Development of Clinical Practice Guidelines

Abstract

Clinical practice guidelines (CPGs) are intended to improve mental, behavioral, and physical health by promoting clinical practices that are based on the best available evidence. The American Psychological Association (APA) is committed to generating patient-focused CPGs that are scientifically sound, clinically useful, and informative for psychologists, other health professionals, training programs, policy makers, and the public. The Institute of Medicine (IOM) 2011 standards for generating CPGs represent current best practices in the field. These standards involve multidisciplinary guideline development panels charged with generating recommendations based on comprehensive systematic reviews of the evidence. The IOM standards will guide the APA as it generates CPGs that can be used to inform the general public and the practice community regarding the benefits and harms of various treatment options. CPG recommendations are advisory rather than compulsory. When used appropriately, high-quality guidelines can facilitate shared decision making and identify gaps in knowledge.

Quality Improvement in Behavioral Health

“…In the fi nal analysis, the goal is to provide consumers and patients with the best care at the lowest cost-best care that is based on valid and reliable data demonstrating what works and what doesn't Lambert, 2001Lambert, , 2010Newman & Tejeda, 1996 ). As such, in order to adapt to this rapidly changing health care system, professional psychology needs to adopt and adhere to QI processes, including the routine collection of psychotherapy outcome data and the development and utilization of clinical practice guidelines Hollon et al, 2014 ;Johnson & Shaha, 1996 ;Sanchez & Turner, 2003 ).…”

Perioperative Nursing Leaders Implement Clinical Practice Guidelines Using the Iowa Model of Evidence‐Based Practice

“…When used appropriately, clinical practice guidelines can facilitate shared decision making for the EBP team, as well as identify gaps in knowledge. 24 When the team has reviewed and discussed the guidelines, they must decide on recommendations for practice to pilot the change. Piloting the change involves selecting the outcomes to be achieved, collecting baseline data, developing a written EBP guideline, testing the guideline on one or more units or with a small number of patients, evaluating the process and outcomes of the trial, and modifying the guideline based on process and outcome data.…”

Leitlinienentwicklung: von der Evidenz zu Empfehlungen Möglichkeiten und Herausforderungen aus Sicht der MethodikerInnen

“…Graue Literatur sollte zudem mitberücksichtigt werden. [16] Die Auswahl und Reihung der Endpunkte ist ein wesentlicher Teil der Evidenzerstellung und beeinflusst die Leitlinie maßgeblich. Entsprechend dem GRADE-Rahmenwerk sollte die relative Wichtigkeit der Endpunkte daher schon zu Beginn der Evidenzerstellung (Protokoll-Phase eines systematischen Reviews) festgelegt werden.…”

“…durch Einbindung verschiedener Disziplinen. Multidisziplinäre Leitliniengruppen neigen auch meist zu konservativeren Empfehlungen als reine Gruppen von Spezialisten, da diese eher zu Empfehlungen tendieren, die ihrer gängigen Praxis entsprechen [16]. Im Idealfall erstellen MethodikerInnen und KlinikerInnen gemeinsam die Fragestellungen, damit diese später für die Erstellung eines systematischen Reviews übernommen werden können.…”