[EQ] Knowing what Works in Health Care: A Roadmap

Knowing what Works in Health Care: A Roadmap for the Nation

Institute of Medicine (IOM). 2008. Washington, DC: The National Academies Press, 2008

Available online at: http://books.nap.edu/catalog.php?record_id=12038&utm_medium=etmail&utm_source=National%20Academies%20Press&utm_campaign=New+from+NAP+5.06.08&utm_content=Downloader&utm_term=

 

“….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 sustantially 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.  …”

Content:

Summary

1 Introduction

2 An Imperative for Change

3 Setting Priorities for Evidence Assessment

4 Systematic Reviews: The Central Link Between Evidence and Clinical Decision Making

5 Developing Trusted Clinical Practice Guidelines

6 Building a Foundation for Knowing What Works in Health Care

Appendix A: Acronyms and Abbreviations

Appendix B: Workshop Agendas and Questions to Panelists

Appendix C: Template for Submissions of Topics to the Agency for Healthcare Research and Quality

Appendix D: Standards for Reporting Meta-Analyses of Clinical Trials and Observational Studies: QUOROM and MOOSE

Appendix E: Examples of ECRI Institute and Hayes, Inc., Quick Turnaround Reports

Appendix F: Guideline Standards: The AGREE Instrument and COGS Checklist

 

 

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