Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes.
Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review--guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating.
Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
Table of Contents
|2 Background and Key Stakeholders in Guidelines Development and Use||29-52|
|3 Trustworthy Clinical Practice Guidelines: Challenges and Potential||53-74|
|4 Current Best Practices and Proposed Standards for Development of Trustworthy CPGs: Part 1, Getting Started||75-108|
|5 Current Best Practices and Standards for Development of Trustworthy CPGs: Part II, Traversing the Process||109-144|
|6 Promoting Adoption of Clinical Practice Guidelines||145-186|
|7 Development, Identification, and Evaluation of Trustworthy Clinical Practice Guidelines||187-204|
|Appendix A: Abbreviations and Acronyms||205-208|
|Appendix B: Workshop Agenda and Questions to Panelists||209-212|
|Appendix C: Clinical Practice Guideline Appraisal Tools||213-230|
|Appendix D: Systems for Rating the Strength of Evidence and Clinical Recommendations||231-254|
|Appendix E: Literature Search Strategy: Clinical Practice Guidelines||255-256|
|Appendix F: Committee Biographies||257-266|
The National Academies Press and the Transportation Research Board have partnered with Copyright Clearance Center to offer a variety of options for reusing our content. You may request permission to:
For most Academic and Educational uses no royalties will be charged although you are required to obtain a license and comply with the license terms and conditions.
For information on how to request permission to translate our work and for any other rights related query please click here.
For questions about using the Copyright.com service, please contact:
Copyright Clearance Center
22 Rosewood Drive
Danvers, MA 01923
Tel (toll free): 855/239-3415 (select option 1)
Loading stats for Clinical Practice Guidelines We Can Trust...