Guidelines in professions allied to medicine

The Interface of Primary and Oncology Specialty Care: From Symptoms to Diagnosis

“…Conceptual tools for development of new guidelines (45) and processes to achieve consensus on guidelines have been described (46,47). Guidelines have been shown to improve structure and processes of care, but with much more modest effects on patient outcomes (48,49). Monitoring for adherence with guidelines and subsequent improvements in the desired outcomes is needed (50)(51)(52)(53).…”

Effectiveness of implementation strategies for clinical guidelines to community pharmacy: A systematic review

“…Characteristics such as the complexity of guidelines and the evidence base used in their development are important factors influencing uptake into clinical practice [1]. However, the evidence regarding effective implementation strategies is less clear, and in some instances contradictory, as seen in the conflicting conclusions of research in this field [1,2,8,11,13]. For example, it is still unclear whether multifaceted implementation strategies, that target multiple barriers to implementation or use multiple strategies, are more effective than single strategies, despite the commonly held assumption that a multifaceted approach is superior [1,2,14,15].…”

Resources and Capabilities of the Department of Veterans Affairs to Provide Timely and Accessible Care to Veterans

“…After clinic tasks are identified and cataloged, expert input and consensus on the assignment (or reassignment) of these tasks by job title and function would be necessary. Prior work has shown that using standardized guidelines, protocols, or checklists can aid the transfer and assignment of clinical tasks between physicians and nurses, for example (Macdonald et al, 2013;Thomas et al, 1999); a similar approach might be useful in assigning tasks across all clinic staff. Task assignment might be a function of who is best suited to do the work based on skills and training as well as the impact of task assignment on patient safety (that is, the most consequential tasks would be assigned to workers with the greatest skill and training).…”