currently focus on Cutaneous melanoma and include information on incidence, diagnosis, staging ...
Research topic: An Analysis of a Questionnaire Survey on Healthcare Workers (HCWs) knowledge on Methicillin-resistant Staphylococcus Aureus (MRSA) Prevention Guidelines at Oslo University Hospital (OUH). Background MRSA is a type of staphylococcus bacteria that is resistant to antibiotics called beta-lactams antibiotics and other more common antibiotics such as oxacillin, penicillin and amoxicillin [Center for Disease Prevention and Control, CDC (2006)]. In spite intensive fight against MRSA, MRSA cases are soaring across nations and regions. Effective prevention measures require knowledge of and compliance to infection prevention and control guidelines by Healthcare workers (HCW). Objective: The objective of the study was to assess and analyses the knowledge of relevant HCWs on MRSA and MRSA prevention guidelines at OUH. Method: The study used a questionnaire survey that was developed from OUH newly published and national MRSA guidelines. The questionnaire was sent out electronically to HCWs ...
The Choosing Wisely campaign has spread to many countries. Methods for developing recommendations are inconsistent. We describe our process of developing such recommendations from a comprehensive national set of clinical practice guidelines (Current Care, CC) and the results of a one-year Choosing Wisely Finland project. Two of the authors drafted the quality and process criteria for all the Choosing Wisely Finland recommendations. The quality criteria were relevance, feasibility, evidence-based and strength. These were discussed in editors meetings and subsequently revised. Two different processes for developing recommendations within national clinical practice guidelines were designed and piloted (processes A and B). Process A was based on a published guideline. The recommendations are drafted by an editor and revised and approved by the guideline development group. In process B the development of the recommendations is integrated with guideline production or update. Choosing Wisely recommendations
Officially established in 2017, GUIDE is an academic group providing methodological support to clinical practice guidelines developers. The group is comprised mostly of critical care physicians and experts in the field of clinical practice guideline development and systematic reviews. ...
An ASCO clinical practice guideline update, reported by Khorana et al in the Journal of Clinical Oncology, includes the recommendation of gemcitabine-capecitabine doublet therapy as an adjuvant therapy option in potentially curable pancreatic cancer. The updated recommendation (4.1) modifies the corresponding recommendation in the ASCO guideline published in May 2016. The remaining recommendations from the original 2016 ASCO guideline are unchanged.. New Evidence. The ASCO guideline expert panel based the update on findings in the recently reported phase III ESPAC-4 study, in which 730 evaluable patients with resected pancreatic ductal adenocarcinoma were randomized to receive gemcitabine plus capecitabine or gemcitabine alone. Median overall survival was 28.0 months in the doublet group vs 25.5 months in the gemcitabine-alone group (hazard ratio = 0.82, P = .032). Grade 3 and 4 adverse events were similar in both groups, although the doublet group had higher rates of hand-foot syndrome and ...
Key recommendations and suggestions, listed by category, include: early quantitative resuscitation of the septic patient during the first 6 hrs after recognition (1C); blood cultures before antibiotic therapy (1C); imaging studies performed promptly to confirm a potential source of infection (UG); administration of broad-spectrum antimicrobials therapy within 1 hr of recognition of septic shock (1B) and severe sepsis without septic shock (1C) as the goal of therapy; reassessment of antimicrobial therapy daily for de-escalation, when appropriate (1B); infection source control with attention to the balance of risks and benefits of the chosen method within 12 hrs of diagnosis (1C); initial fluid resuscitation with crystalloid (1B) and consideration of the addition of albumin in patients who continue to require substantial amounts of crystalloid to maintain adequate mean arterial pressure (2C) and the avoidance of hetastarch formulations (1C); initial fluid challenge in patients with sepsis-induced ...
Updated September 10, 2015. Accessed September 1, 2017.. 9/2/2009 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T115345/Hypertension: Forman J, Stampfer M, Curhan G. Diet and lifestyle risk factors associated with incident hypertension in women. JAMA. 2009;302(4):401-411. 10/17/2016 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T115345/Hypertension: National Guideline Clearinghouse (NGC). Guideline summary: Hypertension evidence-based nutrition practice guideline. In: National Guideline Clearinghouse (NGC) [Web site]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2015 Jan 01. [cited 2016 Oct 17]. Available: https://www.guideline.gov. Accessed October 17, 2016.. 1/5/2018 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T115345/Hypertension: Whelton PK, Carey RM, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, ...
Clinical Practice Guidelines (CPG) are graded recommendations on best practice for a specific condition based on the systematic review and evaluation of the quality of the scientific literature. These documents are defined by a stringent methodology and formal process for development. Clinical practice guidelines are required to bridge the gap between evidence and recommendation and are comprised of both evidence-based and expert-based information to guide clinical practice decision-making. Although variation can exist, all must meet standard criteria and follow a defined policy and procedure. The Director of Practice works with the Evidence-based Documents Committee to identify CPG topics, formulate CPG work groups, and oversee the development of a CPG. When a CPG is close to completion the, the Practice Committee creates and overses a Knowledge Translation (KT) taskforce that works for 1-2 years to create tools, processes and strategies for dissemination, implementation of the CPG. Current ...
Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults - free book at E-Books Directory. You can download the book or read it online. It is made freely available by its author and publisher.
The University of Iowa Evidence-Based Practice Guidelines offer quick and easy access to care models that were developed by expert nursing researchers and validated by experts across the field.
