Clinical Practice Guideline

Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

Guidelines for the clinical practice of medicine have been proposed as the solution to the whole range of current health care problems. This new book presents the first balanced and highly practical view of guidelinesâ€"their strengths, their limitations, and how they can be used most effectively to benefit health care. The volume offers: Recommendations and a proposed framework for strengthening development and use of guidelines. Numerous examples of guidelines. A ready-to-use instrument for assessing the soundness of guidelines. Six case studies exploring issues involved when practitioners use guidelines on a daily basis. With a real-world outlook, the volume reviews efforts by agencies and organizations to disseminate guidelines and examines how well guidelines are functioningâ€"exploring issues such as patient information, liability, costs, computerization, and the adaptation of national guidelines to local needs.

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.

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Written specifically for the needs of family and adult nursing students, medical students, and primary care practitioners in Canada, this gold standard reference of family practice in America—named a 2013 Doody’s core title and 1st-place winner of the American Journal of Nursing book award in 2017—now provides current Canadian practice protocols for professional standards of care across the life span. Guidelines are delivered in a user-friendly, step-by-step instructional style for physical exams and diagnostic testing results in SI units; health maintenance recommendations approved by Health Canada; care guidelines including Canadian drug names and dietary information; information on culturally responsive care; and patient resources specific to Canada. Practice guidelines are organized primarily by body system and delivered in outline format for quick and easy access. Each of more than 280 disorder protocols includes definition, incidence/prevalence, pathogenesis, predisposing factors, common findings, other signs and symptoms, subjective data, physical examination, diagnostic tests, differential diagnoses, plan, follow-up, consultation/referral, and individual considerations. Also included are numerous Client Teaching Guides in PDF format for customization and downloading. Abundant references are specific to the Canadian health care system. Key Features: Presents over 280 guidelines in consistent outline format Provides Canadian routine health maintenance guidelines, vaccinations, and screenings for HIV and HepC Covers individual care considerations for pediatric, pregnant, and geriatric patients Offers numerous Client Teaching Guides in digital format for clients to take home

Learn from the most authoritative specialists in the care of children. Includes more than 40 new or revised AAP policy statements, all AAP clinical practice guidelines and full text of 2009 AAP policy statements. Also features more than 30 clinical practice guidelines, 380 policy statements, clinical reports, and technical reports and the 2010 Immunization Schedule.

The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria.

This text presents a compilation of current practices that includes evidence-based, traditional, and empiric care from a wide variety of sources. Each Guideline moves through problem identification and treatment using a standardized format for day-to-day clinical practice with diverse populations. The Guidelines are currently in use by many practices as a way of meeting the American College of Nurse Midwives (ACNM) recommendations, and are acceptable for collaborative practice with physician colleagues.