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Posted on February 4, 2010.
Saf LondonThe effectiveness of clinical guidelines as a means of changing behavior

Introduction

Policy and procedural recommendations must be given on any failure to meet the expected results. (Grimshaw et al, 2001)

Definition of clinical guidelines and a brief description of sources

Clinical guidelines can be defined as systematically developed statements that help practitioners and patients make decisions about their own situation and circumstances of clinical care. Clinical guidelines are important in setting the specific treatment and diagnostic procedures when dealing with patients. In addition, these guidelines are important in the formulation of recommendations that were drawn from published literature and systematic review. (Kanfer, F. & Saslow, 1999)

Usually, the guidelines are important in the following manner;

  • Identify practices that meet the needs of patients
  • Describe the general approaches to management, approaches and treatment of diseases and conditions

It should be noted that these guidelines are not fixed protocols such as they are mere recommendations and the responsible management of clinics is what can ensure that patients receive the care they deserve. In fact, every clinician should have its own type of treatment plan must be tailored to individual patient needs and specific circumstances in which such treatment plans are carried out. (NICE, 2003a)

It should be noted that there are specific users who have been affected by this guidance. The first category of this priority list is made up of clinicians. The latter term includes nurses, doctors and health professionals. In addition, some non-clinicians such as managed care organizations or groups that deal with patients or health care resources and are affected by these guidelines. We can therefore say that the clinical guidelines replace the clinical environment and achieve other areas that revolve around the management of health care. (Field & Lohr, 1992)

Clinical guidelines are usually written by groups of experts. These panels may belong to different branches of medicine and are generally not paid for their services. The latter committees are chaired by experts appointed by the health regulatory agency on the basis of their expertise in clinical and scientific. After this panel wrote his project, he is then reviewed by other external members who are considered experts because they have the same qualifications as the board members do. The following functions are generally considered after the creation of these guidelines

  • Convenience
  • Clarity
  • Formatting
  • Usefulness of guidelines in practice (Grol et al, 1998)

After the external examination was done, then the panel looks at the comments made by reviewers and makes changes to the project they have created. Subsequently, another draft is written and posted on the NHS so that the public can also review. Usually, members are allowed to post their comments about this or they can participate in a public forum organized by the expert panel that allows them to comment on this second project. (Eddy, 1990)

Given the common differences between these two groups, while there are some circumstances in which a conflict of interest may arise between them. Normally, study groups and members of the editorial board now may have to manage conflicts of interest. If such a problem occurs, then the group of experts and the review team should make a written statement on the matter to internal review committee that works. Questions about their appointment and acceptance will be addressed in this statement.

Although the most important factor in the selection of members is both Clin.

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