ASCO recently released a clinical practice guideline update on ovarian suppression as part of the extant guideline on adjuvant endocrine therapy in hormone receptor-positive breast cancer, and the recommendations were summarized in the June 10, 2016, issue of The ASCO Post. Also in this issue, Katarzyna J. Jerzak, MD, FRCPC, and Kathleen I. Pritchard, MD, FRCPS, of Sunnybrook Odette Cancer Centre, University of Toronto, offered their perspective on the implications of this 2016 ASCO Guideline for Clinical Practice.. The 2016 ASCO Clinical Practice Guideline, Update on Ovarian Suppression (updated from Guideline on Ovarian Ablation in the Treatment of Premenopausal Women With Early-Stage Invasive Breast Cancer), uses only the term ovarian suppression (with LHRH [luteinizing hormone-releasing hormone] agonists) in the recommendations and in all the discussion.1-3 The focus of the updated guideline is clearly on the question of combined ovarian function-targeting plus endocrine therapies. ...
ver historia personal en: www.cerasale.com.ar [dado de baja por la Cancillería Argentina por temas políticos, propio de la censura que rige en nuestro medio]// www.revistamedicos.com.ar // www.quorumtuc.com.ar // www.sectorsalud.com.ar // www.maimonides.edu // weblog.maimonides.edu/farmacia/archives/UM_Informe_Autoevaluacion_FyB.pdf - // weblog.maimonides.edu/farmacia/archives/0216_Admin_FarmEcon.pdf - // www.documentalistas.org.ar // www.cpcesfe2.org.ar // www.nogracias.eu // www.estenssorome.com.ar // www.cuautitlan.unam.mx/descargas/licenciaturas/bqd/plandestudio_bqd_ // www.latamjpharm.org/trabajos/25/2/LAJOP_25_2_6_1_M4M6Z9746D.pdf // www.nogracias.eu/v_juventud/informacion/informacionver.asp?cod= // www.colfarse.com.ar // www.proz.com/kudoz/english_to_spanish/art_literary/523942-key_factors.html - 65k - // www.llave.connmed.com.ar/portalnoticias_vernoticia.php?codigonoticia=17715 // www.frusculleda.com.ar/homepage/espanol/activities_teaching.htm // ...
Health, ...March 6 2008 A new guideline on colorectal cancer screening release...What distinguishes these new guidelines is an emphasis on the importan...We know that 50 percent of Americans who should be getting screening f...Both the ASGE and the ACG want the public to be aware that the guideli...,New,guidelines,update,recommendations,on,colorectal,cancer,screening,medicine,medical news today,latest medical news,medical newsletters,current medical news,latest medicine news
MOH Clinical Practice Guidelines are considered automatically withdrawn five years after publication, or once an update has been issued, unless otherwise specified in individual guidelines. Users should keep in mind that evidence-based guidelines are only as current as the evidence that supports them and new evidence can supercede recommendations made in the guidelines. For more information, please visit the Ministry of Health Publications Page March 2011 - Screening for Cardiovascular Disease and Risk Factors March 2011 - Chronic Hepatitis B Infection (Review) June 2010 - Functional Screning for Older Adult in the Community February 2010 - Cancer Screening July 2009 - Stroke and Transient Ischaemic Attacks May 2009 - Management of Genital Ulcers and Discharges January 2009 - Osteoporosis January 2008 - Management of Asthma ...
PRACTICAL RECOMMENDATIONS ON ANTI-THROMBOTIC TREATMENT IN PATIENTS TREATED WITH DRUG-ELUTING STENTS. Giuseppe Biondi-Zoccai Ospedale S. Giovanni Battista
Read Involving young people in health promotion, research and policy-making: practical recommendations, International Journal for Quality in Health Care on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
JNCCN-The Journal of the National Comprehensive Cancer Network, Special Edition: NCCN Oncology Pharmacy & Policy is a new, special edition of JNCCN that focuses primarily on issues related to pharmacy and drug policy in the United States. Increasingly, the oncology practitioner must keep abreast of not only the clinical but also the regulatory aspects of oncology care. These regulations have the potential to significantly impact practitioner workload and how care is delivered to people with cancer. JNCCN Special Edition: NCCN Oncology Pharmacy & Policy provides viewpoints on and a forum to discuss these issues. For example, this first issue focuses on a subject currently being discussed at the national level and likely to extensively affect hospitals and oncology practices: Risk Evaluation and Mitigation Strategies (REMS).. A few years ago, I received a call from my mother-also a pharmacist-who works for a pharmacy that provides services to long-term care facilities. She was requesting a crash ...
http://sig2perspectives.pubs.asha.org/article.aspx?articleid=1758165 Letter to the Editor: Clinical Practice Guidelines: What is the Anticipated Outcome? Currently, many SLP publications (newsletters, Leader, special interest groups, journals) are addressing the topic of clinical practice guidelines (CPGs). Yet, they have not addressed the effectiveness of CPGs to change clinicians behavior. We need to address the need for effective methods of guideline dissemination and implementation to improve the adoption ... 2003-04-01T00:00:00 Editorial Patrick Coneff, MA, SLP-CF ...
The Joint 2016 European Guidelines on Cardiovascular Disease Prevention in Clinical Practice are published today. In this sixth Guidelines update, experts from 10 Societies have taken into account recently published evidence and now clinicians throughout Europe will be interested to know how they need to modify the advice and treatment they give to their patients. View the Guidelines in full :: Web addenda to the Guidelines. ...
The implementation of practice guidelines could result in an increased need for rural health care physicians or other providers. That increase, caused by guideline implementation, should be accounted for in future rural health care workforce predictions.
Publication date: 2016. Third edition 2016 World Health Organization Department of Reproductive Health and Research Selected practice recommendations for contraceptive use WHO Library Cataloguing-in-Publication Data Selected practice recommendations for contraceptive use - 3rd ed. 1.Contraception - methods. 2.Contraceptive Agents, Female. 3.Contraceptives, Oral, Combined. 4.Intrauterine Devices. 5.Natural Family Planning Methods. 6.Vasectomy. 7.Practice Guideline. I.World Health Organization. ISBN 978 92 4 156540 0 (NLM classification: WP 630) © World Health Organization 2016 All rights reserved. Publications of the World Health Organization are available on the WHO website (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications - whether for sale or for non-commercial distribution- should ...
