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Selecting, presenting and delivering clinical guidelines: are there any "magic bullets"?
Martin P Eccles1, Jeremy M Grimshaw
1Centre for Health Services Research, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK. martin.eccles@ncl.ac.uk
The Medical Journal of Australia
|March 12, 2004
Summary
Developing high-quality clinical practice guidelines is crucial. While computerised reminder systems improve patient care, evidence for decision-support systems is less robust, highlighting the need for validated assessment instruments.
Area of Science:
- Clinical Practice Guidelines
- Health Informatics
- Healthcare Quality Improvement
Background:
- Internationally agreed methods exist for developing clinical practice guidelines.
- The quality of published clinical practice guidelines is variable.
- Validated assessment instruments are needed to identify reliable guidelines.
Purpose of the Study:
- To assess the quality of clinical practice guidelines.
- To evaluate different methods of guideline presentation, including computerised systems.
- To review the evidence for computerised guideline integration in patient care.
Main Methods:
- Review of internationally agreed methods for guideline development.
- Analysis of various guideline presentation formats, including computerised systems.
- Evaluation of evidence on the effectiveness of computerised guideline integration.
Main Results:
- Clinical practice guideline quality varies significantly.
- Computerised guideline formats range from prompts to decision-support systems.
- Computerised reminder systems effectively improve patient care.
- Evidence supporting computerised decision-support systems is less conclusive.
Conclusions:
- Validated assessment instruments are essential for ensuring guideline quality and confidence in their use.
- Computerised reminder systems show clear benefits for patient care.
- Further research is needed to establish the effectiveness of computerised decision-support systems in healthcare.
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