EBD clinical guideliens Flashcards
clinical guidelines
systemically developed statements which assist in decision making about appropriate health care for specific clinical conditions
what are the aspects of guideline development
scope and purpose stakeholder involvment rigour of development clarity and presentation applicability editorial independence
what does the national institute for health and clinical excellence do
provide patients, health professionals and public with authoritative and reliable guidance. on current best practise
benefits of clinical guidelines
justify treatment decision
helpful to improve consistency
can look for guidelines on new products
criticisms of clinical guideliens
not mandatory
limit clinical freedom
doesn’t take into account patients wishes
takes a long time develop
medicolegal consideratiosn
Legal precedents suggest those who fail to comply cant automatically be presumed to be negligent, those that do comply cant use guidelines as defence against negligence
recall intervals too frequenc
inefficient time
not enough time for emergency appoinemnts
cost to paitent
recall intervals not frequent enough
severity of cases increase
can’t give preventative adivce as often
recommendations for recall intervals
shortest for all patients should be 3 mn
under 18 should to go less frequently than a year
adults should not go longer than2 yr
critical appraisal
assessment of methodology quality
stages of critical appraisal
define the question
locate and collect evidence
appraise the evidence
implementing the evidence
methods of critical appraisal
informal
formal
informal critical apprasial
need to know something about study type, how to assess the quality of the study type
read through paper, note good/bad points
come to overall conclusion
formal critical appraisal
structured checklists
use critical appraisal skills programme for cheklist s