The Subcommittee on Hyperbilirubinemia of the American Academy of Pediatrics (AAP) has updated its clinical practice guideline on identifying and managing jaundice in newborns. Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation appears in the July 2004 issue of Pediatrics and is available online at http://pediatrics.aappublications.org/cgi/content/full/114/1/297.. The AAP updated its guideline to provide physicians with specific advice about treatment and to promote greater uniformity and consistency of care for all newborns. Among the new recommendations are the following:. • Physicians should perform a systematic assessment on all infants, prior to discharge, for subsequent risk of severe jaundice.. • Physicians should instruct the infants parents to schedule a follow-up visit at three to five days of age, when the infants bilirubin level is highest.. • Physicians should recommend that mothers breastfeed at least eight to 12 times a day for the first ...
BACKGROUND: Risk-stratified treatment recommendations facilitate treatment decision-making that balances patient-specific risks and preferences. It is unclear if and how such recommendations are developed in clinical practice guidelines (CPGs). Our aim was to assess if and how CPGs develop risk-stratified treatment recommendations for the prevention or treatment of common chronic diseases. METHODS: We searched the United States National Guideline Clearinghouse for US, Canadian and National Institute for Health and Clinical Excellence (United Kingdom) CPGs for heart disease, stroke, cancer, chronic obstructive pulmonary disease and diabetes that make risk-stratified treatment recommendations. We included only those CPGs that made risk-stratified treatment recommendations based on risk assessment tools. Two reviewers independently identified CPGs and extracted information on recommended risk assessment tools; type of evidence about treatment benefits and harms; methods for linking risk estimates ...
A subcommittee of the American Thoracic Society Assembly in Sleep and Respiratory Neurobiology has released new clinical practice guidelines to help advise clin
SummaCares clinical practice and preventive health guidelines include recommendations, strategies and other information to assist physicians, healthcare practitioners and patients in making decisions about appropriate healthcare for specific conditions. The clinical guidelines come from evidence-based national sources. Recommendations in the guidelines are not a substitute for a physician or other healthcare providers clinical judgment and may not be applicable to each individual. Treatment decisions should be decided between physicians or other health care providers and the patient, do not guarantee outcome and are not to interfere with clinical decisions made by treating providers. Links to other websites do not constitute or imply endorsement by SummaCare.. These Clinical Practice Guideline in no way constitutes benefit coverage. Refer to individual plan document for benefit coverage.. ...
Although the Appraisal of Guidelines for Research and Evaluation (AGREE) instrument (described in Chapter 1 of the original guideline document, Evidence-based Geriatric Nursing Protocols for Best Practice, 4th ed.) was created to critically appraise clinical practice guidelines, the process and criteria can also be applied to the development and evaluation of clinical practice protocols. Thus, the AGREE instrument has been expanded (i.e., AGREE II) for that purpose to standardize the creation and revision of the geriatric nursing practice guidelines.. The Search for Evidence Process. Locating the best evidence in the published research is dependent on framing a focused, searchable clinical question. The PICO format-an acronym for population, intervention (or occurrence or risk factor), comparison (or control), and outcome-can frame an effective literature search. The editors enlisted the assistance of the New York University Health Sciences librarian to ensure a standardized and efficient ...
German oncologists generally adhere to the German S3 guidelines, which are consensus guidelines based on an elaborate formal evidence assessment where official evidence tables are published together with the guideline. International guidelines, such as the ASCO or ESMO guideline, are also taken into consideration in the process of the German guideline development, with the goal of an international harmonization of the guidelines. The German guideline for pancreatic cancer [13], which was published in 2013, is presently being revised in an elaborate process. In the meantime, many German oncologists refer to international guidelines, such as the NCCN guidelines, for more recent recommendations [14].. The case vignette in our study referred to a 64-year-old patient with locally advanced pancreatic adenocarcinoma (LAPC) and a supposed Eastern Cooperative Oncology Group (ECOG) performance status between 1 and 2. According to US guidelines, patients who have LAPC and an ECOG of 0 or 1 together with a ...
The foundation of AHPs clinical integration is built on the collaborative efforts of primary care and specialty care physicians committed to improving the quality and efficiency of patient care. These clinical guidelines are intended to serve as a resource to practitioners seeking current and best practices for common conditions such as back pain, asthma, and coronary artery disease. These guidelines were developed by the Quality Collaborative at Monroe County Medical Society and in some instances by AHP medical staff.. AHPs process for the development and endorsement of clinical guidelines includes a comprehensive review by a panel of physician experts, followed by final review and formal endorsement by the Executive Medical Director. As new guidelines are released, or existing guidelines are revised, they will be posted to this library.. ...
Practice guidelines are systematically developed statements and recommendations that assist the physicians and patients in making decisions about appropriate health care measures for specific clinical circumstances taking into account specific national health care structures. The 1st revision of the S-2k guideline of the German Sepsis Society in collaboration with 17 German medical scientific societies and one self-help group provides state-of-the-art information (results of controlled clinical trials and expert knowledge) on the effective and appropriate medical care (prevention, diagnosis, therapy and follow-up care) of critically ill patients with severe sepsis or septic shock. The guideline had been developed according to the German Instrument for Methodological Guideline Appraisal of the Association of the Scientific Medical Societies (AWMF). In view of the inevitable advancements in scientific knowledge and technical expertise, revisions, updates and amendments must be periodically ...
The population of patients with moderate and severe CKD is growing. Frail and older patients comprise an increasing proportion. Many studies still exclude this group, so the evidence base is limited. In 2013 the advisory board of ERBP initiated, in collaboration with European Union of Geriatric Medicine Societies (EUGMS), the development of a guideline on the management of older patients with CKD stage 3b or higher (eGFR , 45 mL/min/1.73 m2). The full guideline has recently been published and is freely available online and on the website of ERBP (www.european-renalbest- practice.org). This paper summarises main recommendations of the guideline and their underlying rationales. ...
