LEADER 05130nam 2200673Ia 450 001 9910778505703321 005 20230331004947.0 010 $a1-280-21204-7 010 $a9786610212040 010 $a0-309-56001-2 010 $a0-585-15631-X 035 $a(CKB)110986584751018 035 $a(EBL)3377121 035 $a(SSID)ssj0000123670 035 $a(PQKBManifestationID)11139391 035 $a(PQKBTitleCode)TC0000123670 035 $a(PQKBWorkID)10007132 035 $a(PQKB)11783137 035 $a(MiAaPQ)EBC3377121 035 $a(Au-PeEL)EBL3377121 035 $a(CaPaEBR)ebr10068353 035 $a(CaONFJC)MIL21204 035 $a(OCoLC)923268396 035 $a(EXLCZ)99110986584751018 100 $a19901120d1990 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aClinical practice guidelines$b[electronic resource] $edirections for a new program /$fCommittee to Advise the Public Health Service on Clinical Practice Guidelines, Institute of Medicine ; Marilyn J. Field and Kathleen N. Lohr, editors 210 $aWashington, D.C. $cNational Academy Press$d1990 215 $a1 online resource (168 p.) 225 0 $aPublication IOM Clinical practice guidelines 300 $aDescription based upon print version of record. 311 $a0-309-04346-8 327 $a""Clinical Practice Guidelines""; ""Copyright""; ""Acknowledgments""; ""Contents""; ""Summary""; ""CONTEXT""; ""OVERVIEW OF PRACTICE GUIDELINES INITIATIVES""; ""Public Initiatives""; ""Private Initiatives""; ""INSTITUTE OF MEDICINE COMMITTEE AND PROJECT""; ""FINDINGS AND CONCLUSIONS""; ""State of the Art""; ""Ahcpr and the Forum""; ""Roles of Public and Private Sectors""; ""RECOMMENDATIONS: DEFINITIONS""; ""RECOMMENDATIONS: ATTRIBUTES OF GOOD GUIDELINES""; ""RECOMMENDATIONS: IMPLEMENTATION AND EVALUATION""; ""DIVERSITY IN CLINICAL PRACTICES AND GUIDELINES"" 327 $a""EXPECTATIONS FOR PRACTICE GUIDELINES""""NEXT STEPS FOR THE INSTITUTE OF MEDICINE""; ""FINAL COMMENT""; ""1 Introduction and Background ""; ""CONTEXT""; ""OVERVIEW OF PRACTICE GUIDELINES INITIATIVES""; ""Public Initiatives""; ""Private Initiatives""; ""SPECIFIC RESPONSIBILITIES OF AHCPR""; ""Deadlines and Priorities""; ""Development Procedures and Requirements""; ""Dissemination""; ""Use of Guidelines""; ""Evaluation and Further Research""; ""THE INSTITUTE OF MEDICINE COMMITTEE AND PROJECT""; ""OVERVIEW OF THE REPORT""; ""CONCLUSIONS AND CAUTIONARY NOTES""; ""REFERENCES"" 327 $a""2 Definitions of Key Terms """"THE COMMITTEE'S APPROACH""; ""PRACTICE GUIDELINES""; ""Common Usage: The Dictionary""; ""Professional and Technical Usage""; ""The Committee's Definition: Practice Guideline""; ""Guidelines and the Strength of Evidence""; ""Relation of Guidelines to Review Criteria and Other Evaluation Tools""; ""Definition of Appropriate Care""; ""Guidelines and Costs""; ""EVALUATION INSTRUMENTS""; ""MEDICAL REVIEW CRITERIA""; ""Common Usage: The Dictionary""; ""Professional and Technical Usage""; ""The Committee's Definition: Medical Review Criteria"" 327 $a""STANDARDS OF QUALITY""""Common Usage: The Dictionary""; ""Professional and Technical Usage""; ""The Committee's Definition: Standards of Quality""; ""PERFORMANCE MEASURES""; ""Common Usage: The Dictionary""; ""Professional and Technical Usage""; ""The Committee's Provisional Definition: Performance Measures""; ""CONCLUSIONS AND SUMMARY""; ""REFERENCES""; ""3 Attributes of Good Practice Guidelines ""; ""BACKGROUND AND TERMINOLOGY""; ""WORKING ASSUMPTIONS""; ""PRINCIPLES""; ""PAST WORK ON DEFINING ATTRIBUTES""; ""ATTRIBUTES FOR ASSESSING PRACTICE GUIDELINES: OVERVIEW""; ""VALIDITY"" 327 $a""Projected Health Outcomes""""Projected Costs""; ""Relationship Between the Evidence and the Guidelines""; ""Preference for Empirical Evidence Over Expert Judgement""; ""Thorough Literature Review""; ""Methods Used to Evaluate the Scientific Literature""; ""Strength of Evidence""; ""Use of Expert Judgment""; ""Strength of Expert Consensus""; ""Independent Review""; ""Pretesting""; ""RELIABILITY/REPRODUCIBILITY""; ""CLINICAL APPLICABILITY""; ""CLINICAL FLEXIBILITY""; ""CLARITY""; ""MULTIDISCIPLINARY PROCESS""; ""SCHEDULED REVIEW""; ""DOCUMENTATION""; ""CONCLUSION""; ""REFERENCES"" 327 $a""4 Implementation and Evaluation "" 606 $aMedical care$zUnited States 606 $aMedicine$xPractice$zUnited States 615 0$aMedical care 615 0$aMedicine$xPractice 676 $a362.10973 701 $aField$b Marilyn J$g(Marilyn Jane)$01477341 701 $aLohr$b Kathleen N.$f1941-$01506302 701 $aLohr$b K. N$g(Kathleen N.)$01548600 712 02$aInstitute of Medicine (U.S.).$bCommittee to Advise the Public Health Service on Clinical Practice Guidelines. 712 02$aUnited States.$bDepartment of Health and Human Services. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910778505703321 996 $aClinical practice guidelines$93805744 997 $aUNINA