活体临床指南的证据监测:澳大利亚中风指南的案例研究
Steve McDonald1, Kelvin Hill2, Heidi Z Li2
1Cochrane Australia, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Health information and libraries journal
|November 9, 2023
概括
建立一个实用的证据监测系统来为生活中风指导方针是可行的. 每月的监测确保指导方针建议保持当前和可持续,改善中风护理.
科学领域:
- 临床指南 临床指南
- 证据监控 证据监控
- 医疗信息学 医疗信息学
背景情况:
- 生活指南要求对最新建议进行持续的证据监测.
- 澳大利亚中风指南涵盖100个主题,自2018年以来一直作为"生活"指南运作.
研究的目的:
- 详细说明澳大利亚中风指南的证据监测系统的创建和评估方法.
- 确保生活指南建议的持续可靠性和影响.
主要方法:
- 通过先前的指导方针搜索数据开发了一个务实的监控系统.
- 每月监测搜索检索,选工作负载和指南建议的变化.
- 使用Epistemonikos和Cochrane中风试验的注册数据评估了系统的稳定性.
主要成果:
- 一个单个月的PubMed搜索 (系统性审查和RCT) 获取了约400个记录,其中六分之一被分类.
- 务实的,限制性的搜索方法被证明是强大的和有效的.
- 与指导团队的合作对于优化监控过程至关重要.
结论:
- 对广泛的生活指南的每月证据监测是可以实现和可持续的.
- 对证据监督的务实方法确保了效率和长期可行性.
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