The American Heart Association and American College of Cardiology vigorously defend the recently published risk assessment and cholesterol guidelines despite recent media reports critical of the risk assessment calculator ...
The WHO defines guidelines as systematically developed evidence-based statements which assist providers, recipients and other stakeholders to make informed decisions about appropriate health interventions. Guidelines have been increasingly used to provide guidance for policies or public health interventions, changes in resource availability or access to services based on evidence.1 There is evidence that the methodological quality of guidelines has slowly improved over the last decades.2-4 However, most guideline developers do not have enough resources for developing high-quality de novo guidelines.5 Most low/middle-income countries still do not have formal organisations, technical capacity or collaborations to develop evidence-based guidelines.6 When guidelines are developed in those settings, their quality is typically poor.7-13 Adapting published high-quality evidence-informed guidelines becomes a more efficient option.14-16 Adaption of guidelines means the use of existing trustworthy ...
An emerging topic of interest when developing practice guidelines is how to shape guideline development to account for patients who have multiple medical conditions. This issue was highlighted by Boyd and colleagues, who assessed the applicability of guidelines to a hypothetical 79 year old woman with five chronic conditions: osteoporosis, osteoarthritis, diabetes, hypertension, and chronic obstructive pulmonary disease[20]. Boyd and colleagues noted that guidelines for these conditions, with the exception of diabetes, did not discuss recommendations for management in patients with other chronic conditions. Applying the guidelines to their hypothetical patient, they found the patient would need to be advised of seven self-management tasks, the clinician would be responsible for performing 18 tasks, the patient would be recommended to take 12 separate medications in 19 doses per day, and that certain medications recommended for one condition could exacerbate symptoms or interact with medications ...
Evidence-based Clinical Practice Guidelines - Due to the new standards released by the Institute of Medicine (IOM), a division of the National Academies of Sciences, Engineering, and Medicine in March 2011 calling for the development of trustworthy evidence-based clinical practice guidelines, the AOA Evidence-based Optometry Committee is currently revising the optometric guidelines. Evidence-Based Clinical Practice Guidelines:. ...
STS Clinical Practice Guidelines are intended to assist physicians and other health care providers in clinical decision-making by describing a range of generally acceptable approaches for the diagnosis, management, or prevention of specific diseases or conditions. These guidelines should not be considered inclusive of all proper methods of care or exclusive of other methods of care reasonably directed at obtaining the same results. Moreover, these guidelines are subject to change over time, without notice. The ultimate judgment regarding the care of a particular patient must be made by the physician in light of the individual circumstances presented by the patient.. STS Systematic Reviews are intended to compliment clinical practice guidelines in assisting physicians and other health care providers in clinical decision-making by evaluating the strength of evidence regarding particular treatments, and determining whether the level is sufficient enough to make recommendations for clinical ...
An evidence-based clinical practice guideline1 to inform physicians on the management of uncomplicated acute otitis media (AOM) among children ages two months through 12 years is now available. It was developed by the multidisciplinary Subcommittee on Management of Acute Otitis Media, which was composed of representatives from the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), and other relevant professional organizations. A summary of this clinical practice guideline appears in this issue of American Family Physician.2. Using a methodology similar to that used for the recent guideline on the management of otitis media with effusion,3 this AOM guideline is based on the best available published data as summarized in the Agency for Healthcare Research and Quality report on AOM4 and literature subsequently published through September 2003. Evidence-based statements contained in the AOM guideline1 follow AAP definitions, reflecting both the quality of ...
The American Society of Hematology (ASH) is seeking comments on two draft clinical practice guidelines on venous thromboembolism (VTE): ...
of Practice, ENA, 6 Code of Ethics competency maintenance, 105 guidelines, 107 Clinical Practice Guidelines Committee, 312 Code of Ethics competency ENA is your advocate for patient safety and excellence in emergency nursing . Search by subject area or type of resource to find positions statements, toolkits, clinical practice guidelines, topic briefs, and much more. Nurses Association (ENA), European Psychiatry Association (EPA), Clinical Nurse Specialist-Emergency/Trauma. Participating with ENA in the work groups clinical Implement evidence-based clinical guidelines. Updated CMS Guidelines Clinical Policy: Procedural Sedation and Analgesia in the Emergency Procedural Sedation and Analgesia in the Emergency Department: Recommendations for Physician Credentialing, Privileging and Practice Signed by ACEP, ENA and 7 other organizations, this statement supports the The Emergency Nurses Association (ENA) is a voluntary national The Journal puts you in touch with current clinical practice and trends ...
Background: Clinical practice guidelines (CPG) are thought to be an effective tool in improving efficiency and outcomes of clinical practice. Physicians adherence to guidelines is reported to be poor. We evaluated the relationship between generalizability of guidelines on hypertension and physicians adherence to guidelines recommendations for pharmacological treatment. Methods: We used the Sixth Joint National Committees (JNC VI) guidelines on hypertension to evaluate our hypothesis. We evaluated the evidence from controlled clinical trials on which the JNC VI bases its recommendation, and compared the population enrolled in those trials with the American hypertensive population. Data on this population came from the National Health and Nutritional Examination Survey III. Results: Twenty-three percent of the NHANES population had a diagnosis of hypertension, 11% had hypertension requiring drug treatment according to the JNC VI. Only half of the population requiring treatment would have been ...
Patients with hip fractures have high morbidity and mortality, which has not changed significantly since last two decades. There are various national guidelines in UK, which give guidance to help improve outcomes in these patients such as National Institute for Health and Clinical Excellences guidelines (NICE), Guidelines from Anaesthetists of Great Britain and Ireland (AAGBI) and Scottish intercollegiate guideline network (SIGN). NICE guidelines recommend total hip replacement (THR) rather than hemiarthroplasty in patients with a displaced intracapsular hip fracture in selected patients. AAGBI has produced guidelines for Management of Proximal Femoral Fractures 2011.
