257:. According to a meta-analysis after introduction of the checklist mortality dropped by 23% and all complications by 40%, but further high-quality studies are required to make the meta-analysis more robust. In the UK, a study on the implementation of a checklist for provision of medical care to elderly patients admitting to hospital found that the checklist highlighted limitations with frailty assessment in acute care and motivated teams to review routine practices, but that work is needed to understand whether and how checklists can be embedded in complex multidisciplinary care.
38:
285:
Guidelines may have both methodological problems and conflict of interest. As such, the quality of guidelines may vary substantially, especially for guidelines that are published on-line and have not had to follow methodological reporting standards often required by reputable clearinghouses. Patients
563:
Haynes, Alex B.; Weiser, Thomas G.; Berry, William R.; Lipsitz, Stuart R.; Breizat, Abdel-Hadi S.; Dellinger, E. Patchen; Herbosa, Teodoro; Joseph, Sudhir; Kibatala, Pascience L.; Lapitan, Marie
Carmela M.; Merry, Alan F.; Moorthy, Krishna; Reznick, Richard K.; Taylor, Bryce; Gawande, Atul A. (29
1166:– In Canada, British Columbia's guidelines and protocols are developed under the direction of the Guidelines and Protocols Advisory Committee (GPAC), jointly sponsored by the B.C. Medical Association and the B.C. Ministry of Health Services.
1172:– An international, independent, not-for-profit organisation of over 27,000 contributors from more than 100 countries, dedicated to making up-to-date, accurate information about the effects of health care readily available worldwide.
265:
Guidelines may lose their clinical relevance as they age and newer research emerges. Even 20% of strong recommendations, especially when based on opinion rather than trials, from practice guidelines may be retracted.
1508:
77:. 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
89:. A healthcare provider is obliged to know the medical guidelines of their profession, and has to decide whether to follow the recommendations of a guideline for an individual treatment.
490:
Developing a methodology for drawing up guidelines on best medical practice. Recommendation Rec(2001)13 and explanatory memorandum. Strasbourg: Council of Europe
Publishing, 2002.
1121:"Transcatheter or surgical aortic valve replacement for patients with severe, symptomatic, aortic stenosis at low to intermediate surgical risk: a clinical practice guideline"
1119:
Vandvik PO, Otto CM, Siemieniuk RA, Bagur R, Guyatt GH, Lytvyn L, Whitlock R, Vartdal T, Brieger D, Aertgeerts B, Price S, Foroutan F, Shapiro M, Mertz R, Spencer FA (2016).
292:
In response to many of these problems with traditional guidelines, the BMJ created a new series of trustworthy guidelines focused on the most pressing medical issues called
1027:
Siemieniuk, Reed A; Agoritsas, Thomas; Macdonald, Helen; Guyatt, Gordon H; Brandt, Linn; Vandvik, Per O (28 September 2016). "Introduction to BMJ Rapid
Recommendations".
211:
249:
have been used in medical practice to attempt to ensure that clinical practice guidelines are followed. An example is the
Surgical Safety Checklist developed for the
172:. Local healthcare providers may produce their own set of guidelines or adapt them from existing top-level guidelines. Healthcare payers such as insurers practicing
286:
and caregivers are frequently excluded from clinical guidelines development, in part because there is a lack of guidance for how to include them in the process.
1403:
1217:
365:
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1257:
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reported in 2004 that some simple clinical practice guidelines are not routinely followed to the extent they might be. It has been found that providing a
1213:
169:
282:
of recommended procedures can result in the attending physician being reminded in a timely manner regarding procedures that might have been overlooked.
1311:
133:
and experience of practitioners. Many guidelines place the treatment alternatives into classes to help providers in deciding which treatment to use.
429:"Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project"
323:
1503:
924:
Khodyakov, Dmitry; Kinnett, Kathi; Grant, Sean; Lucas, Ann; Martin, Ann; Denger, Brian; Peay, Holly; Coulter, Ian; Fink, Arlene (2017-04-28).
168:
Guidelines are usually produced at national or international levels by medical associations or governmental bodies, such as the United States
616:"Systematic review and meta-analysis of the effect of the World Health Organization surgical safety checklist on postoperative complications"
231:
1565:
1524:
614:
Bergs, J.; Hellings, J.; Cleemput, I.; Zurel, Ö.; De Troyer, V.; Van Hiel, M.; Demeere, J.-L.; Claeys, D.; Vandijck, D. (February 2014).
