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Standards and practice guidelines as the foundation for clinical practice

H L Yoos1, K Malone, A McMullen

  • 1Department of Pediatric Nursing, University of Rochester School of Nursing, University of Rochester Medical Center, New York, USA.

Journal of Nursing Care Quality
|June 1, 1997
PubMed
Summary

Developing clinical practice guidelines is crucial for improving healthcare quality and documenting patient care during rapid changes in health delivery. This article outlines a process for creating and implementing these essential standards.

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Area of Science:

  • Healthcare Management
  • Clinical Informatics
  • Health Services Research

Background:

  • Healthcare delivery systems are undergoing significant transformation.
  • Professionals across disciplines face pressure to define practice and patient outcomes.
  • Standards and clinical practice guidelines are vital for quality improvement and care documentation.

Purpose of the Study:

  • To describe a systematic process for developing healthcare standards and clinical practice guidelines.
  • To present an organizational framework for these guidelines.
  • To recommend a system for their implementation and evaluation.

Main Methods:

  • Review of recommendations from diverse national groups.
  • Development of a standardized format for practice guidelines.

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  • Proposal of an implementation and evaluation strategy.

    • Main Results:

    • A structured process for guideline development is presented.
    • A proposed format for clinical practice guidelines is detailed.
    • A system for guideline implementation and ongoing evaluation is recommended.

    Conclusions:

    • Standardized clinical practice guidelines are essential tools for navigating healthcare changes.
    • A systematic approach to development, implementation, and evaluation can enhance healthcare quality.
    • Adoption of these guidelines can improve consistency and outcomes in patient care delivery.