scholarly journals Metodologia e produzione delle Linee Guida

2021 ◽  
Vol 33 ◽  
pp. 136-140
Author(s):  
Francesco Burrai ◽  
Margherita Gambella ◽  
Angelica Scarpa ◽  
Stefano Cabula
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Quality Standards ◽  
Linee Guida ◽  
Conflict Of Interests ◽  
Whole Process ◽  
Healthcare Processes ◽  
Italian Territory

This article has the aim of informing the reader about methodology and production of Clinical Practice Guidelines (CPG) and the instruments in order to be able to approach the whole process, from the production to the publication and distribution, but also to updated CPG. The importance of the issue is given by: 1) the need to avoid the CPG duplication, which is the reason of waste of resources and that raises confusion among users; 2) the need to ensure the independence of the experts involved and without conflict of interests; 3) the use of methodologies that respect the best quality standards; 4) the inhomogeneity of healthcare processes in the Italian territory and practices not based on scientific evidences; 5) the consultation and the commentary of stakeholders on the recommendations produced.

scholarly journals Do the clinical practice guidelines for pediatric dentistry meet the quality standards? A meta-research and quality appraisal protocol using AGREE II and AGREE REX tools.

2021 ◽  
Author(s):  
Daniela Prócida Raggio ◽  
Rokaia Elagami ◽  
Claudia Jacqueline Lopez Gallegos ◽  
Tamara Tedesco ◽  
Thais Gimenez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Quality Standards ◽  
Pediatric Dentistry ◽  
Care Providers ◽  
Agree Ii ◽  
Guidelines And Recommendations ◽  
Agree Ii Instrument

Clinical Practice Guidelines (CPGs) are recommendations for the health care providers and a method to close the know-do gap, transferring the knowledge from the academic research to the clinician. The proposal of this systematic review is to assess the quality of published guidelines regarding Pediatric Dentistry topics using AGREE II instrument and AGREE REX tool. This study is registered on Open Science Framework (OSF). Two examiners will independently search for literature based on the PICO question and will perform a screening of the literature according to inclusion and exclusion criteria, as well as data collection and extraction. The search will be performed in different electronic databases including Medline (PubMed), Embase, Scopus, LIVIVO, Caribbean Health Sciences Literature (Lilacs), Scientific societies, and International association websites (American Academy of Pediatric Dentistry - AAPD, European Academy of Pediatric Dentistry - EAPD, Guidelines International Network (GIN), National Institute for Health and Care Excellence – NICE, TRIP - Turning Research Into Practice database and Scottish Dental Clinical Effectiveness Programme - SDCEP), and grey literature (ProQuest) to identify any topic regarding Pediatric Dentistry guidelines. The search strategy for this systematic review will be defined through the PICO question: “Do the clinical practice guidelines and recommendations on pediatric dentistry meet the quality standards based on the AGREE II instrument and AGREE REX tool?”. We will include evidence-based and consensus-based guidelines that address any topic related to Pediatric Dentistry, and that report on the evidence level supporting each recommendation. We will exclude any outdated documents (when they have the updated version), topics irrelevant to Pediatric Dentistry, and duplicate publications. Inter-rater reliability (Intraclass correlation coefficient) will be calculated to ensure the level of agreement among researchers. For the assessment of eligible guidelines and recommendations, the AGREE II instrument and AGREE REX tool will be used in the complete form. Lastly, descriptive statistics and linear regression models will be conducted.

scholarly journals Linee Guida e raccomandazioni per l’emergenza sanitaria da SARS-CoV-2. Organizzazione dell’attività assistenziale oculistica per evitare il contatto tra soggetti sani e soggetti positivi asintomatici contagiosi

ABOUTOPEN ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 76-79
Author(s):  
Pasquale Troiano ◽  
Maurizio Buscemi ◽  
Emilio Campos ◽  
Luigi Mele ◽  
Fabrizio Pregliasco ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Experience ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Scientific Literature ◽  
Healthy People ◽  
Linee Guida ◽  
Health And Wellbeing ◽  
Organization And Management ◽  
Unique Nature

The Italian Ophthalmological Society (SOI) has developed clinical practice guidelines for the care of ophthalmic patients during the coronavirus disease 2019 (COVID-19) pandemic. The aim of this document is to define guidelines that would help ophthalmologists in their clinical activities through the adoption of recommended procedures to avoid common organization and management of positive asymptomatic contagious patients and healthy people. They are based on data available in scientific literature and real clinical experience. The document underlines the unique nature of ophthalmology and its impact on people’s health and wellbeing, outlines minimal requirements to be able to perform ophthalmology procedures, discusses the use of disposable devices and materials and outlines the criteria to manage potentially contagious patients and healthy people.

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

2020 ◽  
Vol 5 (4) ◽  
pp. 1006-1010
Author(s):  
Jennifer Raminick ◽  
Hema Desai
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Oxygen Therapy ◽  
Respiratory Illness ◽  
High Flow ◽  
Oral Feeding ◽  
Respiratory Support ◽  
Acute Respiratory Illness ◽  
High Flow Oxygen

Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

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