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Related papers
A.S.P.E.N. Clinical Guidelines
Journal of Parenteral and Enteral Nutrition, 2012
screening, treating and preventing abnormal serum glucose values in this population. Methodology The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) is an organization comprised of healthcare professionals representing the disciplines of medicine, nursing, pharmacy, dietetics, and nutrition science. The mission of A.S.P.E.N. is to improve patient care by advancing the science and practice of clinical nutrition and metabolism. A.S.P.E.N. vigorously works to support quality patient care, education, and research in the fields of nutrition and metabolic support in all health care settings. These Clinical Guidelines were developed under the guidance of the A.S.P.E.N. Board of Directors. Promotion of safe and effective patient care by nutrition support practitioners is a critical role of the A.S.P.E.N. organization. The A.S.P.E.N. Board of Directors has been publishing Clinical Guidelines since 1986. 12-14 A.S.P.E.N. evaluates in an ongoing process when individual Clinical Guidelines should be updated. These A.S.P.E.N. Clinical Guidelines are based upon general conclusions of health professionals who, in developing such Guidelines, have balanced potential benefits to be derived from a particular mode of medical therapy against certain risks inherent with such therapy. However, the professional judgment of the attending health professional is the primary component of quality medical care. Because guidelines cannot account for every variation in circumstances, the practitioner must always exercise professional judgment in their application. These Clinical Guidelines are intended to supplement, but not replace, professional training and judgment.
Clinical guidelines: The way for best practice
European Journal of Integrative Medicine, 2014
This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.
Otolaryngology–Head and Neck Surgery, 2006
G uidelines showcase an organization's ability to create documents of high methodological rigor that facilitate evidencebased decisions. An organization's capacity to influence patient health and public policy-and to preserve autonomydepends largely on the scope, quality, and accessibility of its guideline repertoire. Although there are many approaches to developing guidelines, the authoring process tends to be complex, time consuming, and inefficient. Moreover, the resulting guidelines are often poorly suited to influence care or to assess performance or quality, because the recommendations do not always translate into actions or activities that can be readily implemented and measured. The tested, pragmatic, step-by-step approach outlined herein is based upon the following assumptions and underlying principles: • Guideline development must be systematic, transparent, and evidence-based, yet highly efficient. The goal is to produce high-quality guidelines within 12 months. • Guidelines should contain a series of key, boldfaced action statements that can be used to describe desired behavior, measure performance, and assess quality. Each of these key, boldfaced action statements is followed by text that reviews the supporting research and includes an evidence profile summarizing how the policy was created. Guidelines differ from systematic reviews or meta-analyses, which identify and combine studies but typically do not define action or incorporate values. In contrast, a guideline assigns strengths of recommendation to key action statements based on supporting evidence, harms vs benefits, explicitly defined group values, and patient preference. Guidelines differ from evidence reports, which summarize relevant studies in evidence tables and then combine results, when feasible, using meta-analysis. Evidence reports, often produced by the Agency for Healthcare Research and Quality (AHRQ), are intended to aid in developing clinical practice guidelines and medical review criteria. • Guideline development should be multidisciplinary, even if the authors deal with a specific clinical condition or procedure. The guideline will only possess clout and be widely applicable if it is developed with input from specialists, primary care clinicians, and all other groups with a stake in caring for the patient at any point during the course of a disease, condition, or procedure.
ACCF/AHA Clinical Practice Guideline Methodology Summit Report
Journal of the American College of Cardiology, 2012
Abbreviation List: COR ϭ Class of Recommendation CPG ϭ clinical practice guideline EPC ϭ evidence-based practice center ERC ϭ evidence review committee GRADE ϭ Grading of Recommendations Assessment, Development and Evaluation GWC ϭ guideline writing committee IOM ϭ Institute of Medicine LOE ϭ Level of Evidence PICO(TS) format ϭ (mnemonic: population, intervention, comparator, outcomes, timing, and setting) QOE ϭ Quality of Evidence RCT ϭ randomized controlled trial RWI ϭ relationship with industry and other entities SR ϭ systematic review Full Report 218 Jacobs et al.
Evidence-Based Guidelines--An Introduction
Hematology, 2008
Recommendations in the form of clinical practice guidelines are increasingly common. Clinical guidelines are systematically developed statements designed to help administrators, practitioners and patients make decisions about appropriate health care for specific circumstances. In North America, guidelines developed by professional societies, government panels and cooperative groups are frequently used to measure quality, to allocate resources and to determine how health care dollars are spent. For clinicians, guidelines provide a summary of the relevant medical literature and offer assistance in deciding which diagnostic tests to order, which treatments to use for specific conditions, when to discharge patients from the hospital, and many other aspects of clinical practice.