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How to keep up with the critical care literature and avoid being buried alive
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A taxonomy and critical review of tested strategies for the application of clinical practice recommendations: From "official" to "individual" clinical policy
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A comparison of results of meta-analyses of randomized trials and recommendations of clinical experts: Treatment for myocardial infarction
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Antman EM, Lau J, Kupelnick B, Mosteller F, Chalmers TC: A comparison of results of meta-analyses of randomized trials and recommendations of clinical experts: treatment for myocardial infarction. JAMA 1992, 268:240-248.
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Cook, D.J.1
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Sackett DL, Haynes RB: On the need for evidence-based medicine. Evidence-Based Medicine 1995, 1:5-6. This article describes ways in which research evidence can be better integrated into medical deicisons, including through the creation of evidence-based pratice guidelines.
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Hayward RSA, Wilson MC, Tunis SR, Bass EB, Guyatt G, for the Evidence-Based Medicine Working Group: Users' guides to the medical literature: VIII. How to use clinical practice guidelines. A. Are the recommendations valid? JAMA 1995, 274:570-574. Given the growing number of published guidelines, it is increasingly important to be able to critically appraise their validity and usefulness. This article suggests a simple framework for critiquing guidelines.
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Tunis SR, Hayward RSA, Wilson MC, Rubin HR, Bass ER, Johnston M, Steinberg EP: Internists' attitudes about clinical practice guidelines. Ann Intern Med 1994, 120:956-963.
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Davis DA, Thomson MA, Oxman AD, Haynes RB: Changing physician performance: a systematic review of the effect of continuing medical educational strategies. JAMA 1995, 274:700-705. This is a comprehensive review of strategies that have been evaluated to determine whether they modify clinican behavior. This is extremely important to the guidelines movement beause dissemination of guidelines must incorporate methods that change practice.
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Davis, D.A.1
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Weingarten SR, Riedinger MS, Hobson P, Noah MS, Johnson B, Giugliano G, Norian J, Belman MJ, Ellrodt AG: Evaluation of a pneumonia practice guideline in an interventional trial. Am Rev Resp Crit Care Med 1995, in press.
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Grimshaw J, Freemantle N, Wallace S, Russell I, Hurwitz B, Watt I, Long A, Sheldon T: Developing and Implementing clinical practice guidelines. Qual Health Care 1995, 4:55-64. This important article desctribes the guideline implementation strategies that not only modify practice patterns, but, more importantly, favorably affect patient outcome.
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Qual Health Care
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Grimshaw, J.1
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