Hayne's 5S model? - Answers studies
syntheses
synopses
summaries
systems
evidence based clinical practice guidelines are included in? - Answers summaries
what are clinical practice guidelines? - Answers statements that include recommendations intended to
optimize patient care that are informed by a systematic review of evidence and an assessment of the
benefits and arms of alternative care options
purpose of clinical practical guidelines? - Answers to make specific recommendations for clinical practice
based on the best available evidence, clinical expertise, and patient preference
what clinical practice guidelines are NOT? - Answers NOT mandates intended to be followed rigidly and
without question
putting guidelines into action must take into account factors such as? (5) - Answers - individual patient
needs, values, preferences
- possible harms as well as benefits of alternative care options
- comorbidities that might change expectations
- availability and affordability of recommended care options
- likelihood of adherence/acceptance
CG vs SR: scope? - Answers CG= whole process of patient management
SR= single aspect of patient care
CG vs SR: developers? - Answers CG= multidisciplinary team
SR= small group of researchers
CG vs SR: implications for practice? - Answers CG= specific, actionable recommendations
SR= clinical must determine their own action
CG vs SR: validity? - Answers CG= depends on methods used
, SR= depends on methods used
CG vs SR: time frame? - Answers CG= may be expensive and time-consuming to produce
SR= may be developed relatively quickly
CG vs SR: availability? - Answers CG= widely disseminated in guidline-specific databases, etc
SR= generally published only in professional journals
3 approaches to develop guidelines? - Answers consensus-based
evidence-informed
evidence-based
consensus-based approach? - Answers developed by expert clinicians whose personal biases shape the
recommendations
evidence-informed approach? - Answers well referenced but lacks critical appraisal
evidence-based approach? - Answers systematic process to search, retrieve, and appraise the evidence
evidence-based explicitly differentiates? - Answers evidence from opinion
phases of development for CPGs? (4) - Answers preparation phase
evidence-review phase
drafting phase
dissemination phase
how long does it take to complete the process? - Answers 2-3 years
3 parts of prep phase? - Answers - topic selection (what clinical problem)
- form multidisciplinary guideline development group
- determine the scope of the guideline (what aspects will be addressed)
4 parts of evidence-review phase? - Answers - identify specific clinical questions to address
- systematic literature search
- critical appraisal of averrable evidence for each question
- discuss and agree on clinical implications of evidence
2 parts of drafting phase? - Answers - formulate final recommendations