Related Experiment Video
Updated: Jan 22, 2026
06:19
Constructing and Visualizing Models using Mime-based Machine-learning Framework
Published on: July 22, 2025
2.3K
A Framework for Maintenance and Scaling of an Evidence-based Guideline Program
1Division of Emergency Medicine, Boston Children's Hospital, Boston, Mass.
Pediatric Quality & Safety
|July 20, 2019
Summary
A new framework for evidence-based guidelines (EBGs) ensures continuous improvement and widespread adoption in pediatric care. This approach streamlines measurement and incorporates new evidence, enhancing patient outcomes and standardizing care.
Area of Science:
- Healthcare Quality Improvement
- Clinical Practice Guidelines
- Pediatric Emergency Medicine
Background:
- Evidence-based guidelines (EBGs) are crucial for standardizing and improving patient care.
- Sustaining adherence and minimizing measurement burden are key challenges after initial EBG implementation.
- A framework for EBG program maintenance and dissemination is proposed.
Purpose of the Study:
- To develop and evaluate a framework for maintaining and scaling an evidence-based guideline program.
- To address challenges of iterative review, adherence measurement, and program dissemination.
- To facilitate the integration of new evidence and reduce measurement burden.
Main Methods:
- A framework was developed using a program of 28 EBGs from a pediatric emergency department.
- Methods included iterative review and revision, strategies for measuring ongoing use, and minimizing measurement burden.
- A process for spreading the EBG program to the hospital's Department of Pediatrics was created.
Main Results:
- The framework led to annual guideline reviews and 14 revisions based on new evidence, reducing medication use and hospitalizations.
- Adherence to quality measures was demonstrated, with a reduction in measures from 89 to 43.
- The program was successfully disseminated, resulting in 36 new EBGs in the pediatric department.
Conclusions:
- A framework for EBG maintenance and scaling was successfully developed and implemented.
- Key factors for success include regular evidence incorporation, performance feedback, and administrative support.
- The framework promotes sustainability and offers a model for disseminating guideline programs within academic hospitals.
Related Concept Videos
02:55The Evidence for Evolution
47.7K
Genetic variations accumulating within populations over generations give rise to biological evolution. Evolutionary changes can result in the formation of novel varieties and entire new species. These changes are responsible for the diverse forms of life inhabiting the planet. The evidence for evolution suggests that all living organisms descended from common ancestors.
47.7K
02:41pH Scale
79.0K
Hydronium and hydroxide ions are present both in pure water and in all aqueous solutions, and their concentrations are inversely proportional as determined by the ion product of water (Kw). The concentrations of these ions in a solution are often critical determinants of the solution’s properties and the chemical behaviors of its other solutes. Two different solutions can differ in their hydronium or hydroxide ion concentrations by a million, billion, or even trillion times. A common means of...
79.0K
01:26Guidelines for Nursing Documentation II
1.6K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.6K
01:06Legal Guidelines for Documentation
2.0K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
2.0K
01:23Guidelines for Sketching a Curve
105
Curve sketching is a systematic method for understanding the overall behavior of a function by analyzing its key mathematical features. A function defines a curve on the coordinate plane, where the horizontal axis represents the input variable and the vertical axis represents the output. The process begins by determining the domain, which specifies the set of input values for which the function is defined and establishes the horizontal extent of the graph.Intercepts with the horizontal and...
105
01:11Guidelines for Writing Outcome
3.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.7K