Practice Guidelines: different strategies, same goals

Table of Contents

Practice Guidelines: definition and goals

Evidence - Based Medicine

EBM Practice Guidelines

EMB Practice Guidelines

Is there a need for practice guidelines ?

Appendectomy

Antibiotics pyelonephritis

Minimal Data Analysis

EBM - Practice Guidelines: development process

Practice Guidelines development process

Practice Guideline Development: GOBSAT

Practice Guideline Development: Consensus Conferences

Practice Guideline Development: AGREE

AGREE Instrument: 6 domains of guideline development

AGREE Instrument: 6 domains of guideline development

Guideline development process

Guideline development process

Guideline development process

Guideline development process

Development of E-B guidelines

PPT Slide

Levels of evidence (revised SIGN)

Grades of recommendations (revised SIGN)

IDSA clinical practice guidelines

IDSA clinical practice guidelines

Guideline development process

Guideline development process: further issues

Are guidelines following guidelines ?

Practice guidelines developed by speciality societies (1988-1998)

Clinical practice guidelines: COPD

Clinical practice guidelines: candidemia, unstable patient, no prior fluco

Clinical practice guideline: candidemia

Clinical practice guideline: candidemia (IDSA)

Recommendations non-pregnant women

Implementation of clinical practice guidelines

Implementations strategies

“ Evidence-based medicine guideline development should be completed by evidence-based guideline implementation”

Barriers to physician adherence to clinical practice guidelines

Knowledge of guidelines for the prevention of Infective Endocarditis

Practice guideline to reduce hospital admission for CAP

Physicians’ perception of practice guidelines

Implementation of perioperative antibiotic prophylaxis in Belgium

Implementation of perioperative antibiotic prophylaxis in Belgium

Implementation of perioperative antibiotic prophylaxis in Belgium

Infectious Diseases Clinical Practice Guidelines

Appropriateness of the empirical treatment for bacteremia (%)

Academic detailing to improve the use of broadspectrum antibiotics: a randomized controlled trial

European Study Group on Antibiotic Policy: Recommendations

E.U. Conferences Recommendations

Clinical Practice Guidelines: conclusions 

Clinical Practice Guidelines: conclusions

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