Hdl Handle:
http://hdl.handle.net/10147/208950
Title:
A review of clinical guidelines.
Authors:
Andrews, E J; Redmond, H P
Affiliation:
Department of Academic Surgery, Cork University Hospital, Wilton, Cork, Ireland. , emmetandrews@eircom.net
Citation:
Br J Surg. 2004 Aug;91(8):956-64.
Journal:
The British journal of surgery
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208950
DOI:
10.1002/bjs.4630
PubMed ID:
15286955
Abstract:
BACKGROUND: Clinical guidelines are increasingly used in patient management but few clinicians are familiar with their origin or appropriate application. METHODS: A Medline search using the terms 'clinical guidelines' and 'practice guidelines' was conducted. Additional references were sourced by manual searching from the bibliographies of articles located. RESULTS AND CONCLUSION: Clinical guidelines originated in the USA in the early 1980s, initially as a cost containment exercise. Significant improvements in the process and outcomes of care have been demonstrated following their introduction, although the extent of improvement varies considerably. The principles for the development of guidelines are well established but many published guidelines fall short of these basic quality criteria. Guidelines are only one aspect of improving quality and should be used within a wider framework of promoting clinical effectiveness. Understanding their limitations as well as their potential benefits should enable clinicians to have a clearer view of their place in everyday practice.
Language:
eng
MeSH:
Evaluation Studies as Topic; *Evidence-Based Medicine; Humans; Information Storage and Retrieval; Jurisprudence; *Practice Guidelines as Topic/standards
ISSN:
0007-1323 (Print); 0007-1323 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorAndrews, E Jen_GB
dc.contributor.authorRedmond, H Pen_GB
dc.date.accessioned2012-02-03T15:08:16Z-
dc.date.available2012-02-03T15:08:16Z-
dc.date.issued2012-02-03T15:08:16Z-
dc.identifier.citationBr J Surg. 2004 Aug;91(8):956-64.en_GB
dc.identifier.issn0007-1323 (Print)en_GB
dc.identifier.issn0007-1323 (Linking)en_GB
dc.identifier.pmid15286955en_GB
dc.identifier.doi10.1002/bjs.4630en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208950-
dc.description.abstractBACKGROUND: Clinical guidelines are increasingly used in patient management but few clinicians are familiar with their origin or appropriate application. METHODS: A Medline search using the terms 'clinical guidelines' and 'practice guidelines' was conducted. Additional references were sourced by manual searching from the bibliographies of articles located. RESULTS AND CONCLUSION: Clinical guidelines originated in the USA in the early 1980s, initially as a cost containment exercise. Significant improvements in the process and outcomes of care have been demonstrated following their introduction, although the extent of improvement varies considerably. The principles for the development of guidelines are well established but many published guidelines fall short of these basic quality criteria. Guidelines are only one aspect of improving quality and should be used within a wider framework of promoting clinical effectiveness. Understanding their limitations as well as their potential benefits should enable clinicians to have a clearer view of their place in everyday practice.en_GB
dc.language.isoengen_GB
dc.subject.meshEvaluation Studies as Topicen_GB
dc.subject.mesh*Evidence-Based Medicineen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInformation Storage and Retrievalen_GB
dc.subject.meshJurisprudenceen_GB
dc.subject.mesh*Practice Guidelines as Topic/standardsen_GB
dc.titleA review of clinical guidelines.en_GB
dc.contributor.departmentDepartment of Academic Surgery, Cork University Hospital, Wilton, Cork, Ireland. , emmetandrews@eircom.neten_GB
dc.identifier.journalThe British journal of surgeryen_GB
dc.description.provinceMunster-

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