|
Showing 1 - 2 of
2 matches in All Departments
|
Clinical Practice Guidelines We Can Trust (Paperback, New)
Committee on Standards for Developing Trustworthy Clinical Practice Guidelines, Board on Health Care Services, Institute of Medicine; Edited by Robin Graham, Michelle Mancher, …
|
R1,564
Discovery Miles 15 640
|
Ships in 12 - 17 working days
|
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.
Medical residents in hospitals are often required to be on duty for
long hours. In 2003 the organization overseeing graduate medical
education adopted common program requirements to restrict resident
workweeks, including limits to an average of 80 hours over 4 weeks
and the longest consecutive period of work to 30 hours in order to
protect patients and residents from unsafe conditions resulting
from excessive fatigue. Resident Duty Hours provides a timely
examination of how those requirements were implemented and their
impact on safety, education, and the training institutions. An
in-depth review of the evidence on sleep and human performance
indicated a need to increase opportunities for sleep during
residency training to prevent acute and chronic sleep deprivation
and minimize the risk of fatigue-related errors. In addition to
recommending opportunities for on-duty sleep during long duty
periods and breaks for sleep of appropriate lengths between work
periods, the committee also recommends enhancements of supervision,
appropriate workload, and changes in the work environment to
improve conditions for safety and learning. All residents, medical
educators, those involved with academic training institutions,
specialty societies, professional groups, and consumer/patient
safety organizations will find this book useful to advocate for an
improved culture of safety. Table of Contents Front Matter Abstract
Summary 1 Background and Overview 2 Current Duty Hours and
Monitoring Adherence 3 Adapting the Resident Educational and Work
Environment to Duty Hour Limits 4 Improving the Resident Learning
Environment 5 Impact of Duty Hours on Resident Well-Being 6
Contributors to Error in the Training Environment 7 Strategies to
Reduce Fatigue Risk in Resident Work Schedules 8 System Strategies
to Improve Patient Safety and Error Prevention 9 Resources to
Implement Improvements for Patient Safety and Resident Training
Appendix A Statement of Task Appendix B Comparison of Select
Scheduling Possibilities Under Committee Recommendations and Under
2003 ACGME Duty Hour Rules Appendix C International Experiences
Limiting Resident Duty Hours Appendix D Glossary, Acronyms, and
Abbreviations Appendix E Committee Member Biographies Appendix F
Public Meeting Agendas Index
|
|