Committee to Advise the Public Health Service on Clinical Practice Guidelines's Books

Clinical Practice Guidelines

Directions for a New Program

By: Institute of Medicine,Committee to Advise the Public Health Service on Clinical Practice Guidelines

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Clinical Practice Guidelines

Directions for a New Program

By: Institute of Medicine,Committee to Advise the Public Health Service on Clinical Practice Guidelines

The Alberta clinical practice guidelines program is supporting appropriate, effective and quality medical care in Alberta through promotion, development and implementation of evidence-based clinical practice guidelines.

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169

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National Academies Press

Published Date

ISBN 10

0309043468

ISBN 13

9780309043465

Clinical Practice Guidelines

Directions for a New Program

By: Institute of Medicine,Committee to Advise the Public Health Service on Clinical Practice Guidelines

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Clinical Practice Guidelines

Directions for a New Program

By: Institute of Medicine,Committee to Advise the Public Health Service on Clinical Practice Guidelines

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169

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National Academies Press

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ISBN 10

0309043468

ISBN 13

9780309043465

Guidelines for Clinical Practice

From Development to Use

By: Institute of Medicine,Committee on Clinical Practice Guidelines

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Guidelines for Clinical Practice

From Development to Use

By: Institute of Medicine,Committee on Clinical Practice Guidelines

Guidelines for the clinical practice of medicine have been proposed as the solution to the whole range of current health care problems. This new book presents the first balanced and highly practical view of guidelinesâ€"their strengths, their limitations, and how they can be used most effectively to benefit health care. The volume offers: Recommendations and a proposed framework for strengthening development and use of guidelines. Numerous examples of guidelines. A ready-to-use instrument for assessing the soundness of guidelines. Six case studies exploring issues involved when practitioners use guidelines on a daily basis. With a real-world outlook, the volume reviews efforts by agencies and organizations to disseminate guidelines and examines how well guidelines are functioningâ€"exploring issues such as patient information, liability, costs, computerization, and the adaptation of national guidelines to local needs.

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441

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National Academies Press

Published Date

ISBN 10

0309045894

ISBN 13

9780309045896

Clinical Practice Guidelines We Can Trust

By: Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines

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Clinical Practice Guidelines We Can Trust

By: Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines

Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

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217

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National Academies Press

Published Date

ISBN 10

030921646X

ISBN 13

9780309216463

Clinical Practice Guidelines We Can Trust

By: Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines

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Clinical Practice Guidelines We Can Trust

By: Institute of Medicine,Board on Health Care Services,Committee on Standards for Developing Trustworthy Clinical Practice Guidelines

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217

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National Academies Press

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ISBN 10

030921646X

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9780309216463

Iron Deficiency Anemia

Recommended Guidelines for the Prevention, Detection, and Management Among U.S. Children and Women of Childbearing Age

By: Institute of Medicine,Committee on the Prevention, Detection, and Management of Iron Deficiency Anemia Among U.S. Children and Women of Childbearing Age

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Iron Deficiency Anemia

Recommended Guidelines for the Prevention, Detection, and Management Among U.S. Children and Women of Childbearing Age

By: Institute of Medicine,Committee on the Prevention, Detection, and Management of Iron Deficiency Anemia Among U.S. Children and Women of Childbearing Age

This book summarizes information related to public health measures on the prevention, detection, and management of iron deficiency anemia. It presents draft guidelines and recommendations related to this area, as applicable in primary health care and public health clinic settings, and it formulates recommendations for research. This volume is intended both to provide a common frame of reference for health professionals in preventing and treating iron deficiency anemia and to enable the U.S. Centers for Disease Control and Prevention to prepare national guidelines and recommendations for the prevention and control of iron deficiency anemia.

