... definitions used, tests performed, and the goals ofthe investigators CAP in children in the United States, the focus of these guidelines, is defined simply as the presence of signs and symptoms of pneumonia ... in the development of other Infectious Diseases Society of America (IDSA) guidelines, which included a systematic weighting ofthe quality ofthe evidence and the grade ofthe recommendation ... Society, the Society for Hospital Medicine, and the Society of Critical Care Medicine The guidelines were reviewed and approved by the PIDS Clinical Affairs Committee, the IDSA SPGC, the Council of the...
... consisted ofthe following components: • Practiceguideline and metrics The official DoD/VA practiceguideline materials are provided to the MTFs, including a summary list ofthe key elements oftheguideline ... for theuseof forms Although sites were told that theuseofthe forms provided by MEDCOM was voluntary, participants at some ofthe MTFs still thought that useofthe forms was mandatory Other ... Elements ofthe DoD/VA Asthma Practice Guidelines 1.2 Profiles ofthe MTFs Participating in the Asthma Guideline Demonstration 14 1.3 Activities ofthe MTFs Participating in the Asthma Guideline...
... Implementation ofthe Diabetes PracticeGuideline in AMEDD results from a RAND evaluation ofthe diabetes practiceguideline demonstration The principal emphasis ofthepracticeguideline for ... performance for the MTFs included in the evaluation on each ofthe measures used to assess the effects oftheguideline on clinical practices for diabetes patients Results ofthe process evaluation ... provider feedback The impact oftheguideline on costs was also assessed 14 Implementation ofthe Diabetes PracticeGuideline in AMEDD Organization of This Report In the remainder ofthe report, we...
... Room Guidelines 49 iv Federal Bureau of Prisons ClinicalPractice Guidelines Management of Tuberculosis Januay 2010 Purpose The Federal Bureau of Prisons ClinicalPractice Guidelines for the ... Transmission of M tuberculosis depends on the length of time and frequency ofthe exposure, the degree of contagiousness ofthe infected person, the environment and airflow in which the exposure ... of Prisons ClinicalPractice Guidelines Management of Tuberculosis January 2010 What’s New in the Document? This is a targeted revision oftheguideline regarding TB screening Changes since the...
... evidence for theuseof alternative, over -the- counter weight-loss medications and, in some cases, the possible dangers of their use xxviii ClinicalPractice Guidelines for the Management of Overweight ... effectiveness of other weight-loss treatments; the duration ofthe therapy is related to the extent of weight-loss maintenance Evidence level Overall, behavioural therapy used in combination with other ... investigated in depth One ofthe reasons for this is the difficulty of measuring stress Another is the difficulty of determining whether stress is a consequence of obesity or a cause of it.44,45 This...
... SECTION I: USEOFTHECLINICALPRACTICEGUIDELINE This ClinicalPracticeGuideline document is based on the best information available as of March 2009, with a final updated literature search of December ... in the transparency required of this process, and strives to instill confidence in the reader about the methodological rigor ofthe approach OVERVIEW OFTHE PROCESS The development oftheguideline ... publication The KDIGO Co-Chairs appointed the Co-Chairs ofthe Work Group, who then assembled the Work Group to be responsible for the development oftheguidelineThe Work Group consisted of domain...
... annual intervals, the Expert Panel Chairs, the SPGC liaison advisor, and the Chair ofthe SPGC will determine the need for revisions to the guidelines on the basis of an examination of current literature ... endorsed by the following organizations: the AAP, the National Association of Pediatric Nurse Practitioners, and the Pediatric Infectious Diseases Society The content ofthe guidelines and the manuscript ... approved by the IDSA SPGC and by the Board of Directors before dissemination Guidelines and conflict of interest All members ofthe Expert Panel complied with the IDSA policy on conflicts of interest,...
... useof padding worn around the hip has been advocated as a measure of reducing the impact ofthe fall and thereby the chance of fracturing the hip The fracture is usually the result of a fall The ... within the scope oftheguideline Details are therefore given ofthe remaining 58 studies Settings Ofthe 58 studies, 47 reported the effect of interventions in participants living in the community ... Detailed examination ofthe MDS The content validity ofthe risk assessment of falls section ofthe MDS instrument was examined and information on the utility ofthe instrument in practice in relation...
... better uptake of guidelines into clinicalpractice Existing guideline tools assess the methodological quality of guidelines [14], rate the Page of quality of evidence and strength of recommendations ... using guidelines, and the greater the perceived control, the stronger the individual’s intention to adhere to them Intention is thus an immediate antecedent ofguideline use, but the degree of success ... whom), when they work, when they don’t achieve the desired change in practices, why they are not effective in this, and why they are not being used The body of literature from exploring key theories...
... A significant step forward is the synthesis of available research on updating of CPGs included in the handbook ofthe Programme ofClinicalPractice Guidelines in the Spanish National Health System ... de novo guidelines Research in the field ofguideline updating is scarce There is an urgent need for valid tools to estimate the rate of new relevant findings related to the topic oftheguideline ... until June 2008 using a combination of descriptors (Practice Guidelines as Topic; ClinicalPractice Guidelines) and free text terms (clinical guideline, practice guideline, updat*, up to date) Analysis...
