How to use practice guidelines in the intensive care unit: Diagnosis and management of unstable angina

Critical Care Medicine

Volumn 26, Issue 3, 1998, Pages 599-606

  Cook, Deborah J ^a,e,f   Ellrodt, A Gray ^b   Calvin, James ^c   Levy, Mitchell M ^d  

^a MCMASTER UNIVERSITY   (Canada)

^b UNIVERSITY OF CALIFORNIA   (United States)

^c RUSH MEDICAL COLLEGE   (United States)

^d BROWN UNIVERSITY   (United States)

^e ONTARIO MINISTRY OF HEALTH AND LONG TERM CARE   (Canada)

^f ST JOSEPH S HOSPITAL   (Canada)

Author keywords

Algorithms; Care paths; Clinical pathways; Critical appraisal; Critical care; Decision making; Evidence based medicine; Heparin; Practice guideline; Unstable angina

Indexed keywords

ACETYLSALICYLIC ACID; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM CHANNEL BLOCKING AGENT; CREATINE KINASE; GLYCERYL TRINITRATE; HEPARIN; MORPHINE;

AORTA BALLOON; ARTICLE; CORONARY ARTERY DILATATION; ELECTROCARDIOGRAPHY; EVIDENCE BASED MEDICINE; HEALTH CARE POLICY; HEART CATHETERIZATION; HEART MUSCLE REVASCULARIZATION; HEART REINFARCTION; HUMAN; INTENSIVE CARE UNIT; INTRAVENOUS DRUG ADMINISTRATION; MEDICAL DECISION MAKING; ORAL DRUG ADMINISTRATION; OUTCOMES RESEARCH; PEER REVIEW; PRACTICE GUIDELINE; PRIORITY JOURNAL; RECTAL DRUG ADMINISTRATION; RESOURCE ALLOCATION; THORAX RADIOGRAPHY; UNSTABLE ANGINA PECTORIS;

ANGINA, UNSTABLE; GUIDELINE ADHERENCE; HUMANS; INTENSIVE CARE UNITS; PRACTICE GUIDELINES;

EID: 0031936854     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199803000-00038     Document Type: Article

References (52)

