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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, …
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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.
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