During the first decade of the ACC/AHA Guidelines effort, other organizations often played a collaborative role. This included providing representatives to the writing committee, designating reviewers from their organization, formally endorsing the guideline, and, occasionally publishing the guideline in their own journal. Although this was a useful model, the ACC/AHA Task Force on Practice Guidelines gradually recognized that it was an inadequate one. Patients with cardiovascular disease often receive care from general internists and family medicine physicians. Thus, it was imperative that those organizations be included to a greater degree. In addition, there was a clear need for medicine to speak with one voice. Other organizations, including the cardiovascular subspecialty organizations and the ESC, were publishing an increasing number of clinical practice guidelines that overlapped in content with the ACC/AHA Guidelines.. The initial effort to involve other organizations in a full ...
Definition of Arrangement on Guidelines for Officially Supported Export Credits in the Financial Dictionary - by Free online English dictionary and encyclopedia. What is Arrangement on Guidelines for Officially Supported Export Credits? Meaning of Arrangement on Guidelines for Officially Supported Export Credits as a finance term. What does Arrangement on Guidelines for Officially Supported Export Credits mean in finance?
Erratum to Spanish Clinical Guidelines on Vascular Access for Haemodialysis. Nefrologia. 2019 Nov - Dec;39(6):680-682 Authors: Ibeas J, Roca-Tey R, Vallespín J, Moreno T, Moñux G, Martí-Monrós A, Del Pozo JL, Gruss E, Ramírez de Arellano M, Fontseré N, Arenas MD, Merino JL, García-Revillo J, Caro P, López-Espada C, Giménez...
2 NCCN Guidelines for Patients ® : Myelodysplastic Syndromes, 2018 About These patient guidelines for cancer care are produced by the National Comprehensive Cancer Network ® (NCCN ® ). The mission of NCCN is to improve cancer care so people can live better lives. At the core of NCCN are the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines ® ). NCCN Guidelines ® contain information to help health care workers plan the best cancer care. They list options for cancer care that are most likely to have the best results. The NCCN Guidelines for Patients ® present the information from the NCCN Guidelines in an easy-to-learn format. Panels of experts create the NCCN Guidelines. Most of the experts are from NCCN Member Institutions. Their areas of expertise are diverse. Many panels also include a patient advocate. Recommendations in the NCCN Guidelines are based on clinical trials and the experience of the panelists. The NCCN Guidelines are updated at least once a year. When funded, ...
Physical attractiveness or unattractiveness wields a tremendous impact on the social and psychological components of life. Many individuals with facial deformities are treated more negatively than normal individuals, which may affect their self-image, quality of life, self-esteem, interpersonal encounters, and ultimately, success in life. Malformations that do not create physiological problems and whose major health impact is to degrade physical attractiveness and engender psychosocial consequences are insufficiently understood and not considered functional problems by medical insurance companies. As part of a clinical practice guideline development process for psychosocial concerns in Freeman-Burian syndrome, manuscripts describing psychosocial considerations related to the presence of non-intellectually impairing craniofacial malformation conditions or associated clinical activities are sought, especially focusing on epidemiology, prevention, symptoms, diagnoses, severity, timing, treatment,
AbstractIntroduction: Two 2-day continuing education seminars were developed to address the orthopedic physical therapy deficits in the country of Guyana. Material was presented in a way to address all stages of behavior change.Methods: Surveys evaluating pre- and post-seminar knowledge was evaluated. Chart reviews to establish adherence to clinical practice guidelines were performed. Results: Pre-seminar surveys revealed minimal knowledge of clinical practice guidelines which was consistent with pre-seminar chart review data. Post-seminar data indicate improvements in both knowledge and adherence to guidelines.Discussion: A brief series of two 2-day seminars utilizing behavior change strategies to improve adherence to clinical practice guidelines shows promise for countries and regions that rely on international health volunteers to provide clinical instruction. Because this study is limited to one situation, further studies with longer follow-up in a variety of clinical settings are recommended to
In a report published May 27 in the Journal of the American Medical Association, Mark Neuman, MD, MSc, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, and his colleagues examined the lasting strength of class I - i.e. procedure/treatment should be performed/administered - recommendations across serial versions of selected American College of Cardiology/American Heart Association guidelines, and found that durability of the guidelines varied across individual guidelines and levels of evidence.. Identifying 619 class I recommendations in 11 index guidelines published between 1998 and 2007, the investigation found that 495 recommendations (80.0 percent) were retained in the subsequent guideline version, 57 (9.2 percent) were downgraded or reversed, and 67 (10.8 percent) were omitted. The ultimate percentage of recommendations that were retained varied across guidelines from 15.4 percent to 94.1 percent.. The endurance of individual ...
A multidisciplinary task force developed and implemented a skincare programme. Two key initiatives ran concurrently: design and implementation of skincare programmes on the clinical units and systematic assessment of pressure ulcer prevalence. The skincare task force, led by the director of nursing research and quality improvement, reviewed the research and existing evidence-based clinical guidelines such as the 1992 US Agency for Health Care Policy and Research (AHCPR) Clinical Practice Guideline on pressure ulcers in adults.2. The task force considered the AHCPR practice guideline to be a credible source. Convened by a prominent health association, the guideline was developed by a multidisciplinary panel which reviewed the research and graded the evidence. It offered a standard for evidence-based practice. Although fortunate to have a current clinical practice guideline available, most of the guideline recommendations were supported by level C evidence indicating that they were drawn from ...