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139

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National Academies Press

Published Date

ISBN 10

0309049873

ISBN 13

9780309049870

Reference Manual on Scientific Evidence

Third Edition

By: National Research Council,Federal Judicial Center,Policy and Global Affairs,Committee on Science, Technology, and Law,Committee on the Development of the Third Edition of the Reference Manual on Scientific Evidence

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Reference Manual on Scientific Evidence

Third Edition

The Reference Manual on Scientific Evidence, Third Edition, assists judges in managing cases involving complex scientific and technical evidence by describing the basic tenets of key scientific fields from which legal evidence is typically derived and by providing examples of cases in which that evidence has been used. First published in 1994 by the Federal Judicial Center, the Reference Manual on Scientific Evidence has been relied upon in the legal and academic communities and is often cited by various courts and others. Judges faced with disputes over the admissibility of scientific and technical evidence refer to the manual to help them better understand and evaluate the relevance, reliability and usefulness of the evidence being proffered. The manual is not intended to tell judges what is good science and what is not. Instead, it serves to help judges identify issues on which experts are likely to differ and to guide the inquiry of the court in seeking an informed resolution of the conflict. The core of the manual consists of a series of chapters (reference guides) on various scientific topics, each authored by an expert in that field. The topics have been chosen by an oversight committee because of their complexity and frequency in litigation. Each chapter is intended to provide a general overview of the topic in lay terms, identifying issues that will be useful to judges and others in the legal profession. They are written for a non-technical audience and are not intended as exhaustive presentations of the topic. Rather, the chapters seek to provide judges with the basic information in an area of science, to allow them to have an informed conversation with the experts and attorneys.

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1034

Publisher

National Academies Press

Published Date

ISBN 10

0309214211

ISBN 13

9780309214216

Knowing What Works in Health Care

A Roadmap for the Nation

By: Institute of Medicine,Board on Health Care Services,Committee on Reviewing Evidence to Identify Highly Effective Clinical Services

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Knowing What Works in Health Care

A Roadmap for the Nation

By: Institute of Medicine,Board on Health Care Services,Committee on Reviewing Evidence to Identify Highly Effective Clinical Services

There is currently heightened interest in optimizing health care through the generation of new knowledge on the effectiveness of health care services. The United States must substantially strengthen its capacity for assessing evidence on what is known and not known about "what works" in health care. Even the most sophisticated clinicians and consumers struggle to learn which care is appropriate and under what circumstances. Knowing What Works in Health Care looks at the three fundamental health care issues in the United States-setting priorities for evidence assessment, assessing evidence (systematic review), and developing evidence-based clinical practice guidelines-and how each of these contributes to the end goal of effective, practical health care systems. This book provides an overall vision and roadmap for improving how the nation uses scientific evidence to identify the most effective clinical services. Knowing What Works in Health Care gives private and public sector firms, consumers, health care professionals, benefit administrators, and others the authoritative, independent information required for making essential informed health care decisions.

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278

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National Academies Press

Published Date

ISBN 10

0309134196

ISBN 13

9780309134194

Managing Managed Care

Quality Improvement in Behavioral Health

By: Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care,Institute of Medicine

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Managing Managed Care

Quality Improvement in Behavioral Health

By: Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care,Institute of Medicine

Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral health--federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.

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395

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National Academies Press

Published Date

ISBN 10

0309523680

ISBN 13

9780309523684

The human rights of older people in healthcare

eighteenth report of session 2006-07, Vol. 2: Oral and written evidence

By: Great Britain: Parliament: Joint Committee on Human Rights

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The human rights of older people in healthcare

eighteenth report of session 2006-07, Vol. 2: Oral and written evidence

By: Great Britain: Parliament: Joint Committee on Human Rights

Looks at how the principles of human rights can be applied to older people in hospitals and care homes to ensure they are treated with greater dignity and respect. This report covers the leadership of the Department of Health; the implementation of the Human Rights Act by service providers.

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252

Publisher

The Stationery Office

Published Date

ISBN 10

0104011424

ISBN 13

9780104011423

HIV and the Blood Supply

An Analysis of Crisis Decisionmaking

By: Institute of Medicine,Committee to Study HIV Transmission Through Blood and Blood Products

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HIV and the Blood Supply

An Analysis of Crisis Decisionmaking

By: Institute of Medicine,Committee to Study HIV Transmission Through Blood and Blood Products

During the early years of the AIDS epidemic, thousands of Americans became infected with HIV through the nation's blood supply. Because little reliable information existed at the time AIDS first began showing up in hemophiliacs and in others who had received transfusions, experts disagreed about whether blood and blood products could transmit the disease. During this period of great uncertainty, decision-making regarding the blood supply became increasingly difficult and fraught with risk. This volume provides a balanced inquiry into the blood safety controversy, which involves private sexual practices, personal tragedy for the victims of HIV/AIDS, and public confidence in America's blood services system. The book focuses on critical decisions as information about the danger to the blood supply emerged. The committee draws conclusions about what was doneâ€"and recommends what should be done to produce better outcomes in the face of future threats to blood safety. The committee frames its analysis around four critical area: Product treatmentâ€"Could effective methods for inactivating HIV in blood have been introduced sooner? Donor screening and referralâ€"including a review of screening to exlude high-risk individuals. Regulations and recall of contaminated bloodâ€"analyzing decisions by federal agencies and the private sector. Risk communicationâ€"examining whether infections could have been averted by better communication of the risks.

