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Clinical practice guidelines in end-stage renal disease: a strategy for implementation
1Yale University School of Medicine, New Haven, Connecticut, USA. AKliger@compuserv.com
Journal of the American Society of Nephrology : JASN
|April 15, 1999
Summary
Clinical practice guidelines (CPGs) for end-stage renal failure (ESRF) require prioritization and implementation strategies. Disseminating focused information and developing clinical performance measures are key to improving patient outcomes.
Area of Science:
- Nephrology
- Clinical Practice Guidelines
- Healthcare Quality Improvement
Background:
- Recently published clinical practice guidelines (CPGs) for end-stage renal failure (ESRF) offer expert consensus.
- Effective implementation of these guidelines is crucial for improving patient care.
Purpose of the Study:
- To outline a framework for prioritizing and implementing ESRF CPGs.
- To emphasize the need for evidence assessment, dissemination, and performance measurement.
Main Methods:
- Ranking guideline evidence and defining attributes.
- Developing focused information dissemination strategies.
- Creating clinical performance measures for practice assessment.
Main Results:
- A multi-faceted approach is proposed, involving evidence appraisal, targeted dissemination, and performance monitoring.
- Continuous quality improvement (CQI) techniques are recommended for practitioners and facilities.
Conclusions:
- Successful ESRF CPG implementation necessitates collaboration among practitioners, facilities, patients, and professional organizations.
- CPGs serve as decision-making aids for clinicians and patients, not as rigid standards.