report released today
... not a key part of our Evidence Check. Historically, some medical interventions were
demonstrably effective before anyone understood their modes of action. For example, after
150 years of use, there is still debate about precisely how anaesthetics work.22 It is more
important to know whether a treatm ...
Clinical Guidelines for Chronic Conditions in the
... endorsed or recommended by the European Observatory on Health Systems and Policies in preference to
others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary
products are distinguished by initial capital letters.
All reasonable precautions have been t ...
Evidence-Based Practice Guideline for the Management of Croup in Children
... preferences. Where evidence was not found the GDG made a consensus
recommendation based on clinical expertise and consumer preferences.
The levels of evidence found, and grades of recommendation made are
identified in the text of the guideline, as described in Table 1.
It is intended that this guide ...
Abstracts of the 23rd Cochrane Colloquium
... Background: Developing the clinical pathway of a medical
test can help test accuracy review authors deﬁne more
precisely the target condition and study eligibility criteria
for their reviews. Such pathways also help in understanding
the impact of testing on clinical management decisions and
Abstracts of the 19th Cochrane Colloquium
... NICE and the UKCC undertook a pilot project using Cochrane reviews
as an evidence base to identify low-value interventions for local NHS
disinvestment. Methods: Over six months all Cochrane reviews
concluding that an intervention could not be recommended or should
be used only in research were ident ...
IV fluids in children
... NICE clinical guidelines are recommendations for the care of individuals in specific clinical conditions or
circumstances within the NHS – from prevention and self-care through primary and secondary care to
more specialised services. We base our clinical guidelines on the best available research evi ...
Negative mechanistic reasoning in medical
... For a couple of decades, mechanistic reasoning has been assigned an insignificant role
in clinical medical research. This downgrading coincides with the skeptical attitude
towards mechanistic reasoning shown by proponents of evidence-based medicine
(EBM). Their attitude can be readily seen in so-cal ...
... Society for Healthcare Epidemiology of America (1)
Society for Surgery of the Alimentary Tract, Inc (14)
Society for Vascular Medicine and Biology (1)
Society for Vascular Surgery (1)
Society of American Gastrointestinal and Endoscopic Surgeons (8)
Society of Critical Care Medicine (7)
Society of Gy ...
... Society of American Gastrointestinal and Endoscopic Surgeons (7)
Society of Critical Care Medicine (7)
Society of Gynecologic Oncologists of Canada (1)
Society of Interventional Radiology (6)
Society of Nuclear Medicine, Inc (15)
Society of Thoracic Surgeons (5)
Stroke Foundation of New Zealand, Inc ...
... Hospital guidelines for the use of supplementary feedings in the healthy term breastfed neonate, revised
BEST CURRENT EVIDENCE ON CHEST PHYSIOTHERAPY IN NON-VENTILATED
... Chest physiotherapy should be based on a complete evaluation and on
clinical merit, as well as on evidence and patient preference. Education of
physiotherapy students at universities as well as doctors regarding the current
evidence for chest physiotherapy in paediatric bronchiolitis is essential.
guidelines for evaluating chronic cough in pediatrics
... ARE THE RECOMMENDATIONS VALID?
Was an explicit and sensible process used to consider the
relative value of different outcomes? YES
• International panel of 26 experts from 7 clinical specialties.
• Many were ACCP members, but other medical societies
• Quality of evidence is rated on st ...
Venous Ulcer Guidelines Slides
... We suggest that venous leg ulcers with >1x106 CFU/g of tissue and clinical
evidence of infection should be treated with antimicrobial therapy. [GRADE
-2; LEVEL OF EVIDENCE – C] We suggest antimicrobial therapy for virulent
or difficult to eradicate bacteria (such as beta hemolytic streptococci,
The Future of Practice Guidelines - Scholarly Commons
... micromanagement." 11 Advocates of patient rights perceive
guidelines as a means of informing patient decisions, clarifying
their preferences, and improving patient autonomy. 12
In their ideal form, guidelines provide a framework for
medical decision-making. As defined by IOM, they have "one
US Preventive Services Task Force
... Height/Weight/BMI. Previously, the USPSTF found adequate evidence that BMI was an acceptable measure for identifying children and adolescents with
excess weight. The USPSTF found adequate evidence that multicomponent, moderate- to high-intensity behavioral interventions for obese children and
Clinical Practice Guideline Process Manual
... authors of AAN guidelines. The manual is also
available to anyone curious about the AAN
guideline development process, including AAN
members and the public.
Clinical practice guidelines (CPG) are
statements that include recommendations
intended to optimize patient care that are
informed by a systema ...
... P is for patient for population
• describe a patient or group of patients that are similar to yours
I is for intervention
• What main intervention are you considering?
• What do you want to do to the patient?
C is for conventional treatment
• What is the main alternative to compare with the interven ...
A Quality Improvement Project to Improve the Management of
... guideline to the ward for each case of hyperkalemia. However, post-intervention data
showed that only 42% of cases were managed according to the standard from 39%
during the observation phase. Only 38% of faxed guidelines were actually transmitted,
which may have limited the effect of intervention.7 ...
Pediatric Emergency Medicine Practice Clinical
... for Emergency Cardiac Care:
Quality of Evidence and Classes
of Recommendations; also:
Anonymous. Guidelines for cardiopulmonary resuscitation and
emergency cardiac care. Emergency Cardiac Care Committee
and Subcommittees, American
Heart Association. Part IX. Ensuring effectiveness of communitywide e ...
Current Guidelines For Diagnosis And Management
... and management of bronchiolitis, convened by the American
Academy of Pediatrics (AAP) with the support of the American
Academy of Family Physicians, the American Thoracic Society, the
American College of Chest Physicians, and the European Respiratory Society. The committee was chaired by a primary c ...
Evidence-based medicine (EBM) is an approach to medical practice intended to optimize decision-making by emphasizing the use of evidence from well designed and conducted research. Although all medicine based on science has some degree of empirical support, EBM goes further, classifying evidence by its epistemologic strength and requiring that only the strongest types (coming from meta-analyses, systematic reviews, and randomized controlled trials) can yield strong recommendations; weaker types (such as from case-control studies) can yield only weak recommendations. The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. Use of the term rapidly expanded to include a previously described approach that emphasized the use of evidence in the design of guidelines and policies that apply to groups of patients and populations (""evidence-based practice policies""). It has subsequently spread to describe an approach to decision making that is used at virtually every level of health care as well as other fields (evidence-based practice).Whether applied to medical education, decisions about individuals, guidelines and policies applied to populations, or administration of health services in general, evidence-based medicine advocates that to the greatest extent possible, decisions and policies should be based on evidence, not just the beliefs of practitioners, experts, or administrators. It thus tries to assure that a clinician's opinion, which may be limited by knowledge gaps or biases, is supplemented with all available knowledge from the scientific literature so that best practice can be determined and applied. It promotes the use of formal, explicit methods to analyze evidence and make it available to decision makers. It promotes programs to teach the methods to medical students, practitioners, and policy makers.