... with the characteristics ofthe teaching of CPGs We used logistic models with each ofthe options for the characteristics ofthe teaching of CPGs as a dependent variable, and the specialty, the ... [29] The effectiveness of some of these strategies remains to be proven While the limited availability of CPGs was found in the past to be a barrier to theuseof CPGs [30], the findings of this ... need to consider the value of teaching ofthe content of CPGs on theclinical care and educational levels (evidence-based medicine user model [32]) The teaching ofthe content of CPGs can benefit...
... with the characteristics ofthe teaching of CPGs We used logistic models with each ofthe options for the characteristics ofthe teaching of CPGs as a dependent variable, and the specialty, the ... [29] The effectiveness of some of these strategies remains to be proven While the limited availability of CPGs was found in the past to be a barrier to theuseof CPGs [30], the findings of this ... need to consider the value of teaching ofthe content of CPGs on theclinical care and educational levels (evidence-based medicine user model [32]) The teaching ofthe content of CPGs can benefit...
... from the apothecaries and the allopathic doctors ofthe old school In 1846 the American Medical Association (AMA) was formed to counter the influence ofthe homeopaths and the AIH By the turn ofthe ... medicine is the holistic practiceof medicine in which the patient, not the disease, is placed at the center ofthe healing process; the disease is defined by both the patient and the doctor; the patient ... existence of CAM The most important issue relates to the prosecution of doctors solely because they choose to use CAM in their practices instead of, or together with, traditional medicine The decisions...
... reviewers of whom 35 provided comments; the Panel revised the document based on the comments received Theguideline was submitted first for approval to thePractice Guidelines Committee ofthe AUA ... these concerns and the complexity ofthe decision-making process, a primary role ofthe urologist in counseling and the informed consent process is recommended Cryoablation Theclinicaluseof ... estimated the outcome or other variable in the population of interest, regardless ofthe number of groups in a particular study This approach maximized statistical power and theuseof available...
... were within the limits ofthe MCID ofthe scores ofthe treating clinician in 62% and the mean score ofthe reviewing clinicians in 63% The proportion of cases within the MCID of 0.4 (CP 0.4 ) between ... with the patients on the day ofthe consultation Patients were asked to comment on every separate concept ofthe questionnaire They were asked what thoughts they had during completion ofthe individual ... recruitment ofthe patients and the scoring ofthe CCQ, as the main research question was the patient-reviewer agreement These two clinicians previously used the CCQ in their practice or in pulmonary...
... potential complications of performing it may be such that the test will be useful for one ofthe two purposes, but not for the other Thus, in making recommendations about theuseof diagnostic tests, ... the quality of available evidence, we used the categories described by GRADE [4] and the QUADAS tool [18] relating to the risk of bias, directness ofthe evidence, consistency and precision of ... ofthe results, and the likelihood ofthe Page of publication bias Based on the different initial probabilities of CMA and the estimated accuracy of each test being evaluated, we calculated the...
... http://www.implementationscience.com/content/6/1/63 Practice contextsb The substance abuse service system for AI/AN communities emerged out ofthe same federal efforts ofthe 1960s and 1970s that shaped their counterparts in the rest ofthe ... around theuseof EBTs in substance abuse programs serving AI/AN communities The two Euro-American sets of practices, 12 step and EBTs, now form the basis of most substance abuse services offered ... salient Page of 12 rubric for classifying the issues we identified and for discussing the impacts we hypothesize they are having on theuseof EBTs in these substance abuse programs The most relevant...
... effective PPIP Furthermore, these syntheses used approaches that account neither for the high level of complexity of PPIP, the competing rationales that underpin those interventions, nor for the contextual ... will be referred to the research team With the aim of verifying credibility ofthe findings, a summary ofthe data extraction ofthe identified publication will be sent to the concerned authors ... criteria: relevance (whether the authors ofthe included publication are explicit about the principal components of PPIPs that have been used in CPGs development), and rigor (whether the study can make...
... developers, the nature ofthe evidence-base, and how consensus was reached about the evidence and consideration ofthe benefits and harms Another set of questions also focused on theuseof strategies ... only after theguideline had been accepted for inclusion in the CMA Infobase rather than as part ofthe process of accepting theguideline Both of these factors may have encouraged guideline developers ... quality guidelines to share these practices with other smaller or less resourced developers may be another means of improving the quality of Canadian guidelines Ultimately the putative benefits of guideline...
... effective PPIP Furthermore, these syntheses used approaches that account neither for the high level of complexity of PPIP, the competing rationales that underpin those interventions, nor for the contextual ... will be referred to the research team With the aim of verifying credibility ofthe findings, a summary ofthe data extraction ofthe identified publication will be sent to the concerned authors ... criteria: relevance (whether the authors ofthe included publication are explicit about the principal components of PPIPs that have been used in CPGs development), and rigor (whether the study can make...