LESSON 17 part 1 Flashcards
Recommendations on how to diagnose and treat a medical condition
Clinical Practice Guidelines / Simply Clinical Guidelines
Another name for Clinical Practice Guidelines
Simply Clinical Guidelines
They are mainly written for doctors, but also for nurses and other health care professionals
Clinical Practice Guidelines
These are ‘systematically developed statements to assist practitioner make decisions’ about appropriate health care for specific clinical circumstances
Clinical Practice Guidelines
Clinical guidelines developed locally
Internal Guidelines
Clinical guidelines developed regionally/nationally
External Guidelines
What stage: it is essential that guidelines are based on the best available research evidence
1st stage
What stage: Using the research evidence, guideline construction takes place, usually through some form of small group work
2nd stage
What stage: the guideline is tested by asking professionals not involved in the guideline
3rd stage
What stage: the guideline should be reviewed after a specific time period and modified to take into account
4th stage
If a guideline is followed it should lead to the ‘health gains and cost predicted’
Validity
It means that the improvements in health care should have ‘acceptable costs’
Cost effectiveness
Means that given the same evidence, another ‘guideline development group would produce’ similar recommendations
Reproducibility
Means that given the same clinical circumstances, another health professional would ‘apply the recommendations in a similar fashion’
Reliability
Guideline development should be ‘undertaken by a group with representation’ from all key disciplines and interest, including patients
Representative Development
The target population should be ‘defined in line with scientific evidence’
Clinical Applicability
By ‘identifying exceptions and how patient preferences’ are to be taken into account in the decision making process
Clinically flexible
Using precise definitions and user friendly formats
Clarity
Guidelines should also be ‘reviewed periodically and modified’ to incorporate new knowledge
Scheduled review
A periodical publication which is published in electronic format, usually on the internet
E-journal
You can search the contents page and or the full text of journals to find articles on certain subjects
E-journal
Electronic journals available through ‘internet applications’
Classic Electronic Journals
Originally they were ‘distributed via email’ but now are available on the web and only alerts of new issues are distributed by email
Classic Electronic Journals
These journals are ‘available both’ in print and electronically
Parallel Electronic Journals or Electronic Version of print
Articles reside in a ‘centralized database maintained by the publisher and subscribers’ are given permission to access the database to locate and download articles
Database model and software model
The software would have an ‘expiration date’ that corresponds with the length of ‘subscription’
Database model and software model
‘Commercial publishers’ have also made journal titles available on _______; duplicate print titles already held by LIBRARIES
CDROM Journals
These are e journals where ‘complete articles are available’ rather than just summaries or abstracts. Usually the whole of the journals is available online.
Full text
These are journals that are “only available electronically”, no counterpart like print or CD ROM is available of these types of journals
Electronic only journals
