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Clinical Guidelines in Family Practice 5th Edition Uphold Graham Test Bank

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Clinical Guidelines in Family Practice 5th Edition Uphold Graham - Test Bank What to consider when making a healthcare decision? (6 considerations) What is the purpose of a clinical practice guidelines? What is a CPG? Properties of a CPG (6) 8 IOM standards for trustworthy CPGs 1. Establishing transparency 2. Manage conflict of interested (6) 3. Establish multidisciplinary CPG development group (7) 4. Conduct a systematic review for evidence - Part 1 - select a topic (8) 4. Conduct a systematic review for evidence - Part 2 - define the question (4) 4. Conduct a systematic review for evidence - Part 3 - determine screening selection criteria 4. Conduct a systematic review for evidence - Part 4 - conduct a systematic search of the evidence (4) 4. Conduct a systematic review for evidence - Part 5 - appraise individual studies 4. Conduct a systematic review for evidence - Part 6 - synthesize body of evidence 5. Establish evidence foundations for rating strength of recommendations 5. Establish evidence foundations for rating strength of recommendations - what should each recommendation have (4) 6. Articulate recommendations 7. Conduct an external review 8. Establish plan for updating CPG AGREE II CPG Evaluation Tool Implementing CPGs Barriers to implementation Sources of CPGs

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Clinical Guidelines in Family Practice 5th Edition
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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