Background:. The purpose of this study is to design and evaluate targeted implementation strategies to fully integrate the VHA clinical practice guidelines for ischemic heart disease into VHA clinical practice. Effectively implementing the guideline will enhance the quality, appropriateness, timeliness, and cost effectiveness of care delivered to veterans with ischemic heart disease.. Objectives:. The long-term objective of this study is to identify the best strategies for implementing the IHD guidelines to improve guideline adherence and provider acceptance. The specific objectives of the study are to: 1) describe the temporal aspects of guideline acceptance and adherence over three periods of time: pre-implementation, post-implementation of general strategies, and post- implementation of targeted strategies; 2) assess the relative effectiveness of targeted intervention strategies on guideline adherence; 3) identify the relationships among provider beliefs, attitudes, and their intentions to ...
The in-patient treatment unit is based in a large psychiatric hospital that is currently being redeveloped, and there has been considerable discussion regarding the future location of the unit, including the level of medical care required. Our research objectives emerged from informal discussions among medical and nursing staff, reflecting on an anecdotal impression that the in-patient unit was treating patients with ever-increasing medical complexity. It is not uncommon for patients to be transferred directly to a general hospital at the point of admission, or shortly afterwards, owing to the severity of their physical condition. The data presented here support this impression.. The unit has based its admission criteria on a since-withdrawn guideline from the Scottish Intercollegiate Guidelines Network (SIGN) - guideline no. 74.9 It outlines the patient characteristics that are likely to make community detoxification suitable and, conversely, situations where in-patient detoxification would be ...
In the United Kingdom, there is very little formal competency based training in the techniques of paediatric procedural sedation except in the specialty of dentistry.1,2 Procedural sedation is often delegated to junior medical staff using a local protocol. The procedures for informed consent, documentation, monitoring, recovery, follow up, and audit are varied and often non-existent. This situation is changing as new clinical governance and training systems are put in place. In Scotland, the Scottish Intercollegiate Guidelines Network (SIGN) has produced a multidisciplinary, evidence based, peer reviewed guideline for the management of paediatric procedural sedation.3 The consensus view of this group was that, in Scotland, ketamine (and agents such as propofol, fentanyl, alfentanil, and remifentanil) should only be used by those trained in and with adequate on-going experience of paediatric anaesthesia and/or intensive care. It should only be used in a hospital setting. The product licence (and ...
TY - JOUR. T1 - Consumer involvement in topic and outcome selection in the development of clinical practice guidelines. AU - Tong, Allison. AU - Lopez-Vargas, Pamela. AU - Howell, Martin. AU - Phoon, Richard. AU - Johnson, David. AU - Campbell, Denise. AU - Walker, Rowan G.. AU - Craig, Jonathan C.. N1 - This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.. PY - 2012/12. Y1 - 2012/12. N2 - Background Consumer involvement in guideline development is advocated, but minimal participation, such as a nominated consumer representative on a guideline working group, can inhibit their decision-making power and contribution. Little is known about how to involve consumers more effectively in guideline development. Objective To describe a targeted approach for involving consumers actively in guideline development, by focusing on topic and outcome selection, and ...
GP Referral Guidelines for Female Pelvic Ultrasound The purpose of this post is to provide referral guidelines for the examination of the female pelvis and
The majority of patients with http://blogaidz.xyz/1/2043.html bleeding have chronic liver esophageal. Management of acute upper and lower gastrointestinal bleeding ; Scottish Intercollegiate Guidelines Network - SIGN September Ashkenazi E, Kovalev Y, Zuckerman E ; Evaluation and treatment of esophageal varices in the treatment varices patient. Variceal haemorrhage occurs from dilated veins varices at the junction between the portal and systemic venous systems. Other causes of UGIB, as listed in the separate Upper Gastrointestinal Bleeding includes Rockall Score varices. Related Information Vomiting Blood Haematemesis. Thalheimer U, Triantos CK, Samonakis Treatment, et al ; Infection, coagulation, and variceal bleeding in cirrhosis. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health esophageal to patients and health professionals. Join the discussion on the forums. Assess your symptoms online with our free ...
The aim of the clinical practice guidelines is to develop recommendations that are based on good research evidence.[11,12] The majority of the recommendations in this area are based on fair research evidence or on expert consensus. This was evident also in the ASPEN Guidelines in Nutrition Support5 since only 16% of the recommendations were judged to be based on good research-based evidence (meta-analysis of RCTs or single RCTs), 29% on fair researchbased evidence (well-designed controlled or non-controlled studies without randomisation, non-experimental studies such as comparative, correlational or case studies) and finally 55% on expert opinion alone. A similar percentage also applies to the present ESPEN clinical practice guidelines. However, this should not classify the recommendations of these guidelines as poorquality statements. It simply reflects the fact that the gold standard methodology to scientifically validate a drug or a therapy (the RCT) cannot always be used to investigate the ...
Background: Acute diarrhea in children is associated with high morbidity globally and with high mortality in undeveloped countries. The Colombian Ministry of Health included childhood diarrhea among the conditions for which new national guidelines are being developed. Before developing a clinical practice guideline (CPG) it is advisable to assess published guidelines to consider its adaptation. The quality of published guidelines on childhood diarrhea has not been assessed.. Objective: To assess its quality of CPG on acute diarrhea or gastroenteritis in children using the AGREE-II instrument.. Methods: We searched electronic databases, national clearinghouses and non-electronic sources until august 2011. Each guideline retrieved was independently assessed using AGREE-II (Spanish version) by three clinical epidemiologists.. Results: We found 63 guidelines, 17 of which (26.9%) were evidence-based. Based on AGREE-II, domains 1 (scope and purpose) and 4 (clarity of presentation) had the highest ...
In this work, we described the development of evidence-based guidelines for the care of patients with diabetes by primary care practitioners, using glycemic and blood pressure control and retinal screening as examples. The careful review and analysis of an independently prepared, evidence-based synthesis by a multispecialty panel of experts provided the best available evidence to the working group. Guidelines are meant to be applicable to large and complex health care systems and yet to empower the process of individual patient-practitioner counseling and goal setting based on individual risk stratification. The VA/DoD Clinical Guidelines for Treatment of Diabetes are intended to be a unifying standard of medical practice for the two largest agencies in the federal health care system that provide direct health care.. Some may criticize certain recommendations as being economically motivated with a design to minimize short-term costs. However, any target value endorsed by a guideline obligates ...
