Featured Research

from universities, journals, and other organizations

ENT Society Releases Novel Clinical Practice Guideline Manual

Date:
June 1, 2009
Source:
American Academy of Otolaryngology -- Head and Neck Surgery
Summary:
The world's largest ear, nose and throat professional medical association, the American Academy of Otolaryngology -- Head and Neck Surgery, today released a manual detailing best practices for the creation of new clinical practice guidelines. The manual is published as a supplement to the June issue of Otolaryngology -- Head and Neck Surgery.

The world's largest ear, nose, and throat professional medical association, the American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS), today released a manual detailing best practices for the creation of new clinical practice guidelines. The manual is published as a supplement to the June issue of Otolaryngology – Head and Neck Surgery.

Clinical practice guidelines are created to help direct decisions and criteria regarding diagnosis, management, and treatment in medical practice. They seek to identify, summarize, and evaluate the best evidence and most current data about prevention, diagnosis, prognosis, therapy (medication/procedures), risk vs. benefit profile, and cost-effectiveness.

"Clinical practice guidelines translate best evidence into best practice. A well-crafted guideline promotes quality by reducing healthcare variations, improving diagnostic accuracy, promoting effective therapy, and discouraging ineffective— or potentially harmful—interventions," said Richard M. Rosenfeld, MD, MPH, co-author of the guideline. "Despite a plethora of published guidelines, methodology is often poorly defined and varies greatly within and among organizations."

According to the authors, published guidelines are often poorly suited to assess performance or influence care, because recommendations do not translate into measurable actions or activities. Moreover, the development process is generally inefficient and highly complex, requiring, on average, about two to three years per guideline. Using the process outlined in the new manual, the AAO-HNS was able to publish five multidisciplinary guidelines in five years, all within 12 months from conception to completion.

The goals of publishing the manual were, first, to provide clinicians with a straightforward explanation of guidelines, considering their increasing prominence as a quality metric. Secondly, the manual is intended to be a pragmatic resource, accurately reflecting current practices, in order to sustain consistency across guideline development practices. Finally, the manual seeks to share the AAO-HNS' successful development process with the medical community at large, to encourage an exchange of ideas and to promote best practices.

"Our goal was to create an approach to guideline development that is both practical and transparent. Guideline users increasingly recognize that understanding the evidence supporting a recommendation is vital, but that authoring teams must additionally weigh and document anticipated benefits, risks, harms, and costs," said Richard N. Shiffman, MD, MCIS, co-author of the manual.

The manual breaks down the development process and gives in-depth instructions for guideline task force administrators. The steps include planning, literature review, assigning the writing, peer review, organizational board review, and publication.

As clinical practice guidelines become more prominent as key metrics of quality healthcare, organizations must develop efficient production strategies that balance rigor and pragmatism. Equally important, clinicians must become savvy in understanding what guidelines are—and are not—and how they are best utilized to improve care. The information in this manual should help clinicians and organizations achieve these goals, and improve patient care.

Otolaryngology – Head and Neck Surgery is the official scientific journal of the American Academy of Otolaryngology – Head and Neck Surgery Foundation (AAO-HNSF) and the American Academy of Otolaryngic Allergy (AAOA). The manual's authors are Richard M. Rosenfeld, MD, MPH from SUNY Downstate and the Long Island College Hospital and Richard N. Shiffman MD, MCIS from the Yale Center for Medical Informatics and Yale University School of Medicine.


Story Source:

The above story is based on materials provided by American Academy of Otolaryngology -- Head and Neck Surgery. Note: Materials may be edited for content and length.


Cite This Page:

American Academy of Otolaryngology -- Head and Neck Surgery. "ENT Society Releases Novel Clinical Practice Guideline Manual." ScienceDaily. ScienceDaily, 1 June 2009. <www.sciencedaily.com/releases/2009/06/090601091914.htm>.
American Academy of Otolaryngology -- Head and Neck Surgery. (2009, June 1). ENT Society Releases Novel Clinical Practice Guideline Manual. ScienceDaily. Retrieved September 16, 2014 from www.sciencedaily.com/releases/2009/06/090601091914.htm
American Academy of Otolaryngology -- Head and Neck Surgery. "ENT Society Releases Novel Clinical Practice Guideline Manual." ScienceDaily. www.sciencedaily.com/releases/2009/06/090601091914.htm (accessed September 16, 2014).

Share This



More Health & Medicine News

Tuesday, September 16, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

President To Send 3,000 Military Personnel To Fight Ebola

President To Send 3,000 Military Personnel To Fight Ebola

Newsy (Sep. 16, 2014) President Obama is expected to send 3,000 troops to West Africa as part of the effort to contain Ebola's spread. Video provided by Newsy
Powered by NewsLook.com
Man Floats for 31 Hours in Gulf Waters

Man Floats for 31 Hours in Gulf Waters

AP (Sep. 16, 2014) A Texas man is lucky to be alive after he and three others floated for more than a day in the Gulf of Mexico when their boat sank during a fishing trip. (Sept. 16) Video provided by AP
Powered by NewsLook.com
Ivorians Abandon Monkey Pets in Fear Over Ebola Virus

Ivorians Abandon Monkey Pets in Fear Over Ebola Virus

AFP (Sep. 16, 2014) Since the arrival of Ebola in Ivory Coast, Ivorians have been abandoning their pets, particularly monkeys, in the fear that they may transmit the virus. Duration: 00:47 Video provided by AFP
Powered by NewsLook.com
Study Links Male-Pattern Baldness To Prostate Cancer

Study Links Male-Pattern Baldness To Prostate Cancer

Newsy (Sep. 16, 2014) New findings suggest men with a certain type of baldness at age 45 are 39 percent more likely to develop aggressive prostate cancer. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

    Environment News

      Technology News



      Save/Print:
      Share:

      Free Subscriptions


      Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

      Get Social & Mobile


      Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

      Have Feedback?


      Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
      Mobile: iPhone Android Web
      Follow: Facebook Twitter Google+
      Subscribe: RSS Feeds Email Newsletters
      Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins