Clinical practice guideline development manual: a quality-driven approach for translating evidence into action.
Clinical practice guideline development manual: a quality-driven approach for translating evidence into action.
复制标题
DOI：
10.1016/j.otohns.2009.04.015
复制
发表时间：
2009-06
影响因子：
3.4
通讯作者：
Shiffman, Richard N.
中科院分区：
文献类型：
--
作者：
Rosenfeld, Richard M.;Shiffman, Richard N.
准则将最佳证据转化为最佳做法。精心制定的指南通过减少医疗保健差异、提高诊断准确性、促进有效治疗以及阻止无效或潜在有害的干预措施来提高质量。尽管有过多的已公布的准则，但方法往往定义不清，而且在组织内部和组织之间差异很大。本手册描述了美国耳鼻咽喉-头颈外科学会成功使用的原则和实践，以制定质量驱动的循证指南，使用高效和透明的方法，提出具有多学科适用性的行动建议。开发过程允许在12个月内从概念到完成，强调关键行动声明的逻辑顺序，并通过放大文本、证据简介和将行动与证据联系起来的建议等级来支持。随着临床实践指南作为质量医疗保健的关键指标变得更加突出，组织必须制定有效的生产策略，平衡严谨性和实用性。同样重要的是，临床医生必须了解指南是什么--不是什么--以及如何最好地利用它们来改善护理。本手册中的信息应有助于临床医生和组织实现这些目标。
Guidelines translate best evidence into best practice. A well-crafted guideline promotes quality by reducing healthcare variations, improving diagnostic accuracy, promoting effective therapy, and discouraging ineffective – or potentially harmful – interventions. Despite a plethora of published guidelines, methodology is often poorly defined and varies greatly within and among organizations. This manual describes the principles and practices used successfully by the American Academy of Otolaryngology – Head and Neck Surgery to produce quality-driven, evidence-based guidelines using efficient and transparent methodology for action-ready recommendations with multi-disciplinary applicability. The development process, which allows moving from conception to completion in twelve months, emphasizes a logical sequence of key action statements supported by amplifying text, evidence profiles, and recommendation grades that link action to evidence. As clinical practice guidelines become more prominent as a key metric of quality healthcare, organizations must develop efficient production strategies that balance rigor and pragmatism. Equally important, clinicians must become savvy in understanding what guidelines are – and are not – and how they are best utilized to improve care. The information in this manual should help clinicians and organizations achieve these goals.
登录
查看更多内容
影响因子：
3.4
作者：
Roland, Peter S.;Smith, Timothy L.;Wetmore, Stephen
通讯作者：
Wetmore, Stephen
影响因子：
8
作者：
Homer, CJ;Lannon, CM;Simpson, L
通讯作者：
Simpson, L
影响因子：
120.7
作者：
Choudhry, NK;Stelfox, HT;Detsky, AS
通讯作者：
Detsky, AS
DOI：
10.1016/0197-2456(95)00134-4
发表时间：
1996-02-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
Jadad, AR;Moore, RA;McQuay, HJ
通讯作者：
McQuay, HJ
DOI：
10.1016/j.ijmedinf.2008.11.001
发表时间：
2009-05-01
影响因子：
4.9
作者：
Hussain, Tamseela;Michel, George;Shiffman, Richard N.
通讯作者：
Shiffman, Richard N.