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349

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National Academies Press

Published Date

ISBN 10

0309053293

ISBN 13

9780309053297

National Institute for Health and Clinical Excellence

Eighth Report of Session 2012-13, Vol. 1: Report, Together with Formal Minutes, Oral and Written Evidence

By: Great Britain: Parliament: House of Commons: Health Committee

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National Institute for Health and Clinical Excellence

Eighth Report of Session 2012-13, Vol. 1: Report, Together with Formal Minutes, Oral and Written Evidence

By: Great Britain: Parliament: House of Commons: Health Committee

The Health Committee is highly critical of the delay in setting out precisely what a value-based pricing system for drugs entails. There is also uncertainty about the implications of the changes proposed for the Cancer Drugs Fund which was introduced in 2011 to allow clinicians to use drugs that had not been approved by NICE, and which will be superseded by the value-based pricing system. The Committee calls for: an assessment of the outcomes for those patients whose treatment has been paid for by the Cancer Drugs Fund; evidence of beneficial outcomes which should inform the new value-based pricing scheme and applied to treatments of conditions other than cancer; and clarity about how drugs which have been paid for by the Fund will continue to be available to individual patients. There is also concern about the implications for the effectiveness of NICE of recent evidence about access to information from clinical drug trials. There should be both a professional and legal obligation to ensure that all regulators, including NICE, have access to all available research data about the efficacy and safety of pharmaceutical products which are in use in the UK. The pharmaceutical industry should introduce a new code of practice to make this commitment effective and the GMC should reiterate its guidance to doctors on the conduct of drug trials. Is important for the credibility of NICE that Patient voice is effectively and openly represented in all its work; and that NICE guidance should continue to be guidance rather than an instruction and that the NHS should continue to allow local discretion, but variations from NICE guidance should be open, transparent and accountable

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104

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The Stationery Office

Published Date

ISBN 10

0215052390

ISBN 13

9780215052391

New Treatments for Addiction

Behavioral, Ethical, Legal, and Social Questions

By: National Research Council,Institute of Medicine,Board on Neuroscience and Behavioral Health,Board on Health Promotion and Disease Prevention,Division of Behavioral and Social Sciences and Education,Board on Behavioral, Cognitive, and Sensory Sciences,Committee on Immunotherapies and Sustained-Release Formulations for Treating Drug Addiction

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New Treatments for Addiction

Behavioral, Ethical, Legal, and Social Questions

New and improved therapies to treat and protect against drug dependence and abuse are urgently needed. In the United States alone about 50 million people regularly smoke tobacco and another 5 million are addicted to other drugs. In a given year, millions of these individuals attemptâ€"with or without medical assistanceâ€"to quit using drugs, though relapse remains the norm. Furthermore, each year several million teenagers start smoking and nearly as many take illicit drugs for the first time. Research is advancing on promising new means of treating drug addiction using immunotherapies and sustained-release (depot) medications. The aim of this research is to develop medications that can block or significantly attenuate the psychoactive effects of such drugs as cocaine, nicotine, heroin, phencyclidine, and methamphetamine for weeks or months at a time. This represents a fundamentally new therapeutic approach that shows promise for treating drug addiction problems that were difficult to treat in the past. Despite their potential benefits, however, several characteristics of these new methods pose distinct behavioral, ethical, legal, and social challenges that require careful scrutiny. Such issues can be considered unique aspects of safety and efficacy that are fundamentally related to the distinct nature and properties of these new types of medications.

