Implementing Clinical Practice Guidelines
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Effect Of Interventions For Implementing Clinical Practice Guidelines
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Author : Atle Fretheim
language : en
Publisher:
Release Date : 2015
Effect Of Interventions For Implementing Clinical Practice Guidelines written by Atle Fretheim and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.
The Norwegian Directorate of Health develops clinical practice guidelines, and requested the Norwegian Knowledge Centre for the Health Services to summarise research findings on the effectiveness of guideline implementation interventions. This report is an overview of existing systematic reviews. Key findings from the identified systematic reviews are that:1. Implementation interventions such as electronic decision-support, educational meetings, outreach visits, audit and feedback, and tailored interventions are probably effective, but: The size of the effect varies.The effect on clinical practice is most often moderate; The expected effect on health outcomes is modest. For other of the interventions, the size of the effect varied considerably across studies. It is difficult to explain this variation. Consequently, it is uncertain how much these interventions will improve adherence to clinical guidelines. For some measures, such as financial incentives and public release of performance data, evidence is lacking or scarce. We therefore cannot say how effective these types of interventions are.
Implementing Clinical Practice Guidelines
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Author : Carmi Z. Margolis
language : en
Publisher: Jossey-Bass
Release Date : 1999
Implementing Clinical Practice Guidelines written by Carmi Z. Margolis and has been published by Jossey-Bass this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
This book explains how to implement clinical practice guidelines effectively in order to help guideline users at any level get their job done. It offers a systematic approach to guideline implementation based on understanding what clinical guidelines are, how they work, and how implementation techniques that have proved effective in other areas can be used to help implement them. The book includes real case scenarios of guidelines implementation, and questions and answers throughout the text regarding: Solving clinical problems using clinical algorithms Developing and constructing practical guidelines Tailoring guidelines Implementing clinical practice guidelines Evaluating and monitoring clinical practice guidelines
Clinical Practice Guidelines We Can Trust
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 2011-07-16
Clinical Practice Guidelines We Can Trust written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-07-16 with Medical categories.
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.
Implementing Clinical Practice Guidelines
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Author : Carmi Z. Margolis
language : en
Publisher: Jossey-Bass
Release Date : 1999
Implementing Clinical Practice Guidelines written by Carmi Z. Margolis and has been published by Jossey-Bass this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Medical categories.
This book explains how to implement clinical practice guidelines effectively in order to help guideline users at any level get their job done. It offers a systematic approach to guideline implementation based on understanding what clinical guidelines are, how they work, and how implementation techniques that have proved effective in other areas can be used to help implement them. The book includes real case scenarios of guidelines implementation, and questions and answers throughout the text regarding: Solving clinical problems using clinical algorithms Developing and constructing practical guidelines Tailoring guidelines Implementing clinical practice guidelines Evaluating and monitoring clinical practice guidelines
Developing And Implementing Clinical Practice Guidelines
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Author : Stephen J. Schanz
language : en
Publisher: American Medical Association Press
Release Date : 1999
Developing And Implementing Clinical Practice Guidelines written by Stephen J. Schanz and has been published by American Medical Association Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Law categories.
Be aware of the risks. Concisely written resource book explores legal theories and their applications to the drafting, implementation, and development of clinical practice guidelines. Explains legal concepts and terminology in lay terms, while helping readers understand and avoid any risks they may be assuming when developing or modifying practice guidelines.
Implementing Clinical Practice Guidelines
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Author : Nuffield Institute for Health
language : en
Publisher:
Release Date : 1994
Implementing Clinical Practice Guidelines written by Nuffield Institute for Health and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1994 with categories.
Clinical Practice Guidelines
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Author : Joseph E. Biskupiak
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 1998
Clinical Practice Guidelines written by Joseph E. Biskupiak and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Medical categories.
Setting Priorities For Clinical Practice Guidelines
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1995-03-02
Setting Priorities For Clinical Practice Guidelines written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-03-02 with Medical categories.
This book examines methods for selecting topics and setting priorities for clinical practice guideline development and implementation. Clinical practice guidelines are "systematically defined statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances." In its assessment of processes for setting priorities, the committee considers the principles of consistency with the organization's mission, implementation feasibility, efficiency, utility of the results to the organization, and openness and defensibilityâ€"a principle that is especially important to public agencies. The volume also examines the implications of health care restructuring for priority setting and topic selection, including the link between national and local approaches to guidelines development.
Implementing Clinical Practice Guidelines
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Author : Nuffield Institute for Health
language : en
Publisher:
Release Date : 1992
Implementing Clinical Practice Guidelines written by Nuffield Institute for Health and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992 with categories.
Evaluating A Multi Hospital Quality Improvement Strategy To Implement Clinical Guidelines For Radiographic Contrast Agents
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Author : John B. Hernandez
language : en
Publisher:
Release Date : 1998
Evaluating A Multi Hospital Quality Improvement Strategy To Implement Clinical Guidelines For Radiographic Contrast Agents written by John B. Hernandez and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1998 with Contrast media categories.
|a Considerable resources are being devoted to development of evidence-based clinical practice guidelines that are designed to improve the quality and value of medical care and to promote the responsible proliferation of new medical technologies. Unfortunately, the development and dissemination of guidelines typically is insufficient to influence practice behavior. Until successful implementation strategies can be developed that take into account the organizational context of medical practice, the goals underlying development of scientifically valid guidelines will not be achieved. This report provides results from a randomized, controlled trial and qualitative evaluation of a quality improvement strategy to implement clinical guidelines for radiographic contrast agents. The strategy involved training hospital representatives in quality improvement methods to implement the guidelines in their own hospitals, using a step-by-step guideline implementation protocol and other tailored resources. Overall, the strategy was unsuccessful in improving adherence to the guidelines in the intervention group. A comparative case study was conducted to examine the impact of key organizational factors on adherence and to identify successful strategies for overcoming barriers to adherence. Intra-organizational financial incentives were found to be particularly important in predicting the extent of guideline adherence. Specific recommendations for managers, policymakers, and researchers are presented.