Best practices in the development of clinical practice guidelines.
Clinical practice guidelines (CPGs) have been used to reduce unnecessary and undesirable variations in clinical practice. Many facilities succeed in developing and using these tools, while others conclude that they are not worth the effort. This article describes the results of a systemwide analysis of the processes a healthcare system used to plan, develop, implement, and measure CPGs after several years of experience. Extensive interviews were conducted at facilities in which the CPG program was active to determine what factors had contributed to its success or failure. The result is a series of recommendations that will facilitate CPG implementation in virtually any clinical setting.
Roberts
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Adventist Health, CA, USA.
D019985:Benchmarking; D002140:California; D017046:Cost Savings; D003663:Decision Trees; D007324:Institutional Management Teams; D007857:Leadership; D008332:Management Quality Circles; D008485:Medical Audit; D009096:Multi-Institutional Systems / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D017063:Outcome Assessment, Health Care; D010934:Planning Techniques; D017410:Practice Guidelines as Topic; D016730:Program Development; D012985:Software Design