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Health Care Guidelines

Guidelines, order sets, protocols and more.

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Guideline Impact Studies

Title Date Type

Colorectal Carcinoma Screening Guideline: Effects on Clinical Process and Patient Outcomes (1998)

The study evaluated the impact of guideline implementation at 14 clinics in 1 medical group. The study found fecal occult blood testing rates declined without a corresponding increase in flexible sigmoidoscopy.

01/09/2003 Guideline Impact Studies

Cystitis Clinical Practice Guideline - Impact on Costs and Outcomes of Care (1995)

Guideline implementation resulted in excellent clinical outcomes and yielded projected savings of 35% from previous practice. The study was published in the Joint Commission Journal on Quality Improvement in 1996.

01/09/2003 Guideline Impact Studies

Hypertension, Treatment of (1997)

The proportion of hypertensive patients with controlled blood pressure rose from 48.6% to 60.3% after guideline implementation. The study was published in the Joint Commission Journal on Quality Improvement in 1999.

01/09/2003 Guideline Impact Studies

Labor: Initial Impact of Active Management (1996)

This guideline had limited and uneven impact on clinical practice, and the outcomes of interest did not seem to be affected by the use of the guideline. The study was published in Quality Management in Health Care in 1998.

01/09/2003 Guideline Impact Studies

Pediatric Immunization (1996)

Immunization rates for children who turned 2 years old rose from 56% in 1991 to 82% in 1995 following guideline implementation.

01/09/2003 Guideline Impact Studies

Performance Failure of an Evidence-Based Upper Respiratory Infection (URI) Clinical Guideline (1998)

The clinical goals of maintaining high quality care and reducing the inappropriate use of antibiotics were met in the short term but not over the full course of illness. The study was published in the Journal of Family Practice in 1999.

01/09/2003 Guideline Impact Studies

Preventive Care Guidelines, Assessing the Impact of Implementation: A Large Multi-Specialty Clinic Organization’s Efforts at Systems Improvement (1999)

The study evaluated preventive service rates in 6 primary care clinics from 1 medical group. The study found increased rates of patients up-to-date on preventive services but the rate of services up-to-date was not significantly improved.

01/09/2003 Guideline Impact Studies

Tobacco Cessation (1997)

The study found that the recommendations of the guideline did not occur at high levels, except possibly on the documentation of quit dates.

01/09/2003 Guideline Impact Studies

Treatment of Low Back Pain (1997)

Use of the guideline was associated with significantly lower overall costs of care while maintaining or improving functional status outcomes, back care patient education, and patient satisfaction.

01/09/2003 Guideline Impact Studies

Treatment of Low Back Pain (1997) (M)

Use of the guideline was associated with significantly lower overall costs of care while maintaining or improving functional status outcomes, back care patient education, and patient satisfaction.

01/09/2003 Guideline Impact Studies