Evidence-Based Clinical Practice Guidelines Development, Disseminations and Assessment.

Autor: Baddour, Adnan Ali, Saleh, Hager Ali
Předmět:
Zdroj: International Journal of Pure & Applied Sciences & Technology; 2013, Vol. 19 Issue 2, p6-21, 16p
Abstrakt: Evidence-Based Clinical Practice Guidelines (CPGs) are systematically developed statements to assist practitioner and patient decisions about appropriate health care. Worldwide, CPGs have increasingly become a familiar part of clinical practice. The aim of this study was to develop and disseminate an evidence-based guideline for appropriate ordering and reordering of selected laboratory tests, as well as to assess the impact of guideline adopting in terms of improving ordering laboratory tests. The study was conducted at a general governmental hospital, the process of developing present guideline followed the systematic and approved steps, from selecting the guideline topic to finalizing and printing guideline recommendations for appropriate ordering and reordering of thyroid function tests (TFTs). The ordering of TFTs was assessed through reviewing medical records of patients who had undergone the TFTs according to an abstracting sheet that was structured based on the guideline recommendations before and after dissemination of the guideline through the distribution of paper copies of guideline and conducting of educational workshops. The study revealed that the adopting of CPGs achieved a statistically significant reduction (7.3%) in the percentage of unnecessary TFTs, a statistically significant increase in the overall guideline conformity rate (13.4%) and a statistically significant reduction in the unsatisfactory level of compliance with the guideline among prescribers (9.0%). [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index