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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Putting evidence-based clinical practice guidelines into practice: an academic pediatric center's experience
Wendy E Gerhardt1, Pamela J Schoettker, Edward F Donovan
1Center for Professional Excellence, Cincinnati Children's Hospital Medical Center, USA. wendy.gerhardt@cchmc.org
Joint Commission Journal on Quality and Patient Safety
|April 20, 2007
Summary
Cincinnati Children's Hospital Medical Center created evidence-based clinical practice guidelines. This formal process integrates research into practice, improving care quality and cost-effectiveness through accessible tools and outcome monitoring.
Area of Science:
- Healthcare quality improvement
- Evidence-based medicine implementation
Background:
- Clinical practice guidelines bridge research and healthcare delivery.
- Evidence-based guidelines enhance care quality and cost-effectiveness.
- Cincinnati Children's Hospital Medical Center developed a formal process for 29 guidelines.
Purpose of the Study:
- To describe the formal process for developing and implementing evidence-based clinical practice guidelines.
- To highlight the components of guideline development and implementation at an academic medical center.
Main Methods:
- Interprofessional teams, led by community physicians, developed guidelines.
- Education coordinators created plans for clinical practice changes and outcome monitoring.
- Guideline evidence was embedded into point-of-care tools and electronic order sets.
Main Results:
- Developed 29 evidence-based guidelines and companion tools.
- Integrated guideline evidence into electronic order sets and clinical pathways.
- Established a process for monitoring expected outcomes of clinical practice changes.
Conclusions:
- Rigorous methodology is crucial for successful guideline implementation.
- Point-of-care tools and provider feedback are key to integrating evidence.
- An environment encouraging evidence-based care is essential for sustained improvement.
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