1. U.S. Department of Health and Human Services: Agency for Health Care Policy and Research: Unstable angina: Diagnosis and Management. Clinical Practice Guideline Number 10. AHCPR Publication No. 94-0602. Washington, DC, US Government Printing Office, 1994
2. Unstable Angina Guideline Panel: Diagnosing and managing unstable angina. Clinical Practice Guidelines: Quick Reference Guide for Clinicians. American Family Physician 1994; 49:1459-1475
3. U.S. Department of Health and Human Services: Agency for Health Care Policy and Research: Patient and Family Guide: Managing Unstable Angina. Consumer Version: Clinical Practice Guideline Number 10. AHCPR Publication No. 94-0604. Washington, DC, US Government Printing Office
4. Institute of Medicine: Clinical Practice Guidelines: Directions for a New Program. Washington, DC, National Academy Press, 1990
5. Eddy DM: The challenge. JAMA 1990; 163:287-290
6. American College of Physicians: Clinical Efficacy Assessment Project: Procedural Manual. Philadelphia, American College of Physicians, 1986
7. Gottlieb LK, Margolis CZ, Schoenbaum SC: Clinical practice guidelines at an HMO: Development and implementation in a quality improvement model. Quarterly Review Bulletin 1990; 16:80-86
8. Park RE, Fink A, Brook RH, et al: Physicians rating of appropriate indications for six medical and surgical procedures. Am J Public Health 1986; 76:766-772
9. Hayward RSA, Wilson MC, Tunis SR, et al for the Evidence-Based Medicine Working Group: Users' guides to the medical literature. IX. How to use clinical practice guidelines. A. Are the results valid? JAMA 1995; 274:570-574
10. Wilson MC, Hayward RSA, Tunis SR, et al for the Evidence-Based Medicine Working Group: Users' guides to the medical literature. IX. How to use clinical practice guidelines. B. What are the results and will they help me in caring for my patients? JAMA 1995; 174:1630-1632
11. American College of Physicians: Guidelines for medical treatment for stroke prevention. Ann Intern Med 1994; 121:54-55
12. Matacher DB, McCory DC, Barnett HJM et al: Medical treatment for stroke prevention. Ann Intern Med 1994; 121:41-53
13. North American Symptomatic Carotid Endarterectomy Trial Collaborators: Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991:325:445-453
14. Suter P, Armagandis A, Beautils F, et al: Predicting outcome in ICU patients. European Consensus Conference Report. Intensive Care Med 1994; 20:390-397
15. Heyland DK, Gafni A, Kernerman P, et al: Economic evaluations of the critical care literature: Do they help us improve the efficiency of our unit? Crit Care Med 1996; 24:1591-1598
16. Cook DJ, Greengold NL, Ellrodt AG, et al: The relation between systematic reviews and practice guidelines. Ann Intern Med 1997; 127:210-216
17. Wijdicks EFM: Determining brain death in adults. Neurology 1995; 45:1003-1011
18. Report of the Quality Standards Subcommittee of the American Academy of Neurology: Practice parameters for determining brain death in adults (Summary Statement). Neurology 1995; 45:1012-1014
19. Fragmin during Instability in Coronary Artery Disease (FRISC) Study Group: Low-molecular weight heparin during instability in coronary artery disease. Lancet 1996; 347:561-568
20. The Epic Investigators: Use of a monoclonal antibody directed against the platelet glycoprotein IIb/IIIa receptor in high-risk coronary angioplasty. N Engl J Med 1994; 330:956-961
21. Simoons ML, Jan de Boer M, van den Brand MJBM, et al: Randomized trial of a GPIIb/IIIa platelet receptor blocker in refractory unstable angina. Circulation 1994; 89:596-603
22. Oler A, Whooley MA, Oler J, et al: Adding heparin to aspirin reduces the incidence of myocardial infarction and death in patients with unstable angina: A meta-analysis. JAMA 1996; 276: 811-815
23. Suhl J, Simons P, Reedy T, et al: Myth of substituted judgment: Surrogate decision making regarding life support is unreliable. Arch Intern Med 1994; 154:90-96
24. Wise CG, Billi JE: A model for practice guideline adaptation and implementation: Empowerment of the physicians. Journal of Quality Improvement 1995; 21:465-476
25. Grimshaw JM, Russell IT: Effect of clinical guidelines on medical practice: A systematic review of rigorous evaluations. Lancet 1993; 342:1317-1322
26. Grimshaw J, Freemantle N, Wallace S, et al: Developing and implementing clinical practice guidelines. Quality in Health Care 1995; 4:55-64
27. Davis DA, Thomson MA, Oxman AD, et al: Changing physician performance: A systematic review of the effect of continuing medical educational strategies. JAMA 1995; 274:700-705
28. Katz DA, Griffith JL, Beshansky JR, et al: The use of empiric clinical data in the evaluation of practice guidelines for unstable angina. JAMA 1996; 276:1568-1574
