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Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
The Alberta clinical practice guidelines program is supporting appropriate, effective and quality medical care in Alberta through promotion, development and implementation of evidence-based clinical practice guidelines.
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Scientific Foundations of Clinical Assessment is a user-friendly overview of the most important principles and concepts of clinical assessment. It provides readers with a science-based framework for interpreting assessment research and making good assessment decisions, such as selecting the best instruments and measures and interpreting the obtained assessment data. Written in a direct and highly readable fashion, with plenty of clinical examples that illustrate the relevance of psychometric principles and assessment research, this text is one every professional and graduate student needs to read. Numerous elements are used consistently throughout the book to facilitate understanding and retention, such as: • text boxes that provide extended presentations of the application of principles and research • end-of-chapter summaries that review key issues covered, and • additional recommended sources for each chapter. A detailed glossary that defines key measurement and assessment concepts is also included, making this book an invaluable reference and supplementary text for anyone who does clinical assessment in the health and mental health domains.
Guidelines for the clinical practice of medicine have been proposed as the solution to the whole range of current health care problems. This new book presents the first balanced and highly practical view of guidelinesâ€"their strengths, their limitations, and how they can be used most effectively to benefit health care. The volume offers: Recommendations and a proposed framework for strengthening development and use of guidelines. Numerous examples of guidelines. A ready-to-use instrument for assessing the soundness of guidelines. Six case studies exploring issues involved when practitioners use guidelines on a daily basis. With a real-world outlook, the volume reviews efforts by agencies and organizations to disseminate guidelines and examines how well guidelines are functioningâ€"exploring issues such as patient information, liability, costs, computerization, and the adaptation of national guidelines to local needs.
This revolutionary, user-friendly textbook not only guides social workers in developing competence in the DSM system of diagnosis, it also assists them in staying attuned during client assessment to social work values and principles: a focus on client strengths, concern for the worth and dignity of individuals, appreciation of environmental influences on behavior, and commitment to evidence-informed practice. The authors, seasoned practitioner-scholars, provide an in-depth exploration of fourteen major mental disorders that social workers commonly see in practice, including anxiety disorders, depression, bipolar disorder, and schizophrenia. They skillfully integrate several perspectives in order to help practitioners meet the challenges they will face in client assessment. A risk and resilience framework helps social workers understand environmental influences on the emergence of mental disorders and the strengths that clients already possess. Social workers will also learn to apply critical thinking to the DSM when it is inconsistent with social work values and principles. Finally, the authors catalog the latest evidence-based assessment instruments and treatments for each disorder so that social workers can intervene efficiently and effectively, using the best resources available. Students and practitioners alike will appreciate the wealth of case examples, evidence-based assessment instruments, treatment plans, and new social diversity sections that make this an essential guide to the assessment and diagnostic processes in social work practice.
Clinical Assessment for Social Workers provides a wide range of standardized assessment tools, derived from different perspectives, to give readers greater flexibility in information gathering and intervention planning. Incorporating both quantitative and qualitative methods, the authors encourage readers to approach assessment as both an art and a science. They advocate for discovering the balance between scientific, evidence-based approaches and the development of personal practice wisdom.
The only respiratory care text devoted exclusively to patient assessment! By performing a thorough patient assessment, you'll be able to assist physicians in the decision-making process regarding treatment, in evaluating the treatment's effectiveness, and in determining if changes in the treatment need to be made. The book's comprehensive approach covers all of the most important aspects and topics of assessment. This edition is streamlined to emphasize learning objectives. And you can prepare for the CRT exam more effectively with the new NBRC Exam Matrix Correlation Guide! A comprehensive approach covers all of the most important aspects of assessment, so you can assess patients effectively. Additional Questions to Ask About boxes list questions that you should ask patients (e.g., coughing, sputum, shortness of breath) or ask yourself (e.g., lung sounds you are hearing, blood pressure, respiratory rate). Learning objectives, chapter outlines, chapter overviews, and key terms lists begin each chapter, preparing you for the key topics and content you will learn. Key Point summaries and assessment questions reflect and emphasize the key information identified in the learning objectives. Answers to assessment questions help you review by including rationales and page references to the textbook, by reflecting the NBRC format, and by supporting learning objectives. Enhanced Simply Stated boxes emphasize important concepts. Additional case studies help you apply chapter content to clinical scenarios. Content from the text is related to the NBRC exam matrix for the CRT exam on a companion Evolve website, helping you better prepare for the difficult board exams. A new Neurological Assessment chapter focuses on conscious sedation. A discussion of health literacy addresses the importance of determining the patient's level of understanding when conducting a patient assessment. Discussions of the assessment of the obese patient prepare you for some of the unique challenges related to assessing obese patients (e.g., the physical exam and chest x-ray). Key Point summaries in every chapter emphasize the learning objectives and provide an easy-to-find overview. A list of abbreviations common to assessment is included on the inside of the cover for quick reference. Procedure checklists for common assessment procedures are included in a new appendix, with PDFs of the forms available on the Evolve website.