Locally derived clinical practice guidelines using a decision analysis model.

@article{Mutnick1996LocallyDC,
  title={Locally derived clinical practice guidelines using a decision analysis model.},
  author={Alan H. Mutnick and B A Szymusiak-Mutnick},
  journal={AACN clinical issues},
  year={1996},
  volume={7 3},
  pages={
          448-55
        }
}
As health-care providers continually are faced with the need to identify the most cost-effective modalities when initiating therapy among many therapeutic options, standardized clinical guidelines become the foundation for decision making. This article discusses how decision analysis can be useful in the formulation of locally derived clinical practice guidelines. The following is an example of using decision analysis to evaluate data gathered within the institution, supplemented by peer… 
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11 Citations
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Methods Citations
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Results Citations
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11 Citations

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Citation Type

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Although guidelines help physicians deliver high quality clinical care, they will have minimal impact unless familiarity and adherence are achieved, and the relationship between these factors and the scientific basis of antiemetic guidelines must be considered to achieve optimal results and compliance.
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Improving the care of patients with regard to chemotherapy-induced nausea and emesis: the effect of feedback to clinicians on adherence to antiemetic prescribing guidelines.
TLDR
Physician prescribing performance did not undergo sustained improvement despite guideline development or distribution, a lecture by a visiting expert, or sharing of adherence data with clinicians, and ongoing feedback regarding compliance with guidelines employing SPC charts.
Translating research into practice. Considerations for critical care investigators.
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TLDR
In the present paper, the authors illustrate how formal and informal decision analysis might be used by nurses to enhance their own decision-making, assist patients or family caregivers with decision- making and promote informed health care policy development.
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Although the hospital is a referral and university-affiliated center, adherence to the ASCO guideline recommendations for prophylaxis of CINV was poor and selection of different regimens forProphylactic regimens in the institute was compliant in 0 %, 22%, 4%, and 40% of high, moderate, low, and minimal emetogenic potential of chemotherapy regimen groupss, respectively.
Automated creation of clinical-practice guidelines from decision models
TLDR
It is argued that the DM-to-CPG framework is a method for guideline developers to create and maintain automated CPGs, and that it thus promotes high-quality and cost-effective health care.
Guideline for the prevention of acute nausea and vomiting due to antineoplastic medication in pediatric cancer patients
This guideline provides an approach to the prevention of acute antineoplastic‐induced nausea and vomiting (AINV) in children. It was developed by an international, inter‐professional panel using…
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This is a study into decision making and judgement in the context of radiography. The early part of the study investigated the nature and scope of decisions and judgements made in general radiography…
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TLDR
The assertion that hospice care can have a positive impact on pain severity and related suffering, as well as patient quality of life (QOL) as death approaches is supported.
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