1482:
665:"Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK"
926:"Engaging Patients and Caregivers Managing Rare Diseases to Improve the Methods of Clinical Guideline Development: A Research Protocol"
1555:
1370:
714:"Validity of the Agency for Healthcare Research and Quality clinical practice guidelines: how quickly do guidelines become outdated?"
1396:
235:
203:
1250:
755:"Durability of class I American College of Cardiology/American Heart Association clinical practice guideline recommendations"
223:
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medical care, to raise quality of care, to reduce several kinds of risk (to the patient, to the healthcare provider, to
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234:(ÄZQ) coordinates a national program for disease management guidelines. All these organisations are now members of the
1606:
1591:
1529:
1184:– The Guideline Elements Model (GEM) is an ASTM standard for the representation of practice guidelines in XML format.
97:
Modern clinical guidelines identify, summarize and evaluate the highest quality evidence and most current data about
156:, resoluteness, etc. It has been demonstrated repeatedly that the use of guidelines by healthcare providers such as
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184:
69:
with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of
250:
188:
663:
Papoutsi, Chrysanthi; Poots, Alan; Clements, Jake; Wyrko, Zoe; Offord, Natalie; Reed, Julie E (5 January 2018).
1477:
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349:
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219:
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to be followed. Thus, they integrate the identified decision points and respective courses of action with the
1206:– A project of the Hospital Quality Initiative (HQI) of the Centers for Medicare and Medicaid Services (USA).
238:(G-I-N), an international network of organisations and individuals involved in clinical practice guidelines.
1426:
875:"An Evaluation of Web-Based Clinical Practice Guidelines for Managing Problems Associated with Cannabis Use"
354:
206:
maintains a catalog of high-quality guidelines published by various health and medical associations. In the
78:
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173:
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110:
1212:(NGC) – A public resource for evidence-based clinical practice guidelines. NGC is an initiative of the
1209:
489:
195:(GLIF) is a computer representation format for clinical guidelines that can be used with such engines.
117:. Then they define the most important questions related to clinical practice and identify all possible
1181:
1457:
388:"Towards evidence-based clinical practice: an international survey of 18 clinical guideline programs"
344:
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is an effective way of achieving the objectives listed above, although they are not the only ones.
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130:
114:
501:
Moses, Richard E.; Feld, Andrew D. (2008-01-01). "Legal risks of clinical practice guidelines".
1226:– Contains 113 evidence-based clinical guidelines – published, in development, or under review.
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and health plans) and to achieve the best balance between cost and medical parameters such as
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31:
1232:– A collection of current German health care-related professional associations' guidelines.
985:"The Endocrine Society guidelines: when the confidence cart goes before the evidence horse"
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1080:"Prevention of infective endocarditis: guidelines from the American Heart Association"
566:"A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population"
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Guidelines may make recommendations that are stronger than the supporting evidence.
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1178:– Contains clinical practice guidelines developed in Spain translated into English.
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254:
187:
have been developed to facilitate the use of medical guidelines in concert with an
17:
1120:
801:
215:
1176:
GuiaSalud. Clinical
Practice Guidelines for the National Health System (Spain)
246:
226:(NHG)—have published specialist and primary care guidelines, respectively. In
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73:. Such documents have been in use for thousands of years during the entire
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1194:(GLIF) is a specification for structured representation of guidelines.
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27:
Document with the aim of guiding decisions and criteria in healthcare
45:(around the 17th century BC), among the earliest medical guidelines
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36:
1385:
1239:
983:
Brito JP; Domecq JP; Murad MH; Guyatt GH; et al. (2013).
873:
Norberg MM, Turner MW, Rooke SE, Langton JM, Gates PJ (2012).
826:"Critical evaluation of oncology clinical practice guidelines"
210:, clinical practice guidelines are published primarily by the
1163:
1509:
List of international healthcare accreditation organizations
1078:
Wilson W; Taubert KA; Gewitz M; et al. (October 2007).
806:
Program Coaxes
Hospitals to See Treatments Under Their Noses
1169:
386:
Burgers JS, Grol R, Klazinga NS, Mäkelä M, Zaat J (2003).
753:
Neuman MD; Goldstein JN; Cirullo MA; Schwartz JS (2014).
1223:
1197:
198:
The US and other countries maintain medical guideline
712:
Shekelle PG; Ortiz E; Rhodes S; et al. (2001).
