scholarly journals Use of the World Wide Web to Implement Clinical Practice Guidelines: A Feasibility Study

2003 ◽  
Vol 5 (2) ◽  
pp. e12 ◽  
Author(s):  
Jean-Gabriel Jeannot ◽  
Frédy Scherer ◽  
Valérie Pittet ◽  
Bernard Burnand ◽  
John-Paul Vader
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Francesca Gimigliano ◽  
◽  
Sara Liguori ◽  
Antimo Moretti ◽  
Giuseppe Toro ◽  
...  

Abstract Background The identification of existing rehabilitation interventions and related evidence represents a crucial step along the development of the World Health Organization’s (WHO) Package of Interventions for Rehabilitation (PIR). The methods for such identification have been developed by the WHO Rehabilitation Programme and Cochrane Rehabilitation under the guidance of the WHO’s Guideline Review Committee secretariat. The aim of this paper is to report on the results of the systematic search for clinical practice guidelines (CPGs) relevant to the rehabilitation of adults with fractures and to present the current state of evidence available from the identified CPGs. Methods This paper is part of the Best Evidence for Rehabilitation (be4rehab) series, developed according to the methodology presented in the World Health Organization’s (WHO) Package of Interventions for Rehabilitation (PIR) introductory paper. It is a systematic review of existing CPGs on fractures in adult population published from 2009 to 2019. Results We identified 23 relevant CPGs after title and abstract screening. According to inclusion/exclusion criteria, we selected 13 CPGs. After checking for quality, publication time, multiprofessionality, and comprehensiveness, we finally included five CPGs dealing with rehabilitative management of fractures in adult population, two CPGs addressing treatment of distal radius fracture and three the treatment of femoral/hip fracture. Conclusion The selected CPGs on management of distal radius and femoral/hip fracture include few recommendations regarding rehabilitation, with overall low to very low quality of evidence and weak/conditional strength of recommendation. Moreover, several gaps in specific rehabilitative topics occur. Further high-quality trials are required to upgrade the quality of the available evidence. Level of evidence Level 1.


2021 ◽  
Vol 53 (2) ◽  
pp. 323-329
Author(s):  
Jii Bum Lee ◽  
Minkyu Jung ◽  
June Hyuk Kim ◽  
Bo Hyun Kim ◽  
Yeol Kim ◽  
...  

At the end of 2019, the cause of pneumonia outbreaks in Wuhan, China, was identified as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In February 2020, the World Health Organization named the disease cause by SARS-CoV-2 as coronavirus disease 2019 (COVID-19). In response to the pandemic, the Korean Cancer Association formed the COVID-19 task force to develop practice guidelines. This special article introduces the clinical practice guidelines for cancer patients which will help oncologists best manage cancer patients during the COVID-19 pandemic.


After the development of guidelines, methods and strategies for their dissemination need to be formulated. The knowledge base on guideline implementation contains a number of methods that have been employed in guideline implementation and dissemination from around the world. The discussion in this chapter considers the strengths and weaknesses of each of these methods. In the discussion of these methods, a number of factors are considered including the costs of development and implementation of guidelines versus their benefits to patient care. In the summary to the chapter, quantitative improvements in guideline adherence are also noted, as well as a discussion of research around improvements in patient outcomes in addition to the process of care.


2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Sahoo Saddichha ◽  
Santosh K. Chaturvedi

The discipline of psychiatry has a plethora of guidelines, designed to serve the needs of the clinician. Yet, even a cursory glance is enough to discern the differences between the various guidelines. This paper reviews the current standard guidelines being followed across the world and proposes a unified guideline on the backbone of current evidence and practice being followed. The algorithm for pharmacological and psychosocial treatment for bipolar disorder, major depressive disorder, and schizophrenia is formulated after cross-comparison across four different guidelines and recent meta-analytical evidence. For every disorder, guidelines have different suggestions. Hence, based on the current status of evidence, algorithms have been combined to form a unified guideline for management. Clinical practice guidelines form the basis of standard clinical practice for all disciplines of medicine, including psychiatry. Yet, they are often not read or followed because of poor quality or because of barriers to implementation due to either lack of agreement or ambiguity. A unified guideline can go a long way in helping clear some of the confusion that has crept in due to the use of different guidelines across the world.


2022 ◽  
pp. 217-248
Author(s):  
Cristina Vaz de Almeida

Clinical practice guidelines are procedures, ideas, integrating records, multiple interventions, and decisions that are systematically developed to support professional and patient decisions about healthcare appropriate to specific clinical circumstances. The sudden pandemic that occurred in December 2019 that devastated the world forced reflection and globalized intervention. It was necessary, in a short time, to elaborate and disseminate a set of key rules in order to be able to control the coronavirus pandemic, global information, the protection and safety of people, and the treatment of patients and multiple and complex issues brought up in a communication crisis. In this chapter the author evaluates some of the moments of this global communication led by the World Health Organization and supported by the Centers for Disease Control and Prevention and other entities.


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