A 6-page summary of a 36 page guideline developed by an interprofessional group for use with long-term care residents who have developed an acute change in cognitive status or who have acutely developed problematic behavior. The full text guideline is available from the American Medical Directors Association (AMDA) for a fee. The summary is available through the National Guideline Clearinghouse located at: www.guidelines.gov.. NCLOR Learning Object: https://www.nclor.org/nclorprod/items/52627c7c-3d28-4ccb-af4d-066836cc18.... ...
2011 Focused update of 2009 American Society of Clinical Oncology clinical practice guideline update on chemotherapy for stage IV non-small-cell lung cancer Review ...
MEINTJES, G et al. Adult antiretroviral therapy guidelines 2014. South. Afr. j. HIV med. (Online) [online]. 2014, vol.15, n.4, pp.121-143. ISSN 2078-6751. http://dx.doi.org/10.7196/sajhivmed.1130.. These guidelines are intended as an update to those published in the Southern African Journal of HIV Medicine in 2012. Since the release of the previous guidelines, the scale-up of antiretroviral therapy (ART) in southern Africa has continued. Cohort studies from the region show excellent clinical outcomes; however, ART is still being initiated late (in advanced disease) in some patients, resulting in relatively high early mortality rates. New data on antiretroviral drugs have become available. Although currently few, there are patients in the region who are failing protease-inhibitor-based second-line regimens. To address this, guidelines on third-line therapy have been expanded.. ...
February 11, 2016. 12:00-1:00 p.m.. Grey Bruce Health Unit conducted an evaluation of the barriers and facilitators to best practice guideline (BPG) Implementation at an organizational and staff level as part of the Best Practice Spotlight Organization candidacy. Best practice guideline Champions, committee members and lead managers were interviewed to discuss their experiences with BPG implementation. Results of the evaluation will be shared as well as recommendations for all organizations involved in BPG implementation.. Objectives. During this presentation, participations will learn how to:. ...
At least 10 published guidelines for the prevention and treatment of pressure ulcers can be found on the National Guidelines Clearinghouse Web site (www.guideline.gov). A planned repositioning schedule tailored to each individual patient is recommended in all pressure ulcer prevention guidelines. Recently, the National Pressure Ulcer Advisory Panel, in collaboration with the European Pressure Ulcer Advisory Panel, announced updated guidelines for prevention and treatment of pressure ulcers. Each guideline recommendation is supported by a rigorous.... ...
Guidelines for with Obstetric and Related Medical Services (Referral Guidelines) These guidelines, previously appended to the Section 88 Maternity Services Notice 2002, are to be used in conjunction with
This brings to life the associations new Guideline Transformation and Optimization (GTO) initiative to streamline the development and implementation of research-based guidelines that can improve patient outcomes. GTO is launching in a step approach with the first focus on improving the use of guidelines for treating the more than 515,000 Americans each year who have a type of heart attack related to a condition known as non ST segment elevation Acute Coronary Syndrome (NSTE-ACS). During the associations annual Scientific Sessions in Orlando, Nov. 7-11, attendees will get a first look at the new NSTE-ACS Pocket Guidelines and the NSTE-ACS Professional Resource Center. The addition of the new and innovative NSTE-ACS measures and tools will allow professionals to close serious gaps in the system of care and better coordinate efforts when every minute counts. The American Heart Association is focused on rapidly translating guidelines into clinical practice, said Alice Jacobs, M.D., an American ...
OBJECTIVE: This study was conducted to develop evidence-based clinical practice guidelines for nutrition support (ie, enteral and parenteral nutrition) in mechanically ventilated critically ill adults.. OPTIONS: The following interventions were systematically reviewed for inclusion in the guidelines: enteral nutrition (EN) versus parenteral nutrition (PN), early versus late EN, dose of EN, composition of EN (protein, carbohydrates, lipids, immune-enhancing additives), strategies to optimize delivery of EN and minimize risks (ie, rate of advancement, checking residuals, use of bedside algorithms, motility agents, small bowel versus gastric feedings, elevation of the head of the bed, closed delivery systems, probiotics, bolus administration), enteral nutrition in combination with supplemental PN, use of PN versus standard care in patients with an intact gastrointestinal tract, dose of PN and composition of PN (protein, carbohydrates, IV lipids, additives, vitamins, trace elements, immune enhancing ...
member of the original Core Services Committee group, which began the process of developing a guideline for acute low back pain. ...
Article Best Practice Guidelines on Restoration of Mangroves in Tsunami Affected Areas. Glossary Afforestation: Cultivating plants (mangroves) in an area where no plants (mangroves) grew previouslyAir layering: A form of vegetative propagation where...
ASCOs Guidance Products Clinical Practice Guideline: Addresses specific clinical situations (disease- oriented) or use of approved medical products, procedures, or tests (modality-oriented). Systematic reviews serve as the evidentiary basis for drafting principles of clinical care. Interpretation and extrapolation of evidence are often necessary. Consensus Guideline: A systematic review is conducted. If evidence identified is limited, inconsistent, indirect, or of poor quality, then the formal consensus-based methodology may be considered. While the decision to incorporate consensus recommendation(s) may vary, the common thread is lack of sufficient evidence. ASCO utilizes a modified Delphi process for creating consensus guideline recommendations. Additional information on the methodology can be found on the ASCO Guidelines Wiki Guideline Development page.ASCO Guidelines Wiki Guideline Development page
TY - JOUR. T1 - Guideline recommendations for oral care after stroke: A systematic review protocol. AU - Gurgel-Juarez, Nalia Cecilia. AU - Perrier, Marie-France. AU - Hoffmann, Tammy. AU - Jolliffe, Laura. AU - Lannin, Natasha. AU - Lee, Rachel. AU - Brosseau, Lucie. AU - Flowers, Heather. PY - 2019/10. Y1 - 2019/10. N2 - Introduction: There have been recent advancements in the development of guidelines for rehabilitation after stroke. Nevertheless, recommendations for specific practice areas such as oral care often lack adequate information for clinical processes and actions to attain evidence-based care.Methods: We have developed a protocol to update a recent systematic review of clinical practice guidelines for stroke1 and to appraise existing recommendations for oral care provision. The search strategy includes a search of MEDLINE and EMBASE with MeSH and user-defined terms, 20 organizational and best-practice websites, and reference lists of accepted guidelines. Guideline appraisal will ...