136:
Additional objectives of clinical guidelines are to
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1322:
1294:
1273:
1224:Scottish Intercollegiate Guidelines Network (SIGN)
125:. Some guidelines contain decision or computation
212:National Institute for Health and Care Excellence
1200:– Contains the largest online guideline library.
824:Reames BN; Krell RW; Ponto SN; Wong SL (2013).
1022:
1020:
1397:
1251:
8:
1218:U.S. Department of Health and Human Services
366:The Medical Letter on Drugs and Therapeutics
109:, therapy including dosage of medications,
1404:
1390:
1382:
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1236:
1214:Agency for Healthcare Research and Quality
170:Agency for Healthcare Research and Quality
1312:List of health departments and ministries
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477:Clinical practice guidelines we can trust
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403:
503:The American Journal of Gastroenterology
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324:transcatheter aortic valve implantation
1504:International healthcare accreditation
232:German Agency for Quality in Medicine
7:
1566:Incremental cost-effectiveness ratio
1525:Incremental cost-effectiveness ratio
220:Institute for Healthcare Improvement
1483:Routine health outcomes measurement
1164:British Columbia Medical Guidelines
1556:Clinical Quality Management System
322:Rapid Recommendation guideline on
278:or other medical assistant with a
81:. They usually include summarized
25:
1097:10.1161/CIRCULATIONAHA.106.183095
1210:National Guideline Clearinghouse
1198:Guidelines International Network
515:10.1111/j.1572-0241.2007.01399.x
236:Guidelines International Network
224:College of General Practitioners
204:National Guideline Clearinghouse
573:New England Journal of Medicine
1:
1561:Disability-adjusted life year
475:Institute of Medicine (edt.)
1192:Guideline Interchange Format
1188:Guideline Interchange Format
427:AGREE Collaboration (2003).
193:Guideline Interchange Format
59:standard treatment guideline
1530:Cost-effectiveness analysis
185:guideline execution engines
63:clinical practice guideline
41:Plates vi & vii of the
1623:
1571:Quality-adjusted life year
1535:Cost-minimization analysis
1463:Independent medical review
1170:The Cochrane Collaboration
620:British Journal of Surgery
307:American Heart Association
29:
1204:Hospital Quality Alliance
251:World Health Organization
189:electronic medical record
176:also publish guidelines.
1478:Health services research
1473:Health impact assessment
1230:German guidelines (AWMF)
1182:Guideline Elements Model
842:10.1200/JCO.2012.46.8371
731:10.1001/jama.286.12.1461
350:Clinical prediction rule
328:aortic valve replacement
30:Not to be confused with
1446:Health care evaluations
1427:Evidence-based medicine
989:J Clin Endocrinol Metab
930:JMIR Research Protocols
355:Clinical trial protocol
296:Rapid Recommendations.
79:evidence-based medicine
1499:Hospital accreditation
771:10.1001/jama.2014.4949
405:10.1093/intqhc/15.1.31
392:Int J Qual Health Care
315:Infective Endocarditis
174:utilization management
46:
1345:Waiting in healthcare
1286:Health administration
681:10.1093/ageing/afx194
585:10.1056/NEJMsa0810119
479:. Washington DC, 2011
40:
1458:Clinical peer review
1002:10.1210/jc.2013-1814
943:10.2196/resprot.6902
433:Qual Saf Health Care
345:Clinical formulation
85:on best practice in
83:consensus statements
1602:Health care quality
1597:Medical terminology
1468:Health care ratings
1420:Concepts of quality
1413:Health care quality
1281:Clinical governance
1267:Clinical governance
488:Council of Europe.
445:10.1136/qhc.12.1.18
309:Guidelines for the
75:history of medicine
43:Edwin Smith Papyrus
18:Practice guidelines
1607:Medical guidelines
1592:Health informatics
1540:Cost per procedure
1518:Costs and benefits
1340:Cost per procedure
879:J Med Internet Res
814:December 25, 2004.
811:The New York Times
271:The New York Times
183:packages known as
131:clinical judgement
115:cost-effectiveness
55:clinical guideline
47:
1579:
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1437:Medical guideline
1432:Medical consensus
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1366:Medical guideline
1307:Health department
1138:10.1136/bmj.i5085
1041:10.1136/bmj.i5191
892:10.2196/jmir.2319
360:Medical algorithm
218:, two bodies—the
202:. In the US, the
181:computer software
51:medical guideline
16:(Redirected from
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32:Clinical pathway
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