OBJECTIVE To describe application of GEM to analysis and categorization of guideline content. METHOD We examined the application of GEM constructs to the AAP guideline on neurodiagnostic evaluation of febrile seizures. Subjects at 4 sites marked-up the guideline content using a hierarchical template that includes branches for identity, developer, purpose, intended audience, method of developm...

The Conference on Guideline Standardization (COGS) was convened to create a standardized documentation checklist for clinical practice guidelines in an effort to promote guideline quality and facilitate implementation. The statement was created by a multidisciplinary panel using a rigorous consensus development methodology. The Guideline Elements Model (GEM) provides a standardized approach to ...

AIMS To develop and implement an evidence based guideline for the treatment of acute asthma using a metered dose inhaler and spacer combination. METHODS Defined strategies were used for the development and implementation of a guideline, assessed by a prospective, descriptive, study using notes review, and patient, nursing, and medical staff telephone contact. The setting was a tertiary referr...

BACKGROUND Patient participation on both the individual and the collective level attracts broad attention from policy makers and researchers. Participation is expected to make decision making more democratic and increase the quality of decisions, but empirical evidence for this remains wanting. OBJECTIVE To study why problems arise in participation practice and to think critically about the c...

OBJECTIVE To explore the evidence translation process during a 1-week national guideline development workshop ("Child Health Evidence Week") in Kenya. STUDY DESIGN AND SETTING Nonparticipant observational study of the discussions of a multidisciplinary guideline development panel in Kenya. Discussions were aided by GRADE (Grading of Recommendations Assessment, Development, and Evaluation) gri...

Clinical guidelines are aimed at standardizing patient care and improving its quality and cost effectiveness. Guidelines represented in a computer-interpretable (CI) format can be used to provide automatic decision support applied to individual patients during the clinical encounter. The process of creating computer-interpretable guidelines (CIG) re-moves ambiguities contained in paper-based gu...

Introduction ............................................................... 1 Background................................................................ 1 CCME Guiding Principles........................................ 2 Selection of Substances for Guideline Development3 The Guideline Development Process ....................... 4 Review, Approval, and Publication ......................... 6 of...

Intervention Half of the practices received a guideline intervention and the other half received no intervention. The intervention involved local development and dissemination of the WHO ICD-10 Primary Health Care guidelines (1996 version). General practitioners (GPs) were encouraged to adapt the WHO guidelines with colleagues from local psychiatric services. One GP from each intervention pract...

Clinical practice guidelines are regarded as powerful tools to achieve effective health care. Although many countries have built up experience in the development, appraisal, and implementation of guidelines, until recently there has been no established forum for collaboration at an international level. As a result, in different countries seeking similar goals and using similar strategies, effor...

Iran including attractive places and high potential for tourism (external and internal) and investing on tourism industry including social and economic effects leading to constancy of tourism areas. Unfortunately, despite high capacity of developing tourism in our country, this capacity has not recognized well and has not utilized for development of Iran. The special factors influence on transi...