Evidence-Based Guidelines to Drive Improved Care for Patients with ITP Published on: December 03, 2019 (Washington, DC, Dec. 3, 2019) - Today, ASH pub...
Several factors contribute to the high mortality attributed to severe infections in resource-limited settings. While improvements in survival and processes of care have been made in high-income settings among patients with severe conditions, such as sepsis, guidelines necessary for achieving these improvements may lack applicability or have not been tested in resource-limited settings. The World Health Organizations recent publication of the Integrated Management of Adolescent and Adult Illness District Clinician Manual provides details on how to optimize management of severely ill, hospitalized patients in such settings, including specific guidance on the management of patients with septic shock and respiratory failure without shock. This manuscript provides the context, process and underpinnings of these sepsis guidelines. In light of the current deficits in care and the limitations associated with these guidelines, the authors propose implementing these standardized best practice guidelines while
Well over half of all African-American adults will be classified as having high blood pressure under new streamlined diagnostic guidelines released this week, illuminating the heavy burden of cardiovascular disease in the population.
A medical guideline (also called a clinical guideline or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare. Such documents have been in use for thousands of years during the entire history of medicine. However, in contrast to previous approaches, which were often based on tradition or authority, modern medical guidelines are based on an examination of current evidence within the paradigm of evidence-based medicine. They usually include summarized consensus statements on best practice in healthcare. A healthcare provider is obliged to know the medical guidelines of his or her profession, and has to decide whether to follow the recommendations of a guideline for an individual treatment. Modern clinical guidelines identify, summarize and evaluate the highest quality evidence and most current data about prevention, diagnosis, prognosis, therapy including dosage of medications, ...
The best way to avoid being sued for malpractice is to make certain that all your patients are happy and all their outcomes are good.. Reality is seldom so rosy. Patients arent necessarily happy even when their clinical outcomes are as good as they can get. In the event of an undesired outcome, an unhappy patient may easily become a litigious one. A 2011 study in the New England Journal of Medicine estimated that 36 percent of physicians in low-risk specialties such as pediatrics, and 88 percent of physicians in high-risk surgical specialties, would face a malpractice claim by the age of 45. Those percentages climb to 75 percent of physicians in low-risk specialties and 99 percent of physicians in high-risk specialties by the age of 65.. Flaws in clinical practice guidelines. Can clinical practice guidelines protect us? We are all beset by the proliferating standards and guidelines of evidence-based medicine. Its comforting to think that a court may consider adherence to a legitimate clinical ...
Deadline March 2, 2017. RNAO is accepting applications from health-care organizations and academic institutions to act as a host site for either a Best Practice Champions workshop or Addressing Substance Use Champions workshop between May 2018 and January 2019.. Your organization/institution can apply to host one of the following:. Best Practice Champions Workshop. The Best Practice Guidelines Champion Workshop is a one day in-person session designed to introduce nurses and other health-care professionals to the RNAO Toolkit: Implementation of Best Practice Guidelines, Second Edition. Through interactive activities, participants will further their understanding of evidence-based practice, RNAOâ s Best Practice Guidelines, and effective strategies for guideline implementation in health-care settings including the conducting a gap analysis, assessing stakeholders, successful strategies for guideline implementation and evaluation, and keys to promoting sustained practice change.. Addressing ...
Recommendations regarding bed rest were provided in 12 guidelines. Most guidelines [7, 9, 11, 15, 25, 30, 31] (7 out of 11; 64%) recommend avoiding bed rest for patients with acute LBP, and four guidelines [1, 10, 20, 26] (36%) recommend for any duration of symptoms. The only exception was the Belgian guideline [32] (8%) which notes an absence of evidence on the benefits or harms of bed rest when used in the short term.. Recommendations on reassurance or advice for patients with non-specific LBP were identified in 14 guidelines. Most guidelines (7 out of 12; 58%) recommend advice to maintain normal activities for patients with acute LBP [1, 7, 10, 15, 25, 30, 32], and some guidelines (42%) recommend the same advice for patients with any duration of symptoms [20, 24, 26, 31, 32]. In addition, most guidelines (10 out of 14; 71%) recommend reassuring the patient that LBP is not a serious illness regardless of the duration of symptoms or reassuring patients with acute LBP of the favorable prognosis ...
Jeffrey R. Garber, Rhoda H. Cobin, Hossein Gharib, James V. Hennessey, Irwin Klein, Jeffrey I. Mechanick, Rachel Pessah-Pollack, Peter A. Singer, and Kenneth A. Woeber THYROID 22 (12), 2012. Background: Hypothyroidism has multiple etiologies and manifestations. Appropriate treatment requires an accurate diagnosis and is influenced by coexisting medical conditions. This paper describes evidence-based clinical guidelines for the clinical management of hypothyroidism in ambulatory patients.. Methods: The development of these guidelines was commissioned by the American Association of Clinical Endocrinologists (AACE) in association with American Thyroid Association (ATA). AACE and the ATA assembled a task force of expert clinicians who authored this article. The authors examined relevant literature and took an evidence-based medicine approach that incorporated their knowledge and experience to develop a series of specific recommendations and the rationale for these recommendations. The strength of ...