Uphold Graham - Test Bank
1). What to consider when making a healthcare decision? (6 considerations)
Ans: 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
2). What is the purpose of a clinical practice guidelines?
Ans: A systematic approach to aid in making healthcare decisions
Improves healthcare decisions, quality, and outcome
Institute of medicine makes standards for TRUSTWORTHY CPGs
3). What is a cpg?
Ans: A recommendation for optimizing patient care by systematically reviewing
evidence and assessing benefits and harm
4). Properties of a cpg (6)
Ans: 1. Summary of evidence
2. Evidence-based approach
3. Speeds process of getting information into practice
4. Developed by different groups
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, -Government, professional associations, managed care organizations, third party payers,
quality assurance organizations, utilization review groups
5. Quality varies
6. Methodology is KEY
5). 8 iom standards for trustworthy cpgs
Ans: 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
6). 1. establishing transparency
Ans: How guideline is DEVELOPED and FUNDED
Public access
Clinical experience and conflicts of interest from development group should be stated
7). 2. manage conflict of interested (6)
Ans: 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
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