scholarly journals The role of harms and burdens in clinical practice guidelines: Lessons learned from the American Psychological Association's guideline development

Author(s):  
Raquel W. Halfond ◽  
Caroline Vaile Wright ◽  
Lynn F. Bufka
Sarcoma ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
S. J. Neuhaus ◽  
D. Thomas ◽  
J. Desai ◽  
C. Vuletich ◽  
J. von Dincklage ◽  
...  

In 2013 Australia introduced Wiki-based Clinical Practice Guidelines for the Management of Adult Onset Sarcoma. These guidelines utilized a customized MediaWiki software application for guideline development and are the first evidence-based guidelines for clinical management of sarcoma. This paper presents our experience with developing and implementing web-based interactive guidelines and reviews some of the challenges and lessons from adopting an evidence-based (rather than consensus-based) approach to clinical sarcoma guidelines. Digital guidelines can be easily updated with new evidence, continuously reviewed and widely disseminated. They provide an accessible method of enabling clinicians and consumers to access evidence-based clinical practice recommendations and, as evidenced by over 2000 views in the first four months after release, with 49% of those visits being from countries outside of Australia. The lessons learned have relevance to other rare cancers in addition to the international sarcoma community.


2020 ◽  
Vol 33 (4) ◽  
pp. 178-181
Author(s):  
Thilina Bandara ◽  
Richard Musto ◽  
Jesse Kancir ◽  
Cordell Neudorf

During the H1N1 outbreak of 2009, local public health units engaged in consultations with various levels of government to develop clinical practice guidelines. These guidelines provide specific clinical considerations around prevention, management, and treatment associated with the particular pathogen involved and are used by frontline healthcare professionals across many healthcare settings. In this article, we report on the lessons learned by Medical Officers of Health from across Canada on the guideline development and deployment processes and provide suggestions to improve guidelines development and deployment during future pandemic situations.


This chapter discusses the role of clinical practice guidelines within the health system of a country. It begins with an overview of clinical practice guidelines implementation internationally and the methodology followed in their development. This is followed by a discussion of development and implementation of guidelines in South Africa. The discussion in South Africa utilises the case study of development and implementation of the PALSA (practical approach to lung health in South Africa) guideline. The PALSA study was influential to the author. He got many ideas from this study which were helpful to the BACIS program study. The PALSA guideline is one of the success stories in respect of guideline development and implementation in South Africa.


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