Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Do clinical practice guidelines improve processes or outcomes in primary care?

Emil P Lesho1, Cris P Myers, Monica Ott

  • 1U.S. Army Medical Department Activity, Heidelberg, Germany.

Military Medicine
|April 15, 2005
PubMed
Summary

Clinical practice guidelines (CPGs) show mixed results. Asthma CPGs improved outcomes, while diabetes CPGs had no effect. CPGs enhance education and screening more than provider-dependent treatments.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of Multiplex PCR Blood-Culture Identification Panels on Clinical Outcomes, Antimicrobial Stewardship, and Economic Impact in US Hospitals: A Systematic Review and Meta-Analysis.

Open forum infectious diseases·2026
Same author

A panel of diverse <i>Klebsiella pneumoniae</i> clinical isolates for research and development.

Microbial genomics·2023
Same author

Nursing Home Residents' Positive Behavioral Responses to Individualized Music Predict Improvements in Sundowning Symptoms After Music Listening.

Journal of aging and health·2022
Same author

Infection preventionist staffing levels and rates of 10 types of healthcare-associated infections: A 9-year ambidirectional observation.

Infection control and hospital epidemiology·2022
Same author

The Effects of Individualized Music Listening on Affective, Behavioral, Cognitive, and Sundowning Symptoms of Dementia in Long-Term Care Residents.

Journal of aging and health·2021
Same author

To err is human, to forget is device-related: A cautionary note for endoscopists.

Infection control and hospital epidemiology·2021

Area of Science:

  • Healthcare quality improvement
  • Clinical practice guideline evaluation
  • Evidence-based medicine

Background:

  • Clinical practice guidelines (CPGs) are widely used but their impact on patient care quality remains unclear.
  • Assessing the effectiveness of CPGs is crucial for optimizing healthcare delivery.

Purpose of the Study:

  • To evaluate the impact of implementing clinical practice guidelines for asthma, diabetes mellitus, and tobacco cessation on healthcare processes and patient outcomes.
  • To determine if CPGs lead to measurable improvements in care quality.

Main Methods:

  • A quasi-experimental design was used, comparing quality indicators before and after CPG implementation.
  • Data on processes and outcomes were collected from a system-wide database by personnel unaware of the study.

Related Experiment Videos

  • Key indicators included nebulizer use, emergency visits, admissions, patient education, lung function, medication prescriptions, screening rates, and blood pressure control.

    • Main Results:

    • The asthma CPG significantly reduced nebulizer treatments, ED visits, and admissions, while increasing education. Lung function and controller prescriptions remained unchanged.
    • The diabetes CPG increased microalbumin screens and education but decreased ACE inhibitor prescriptions and foot exams. Blood pressure control improved, but HbA1c levels did not.
    • The tobacco cessation CPG increased screening and education, but not counseling.

    Conclusions:

    • CPGs demonstrated varied effectiveness across different conditions.
    • Asthma CPGs improved key outcomes, whereas diabetes CPGs showed limited process improvements without affecting outcomes.
    • CPGs appear more effective at improving diagnostic and educational processes than provider-dependent treatment processes.