Title Clinical practice guidelines : directions for a new program / Committee to Advise the Public Health Service on Clinical Practice Guidelines, Institute of Medicine ; Marilyn J. Field and Kathleen N. Lohr, editors

Published Washington, D.C. : National Academy Press, 1990

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Description 1 online resource (vii, 160 pages) Series Publication IOM ; 90-08 IOM publication ; 90-08. Contents Clinical Practice Guidelines -- Copyright -- Acknowledgments -- Contents -- Summary -- CONTEXT -- OVERVIEW OF PRACTICE GUIDELINES INITIATIVES -- Public Initiatives -- Private Initiatives -- INSTITUTE OF MEDICINE COMMITTEE AND PROJECT -- FINDINGS AND CONCLUSIONS -- State of the Art -- Ahcpr and the Forum -- Roles of Public and Private Sectors -- RECOMMENDATIONS: DEFINITIONS -- RECOMMENDATIONS: ATTRIBUTES OF GOOD GUIDELINES -- RECOMMENDATIONS: IMPLEMENTATION AND EVALUATION -- DIVERSITY IN CLINICAL PRACTICES AND GUIDELINES EXPECTATIONS FOR PRACTICE GUIDELINESNEXT STEPS FOR THE INSTITUTE OF MEDICINE -- FINAL COMMENT -- 1 Introduction and Background -- CONTEXT -- OVERVIEW OF PRACTICE GUIDELINES INITIATIVES -- Public Initiatives -- Private Initiatives -- SPECIFIC RESPONSIBILITIES OF AHCPR -- Deadlines and Priorities -- Development Procedures and Requirements -- Dissemination -- Use of Guidelines -- Evaluation and Further Research -- THE INSTITUTE OF MEDICINE COMMITTEE AND PROJECT -- OVERVIEW OF THE REPORT -- CONCLUSIONS AND CAUTIONARY NOTES -- REFERENCES 2 Definitions of Key Terms THE COMMITTEE'S APPROACH -- PRACTICE GUIDELINES -- Common Usage: The Dictionary -- Professional and Technical Usage -- The Committee's Definition: Practice Guideline -- Guidelines and the Strength of Evidence -- Relation of Guidelines to Review Criteria and Other Evaluation Tools -- Definition of Appropriate Care -- Guidelines and Costs -- EVALUATION INSTRUMENTS -- MEDICAL REVIEW CRITERIA -- Common Usage: The Dictionary -- Professional and Technical Usage -- The Committee's Definition: Medical Review Criteria STANDARDS OF QUALITYCommon Usage: The Dictionary -- Professional and Technical Usage -- The Committee's Definition: Standards of Quality -- PERFORMANCE MEASURES -- Common Usage: The Dictionary -- Professional and Technical Usage -- The Committee's Provisional Definition: Performance Measures -- CONCLUSIONS AND SUMMARY -- REFERENCES -- 3 Attributes of Good Practice Guidelines -- BACKGROUND AND TERMINOLOGY -- WORKING ASSUMPTIONS -- PRINCIPLES -- PAST WORK ON DEFINING ATTRIBUTES -- ATTRIBUTES FOR ASSESSING PRACTICE GUIDELINES: OVERVIEW -- VALIDITY Projected Health OutcomesProjected Costs -- Relationship Between the Evidence and the Guidelines -- Preference for Empirical Evidence Over Expert Judgement -- Thorough Literature Review -- Methods Used to Evaluate the Scientific Literature -- Strength of Evidence -- Use of Expert Judgment -- Strength of Expert Consensus -- Independent Review -- Pretesting -- RELIABILITY/REPRODUCIBILITY -- CLINICAL APPLICABILITY -- CLINICAL FLEXIBILITY -- CLARITY -- MULTIDISCIPLINARY PROCESS -- SCHEDULED REVIEW -- DOCUMENTATION -- CONCLUSION -- REFERENCES Summary The Alberta clinical practice guidelines program is supporting appropriate, effective and quality medical care in Alberta through promotion, development and implementation of evidence-based clinical practice guidelines Notes "This project was supported by the Department of Health and Human Services, contract no. 282-90-0018"--Title page verso Bibliography Includes bibliographical references Notes English Print version record Subject Medical care -- United States -- Quality control Medical policy -- United States Clinical medicine. Clinical medicine -- Standards -- United States Medical care -- Standards -- United States Medicine Clinical Medicine Practice Guidelines Databases, Factual HEALTH & FITNESS -- Health Care Issues. MEDICAL -- Public Health. MEDICAL -- Health Policy. HEALTH & FITNESS -- Diseases -- General. MEDICAL -- Diseases. MEDICAL -- Health Care Delivery. Medical care -- Standards Clinical medicine -- Standards Clinical medicine Medical care -- Quality control Medical policy SUBJECT Alberta https://id.nlm.nih.gov/mesh/D000416 Subject United States Form Electronic book Author Field, Marilyn J. (Marilyn Jane) Lohr, Kathleen N., 1941- Institute of Medicine (U.S.). Committee to Advise the Public Health Service on Clinical Practice Guidelines. United States. Department of Health and Human Services LC no. 90062881 ISBN 058515631X 9780585156316 9780309043465 0309043468 1280212047 9781280212048 9786610212040 661021204X 0309560012 9780309560016

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