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321

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National Academies Press

Published Date

ISBN 10

0309091284

ISBN 13

9780309091282

Alcohol guidelines

eleventh report of session 2010-12, [Vol. 1]: Report, together with formal minutes, oral and written evidence

By: Great Britain: Parliament: House of Commons: Science and Technology Committee

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Alcohol guidelines

eleventh report of session 2010-12, [Vol. 1]: Report, together with formal minutes, oral and written evidence

By: Great Britain: Parliament: House of Commons: Science and Technology Committee

This report raises concerns about the Government's advice on sensible drinking and recommends that alcohol guidelines are reviewed. In 1987, the "sensible limits" for drinking were defined as 21 units of alcohol a week for men and 14 for women. By the early 1990s, scientific evidence suggesting that alcohol consumption might reduce the risk of coronary heart disease, prompted a review of the guidelines, and the drinking guidelines were then couched in daily terms: men should not regularly drink more than three to four units a day and women no more than two to three units a day. The Committee is sceptical about using the purported health benefits of alcohol as a basis for daily guidelines for all the adult population, particularly as any protective effects would only apply to men over 40 years and post-menopausal women. Evidence suggests that the guidelines should not be increased and that people should take at least two drink-free days a week. While public awareness of the existence of guidelines is high, a deeper understanding of what the guidelines were and of what a unit of alcohol looked like is lacking. Through the Public Health Responsibility Deal, the Government is working with the drinks industry to ensure that over 80% of alcoholic products on shelf will have labels with alcoholic unit content and the drinking guidelines by 2013. But the Government should remain mindful that sensible drinking messages may conflict with the business objectives of drinks companies and exercise proper scrutiny and oversight.

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134

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The Stationery Office

Published Date

ISBN 10

0215040139

ISBN 13

9780215040138

Priority Areas for National Action

Transforming Health Care Quality

By: Institute of Medicine,Board on Health Care Services,Committee on Identifying Priority Areas for Quality Improvement

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Priority Areas for National Action

Transforming Health Care Quality

By: Institute of Medicine,Board on Health Care Services,Committee on Identifying Priority Areas for Quality Improvement

A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.

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160

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National Academies Press

Published Date

ISBN 10

0309085438

ISBN 13

9780309085434

Combating Tobacco Use in Military and Veteran Populations

By: Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Smoking Cessation in Military and Veteran Populations

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Combating Tobacco Use in Military and Veteran Populations

By: Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Smoking Cessation in Military and Veteran Populations

The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs.

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380

Publisher

National Academies Press

Published Date

ISBN 10

0309137675

ISBN 13

9780309137676

Evidence-Based Practice for Public Health Emergency Preparedness and Response

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Population Health and Public Health Practice,Board on Health Sciences Policy,Committee on Evidence-Based Practices for Public Health Emergency Preparedness and Response

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Evidence-Based Practice for Public Health Emergency Preparedness and Response

When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.

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501

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National Academies Press

Published Date

ISBN 10

0309670411

ISBN 13

9780309670418

The Report of the Consultative Group on the Past in Northern Ireland

Second Report of Session 2009-10 : Report, Together with Formal Minutes, Oral and Written Evidence

By: Great Britain: Parliament: House of Commons: Northern Ireland Affairs Committee

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The Report of the Consultative Group on the Past in Northern Ireland

Second Report of Session 2009-10 : Report, Together with Formal Minutes, Oral and Written Evidence

By: Great Britain: Parliament: House of Commons: Northern Ireland Affairs Committee

The Northern Ireland Affairs Committee today publishes its report on the Consultative Group on the Past in Northern Ireland Report (HCP 171, session 2009-10, ISBN 9780215542687). This report concludes the Committee's inquiry into the feasibility of implementing the proposals made in the Report of the Consultative Group on the Past in Northern Ireland. The Committee reached the following conclusions, including: that Northern Ireland has not yet reached a consensus on how to move on from its recent past; also, it is not clear that Northern Ireland needs a Legacy Commission when bodies such as the Victims and Survivors Commission and the Historical Enquiries Team are already dealing in different ways with aspects of the legacy of the Troubles; that healthcare services, particularly mental health services, for those affected by the Troubles are under strong pressure; that any future Legacy Commission should be chaired, or co-chaired, by figures from Northern Ireland rather than by a foreign figurehead; that the Northern Ireland Assembly, rather than the UK Government, should ultimately be responsible for decisions on how to fund a Legacy Commission - and therefore on the width of its remit; and that clarification is required on what role the Irish Government would play in setting up such a Commission, and in particular on what financial contribution it would be expected to make.

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