EVIDENCE INTO PRACTICE Flashcards
what are clinical guidelines?
statements that include recommendations intended to optimize patient care
whats the purpose of clinical guidelines?
equity
ensures treatment is evidence based
what makes guidelines good?
if they are systematic
if their process is formal and transparent
if they address relevant clinical questions
if they use the best evidence available
if they’re updated reguarly
how are questions framed for a systematic review?
Population Intervention Comparator Outcomes Study designs
what is the main benefit of meta-anaylsis?
the overall sample size is increased which can increase precision.
what can some issues of quality of a study design be?
not using an appropriate study design, having statistical flaws, bias or choosing the easy-to-measure outcomes rather than the ones of most relevance, they can be poorly reported, the quality of intervention can vary and findings of trials can have poor generalisability to clinical practice.
what factors inform guidelines?
cost effectivness
best evidence
social value
what are some pros of clinical protocols?
Clear framework Increased autonomy Ensures consensus- consistency Accountability Identifies training needs
what are some cons of clinical protocols?
May stifle individual care management May reduce need for qualified staff Required regular review Compliance May restrict clinical discretion
