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.

"This project was supported by the Department of Health and Human Services, contract no. 282-90-0018"--Title page verso

Includes bibliographical references.

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.

Print version record.

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

English.

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