29. Guyatt GH, Sackett DL, Sinclair J, et al: Users' guides to the medical literature. IX. A method for grading health care recommendations. JAMA 1995; 274:1800-1804
30. Cook DJ, Guyatt GH, Laupacis A, et al: Clinical recommendations using levels of evidence for antithrombotic agents. Chest 1995; 108:2275-2308
31. Friesinger GC, Williams SV, the American College of Physicians, the American College of Cardiology, and the American Heart Association Task Force on Privileges in Cardiology: Clinical competence in hemodynamic monitoring: A statement for physicians from the ACP/ACC/AHA Task Force on Clinical Privileges in Cardiology. J Am Coll Cardiol 1990; 15:1460-1464
32. Vincent J-L, Bennett D, Boldt J, et al for the Expert panel: The use of the pulmonary artery catheter. Intensive Care Med 1991; 17:I-VIII
33. Naylor CD, Sibbald WJ, Sprung CL, et al: Pulmonary artery catheterization: Can there be an integrated strategy for guideline development and research promotion? JAMA 1993; 269:2407-2411
34. Moore WS, Barnett HJM, Beebe HG, et al for the Ad Hoc Committee of the American Heart Association: Guidelines for carotid endarterectomy: A multidisciplinary consensus statement. Circulation 1995; 91:566-579
35. Guidelines Committee of the American College of Critical Care Medicine; Society of Critical Care Medicine and American Association of Critical-Care Nurses Transfer Guidelines Task Force: Guidelines for the transfer of critically ill patients. Crit Care Med 1993; 21: 931-937
36. Guidelines/Practice Parameters Committee of the American College of Critical Care Medicine, Society of Critical Care Medicine: Guidelines for intensive care unit design. Crit Care Med 1995; 23:582-588
37. Aikenhead AR, Booij LH, Dhainaut JF, et al for the International Task Force on Safety in the Intensive Care Unit: International standards for safety in the intensive care unit. Intensive Care Med 1993; 19:178-181
38. Thijs LG, Baltopoulos G, Bihari D, et al for the European Society of Intensive Care Medicine and the European Society of Pediatric Intensive Care: Guidelines for a training program in intensive care medicine. Intensive Care Med 1996; 22:166-172
39. Hayward RSA, Wilson MC, Tunis SR, et al: Practice guidelines: What are internists looking for? J Gen Intern Med 1996; 11:176-178
40. Shapiro BA, Warren J, Egol AB, et al: Practice parameters for intravenous analgesia and sedation for adult patients in the intensive care unit: An executive summary. Crit Care Med 1995; 23:1596-1600
41. Shapiro BA, Warren J, Egol AB, et al: Practice parameters for sustained neuromuscular blockade in the adult critically ill patient: An executive summary. Crit Care Med 1995; 23:1601-1605
42. Soumerai SB, Avorn J: Principles of educational outreach ("academic detailing") to improve clinical decision making. JAMA 1990; 263:549-556
43. Larsen RA, Evans RS, Burke JP, et al: Improved perioperative antibiotic use and reduced surgical wound infections through use of computer decision analysis. Infect Control Hosp Epidemiol 1989; 10:316-320
44. Weingarten SR, Riedinger MS, Conner L, et al: Practice guidelines and reminders to reduce duration of hospital stay for patients with chest pain. Ann Intern Med 1994; 120:257-263
45. Schoenbaum SC (Ed): Using Clinical Practice Guidelines to Evaluate Quality of Care. Vol 1. AHCPR Publication No. 95-0045. US Department of Health and Human Services. Washington, DC, US Government Printing Office, 1995
46. Deignan M, Ellrodt AG: Resource management. In: Patient-Focused Care in the Hospital: Restructuring and Redesign Methods to Achieve Better Outcomes. Aydin CE, Bolton LB, Weingarten S (Eds). New York, Faulkner & Gray, 1995
47. Balsano F, Rizzon P, Violi F, et al: Antiplatelet treatment with ticlopidine in unstable angina: A controlled multicenter trial. Circulation 1990; 82:17-26
48. Hirsh J, Dalen JE, Fuster V, et al: Aspirin and other platelet-active drugs: The relationship among dose, effectiveness, and side effects. Chest 1995; 108:2478-2578
49. Lewis HD, Davis JW, Archibald DG, et al: Protective effects of aspirin against acute myocardial infarction and death in men with unstable angina: Results of a Veterans Administration Cooperative Study. N Engl J Med 1983; 309:396-403
50. Cairns JA, Gent M, Singer J, et al: Aspirin, sulfinpyrazone, or both, in unstable angina: Results of a Canadian multicenter clinical trial. N Engl J Med 1984; 313:1369-1375
51. Theroux P, Ouimet H, McCans J, et al: Aspirin, heparin or both to treat acute unstable angina. N Engl J Med 1988; 319:1105-1111
52. The RISC Group: Risk of myocardial infarction and death during treatment with low-dose aspirin and intravenous heparin in men with unstable coronary artery disease. Lancet 1990; 336:827-830