How to structure clinical practice guidelines for continuous quality improvement?
How to structure clinical practice guidelines for continuous quality improvement?
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如何构建临床实践指南以持续提高质量？
DOI：
10.1007/bf00996607
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发表时间：
1994
影响因子：
5.3
通讯作者：
Barter,B
中科院分区：
文献类型：
--
作者：
Balas,EA;Puryear,J;Mitchell,JA;Barter,B
The purpose of this study was to evaluate the relevance of available practice guidelines to clinical quality improvement programs. A sample of 19 guidelines was evaluated in four prominent primary care areas. Two research assistants independently coded the clinical conditions and recommended/not recommended procedures abstracted from the guidelines (Cohen's kappa .67 and .50, respectively). An average of 35.1 (±25.8) medical conditions and 48.4 (±41.5) clinical procedures were defined by the guidelines. Most conditions were defined by using ICD-9-CM, age/sex group, or therapy, but 29% of definitions included symptoms which are not coded routinely. CPT codes alone were unable to identify most procedures. AHCPR guidelines mentioned significantly more procedures (p< .001) and fewer symptoms (p< .001) per clinical condition than other guidelines. The difficulty of finding codes for conditions and procedures, the high rate of non-codable items, and the lack of recommended measures limit the applicability of published clinical practice guidelines to continuous quality improvement programs.
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影响因子：
39.2
作者：
Mary E. Wilson;C. V. Reyn;H. Fineberg
通讯作者：
Mary E. Wilson;C. V. Reyn;H. Fineberg
患者结果研究小组和卫生保健政策与研究机构。
影响因子：
3.4
作者：
M. Salive;J. Mayfield;N. Weissman
通讯作者：
N. Weissman
DOI：
10.7551/mitpress/11457.001.0001
发表时间：
1982-02
期刊：
--
影响因子：
--
作者：
W. Deming
通讯作者：
W. Deming
影响因子：
4.2
作者：
J. H. Wright;S. Lippmann
通讯作者：
S. Lippmann
实践指南和标准：概述。
DOI：
--
发表时间：
1990
期刊：
QRB - Quality Review Bulletin
影响因子：
--
作者：
Lucian L. Leape;Lucian L. Leape
通讯作者：
Lucian L. Leape