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Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Life is often considered to be a journey. The lifecycle of waste can similarly be considered to be a journey from the cradle (when an item becomes valueless and, usually, is placed in the dustbin) to the grave (when value is restored by creating usable material or energy; or the waste is transformed into emissions to water or air, or into inert material placed in a landfill). This preface provides a route map for the journey the reader of this book will undertake. Who? Who are the intended readers of this book? Waste managers (whether in public service or private companies) will find a holistic approach for improving the environmental quality and the economic cost of managing waste. The book contains general principles based on cutting edge experience being developed across Europe. Detailed data and a computer model will enable operations managers to develop data-based improvements to their systems. Producers oj waste will be better able to understand how their actions can influence the operation of environmentally improved waste management systems. Designers oj products and packages will be better able to understand how their design criteria can improve the compatibility of their product or package with developing, environmentally improved waste management systems. Waste data specialists (whether in laboratories, consultancies or environ mental managers of waste facilities) will see how the scope, quantity and quality of their data can be improved to help their colleagues design more effective waste management systems.
Contains information on a variety of subjects within the field of education statistics, including the number of schools and colleges, enrollments, teachers, graduates, educational attainment, finances, Federal funds for education, libraries, international education, and research and development.
In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.