Clinical Practice Guidelines Practice Questions and Answers 2024

Clinical Practice Guidelines Practice Questions and Answers 2024 What to consider when making a healthcare decision? (6 considerations) -Answer-1. Alternative available 2. Evidence of harm 3. Evidence of benefit 4. Strength of this evidence 5. Reasons for adjusting recommendations (age, race, sex, comorbidities, cost, practicality) 6. Patient preference What is the purpose of a clinical practice guidelines? -Answer-A systematic approach to aid in making healthcare decisions Improves healthcare decisions, quality, and outcome Institute of medicine makes standards for TRUSTWORTHY CPGs What is a CPG? -Answer-A recommendation for optimizing patient care by systematically reviewing evidence and assessing benefits and harm Properties of a CPG (6) -Answer-1. Summary of evidence 2. Evidence-based approach 3. Speeds process of getting information into practice 4. Developed by different groups -Government, professional associations, managed care organizations, third party payers, quality assurance organizations, utilization review groups 5. Quality varies 6. Methodology is KEY 8 IOM standards for trustworthy CPGs -Answer-1. Establish transparency 2. Manage conflict of interest 3. Establish multidisciplinary development group 4. Conduct systematic review for qualifying evidence 5. Establish evidence foundations for and rating strength of recommendations 6. Articulate recommendations 7. External review 8. Plan to update CPG 1. Establishing transparency -Answer-How guideline is DEVELOPED and FUNDED Public access Clinical experience and conflicts of interest from development group should be stated 2. Manage conflict of interested (6) -Answer-1. Development groups must put conflict of interest in writing (can still be considered depending on type/degree of conflict and disclosure) 2. Must also give conflict of interest within the group itself before working on the guideline 3. Members must get rid of funding (from themselves or family) and not be a part of marketing, boards, or entities whose interests would be affected by the recommendations 4. MOST CPG members should have no COI 5. Chairs should not have COI 6. Funders must not have a role in making the CPG 3. Establish multidisciplinary CPG development group (7) -Answer-ALL group with stake in guideline should be represented 1. Physicians who are experts in field 2. PCPs who treat patients with condition 3. Other HCPs in care of patient 4. Experts in research methodology 5. People with experience in systematic search of evidence 6. Administrative or health care system expertise