Diagnostic accuracy and therapeutic reliability in pediatric emergency medicine: The role of evidence-based guidelines

Clinical Pediatric Emergency Medicine

Volumn 12, Issue 2, 2011, Pages 113-120

  Chumpitazi, Corrie E ^a   Barrera, Patrick ^b   Macias, Charles G ^a,b  

^a BAYLOR COLLEGE OF MEDICINE   (United States)

^b TEXAS CHILDREN S HOSPITAL   (United States)

Author keywords

Evidence based medicine; Practice guidelines; Quality

Indexed keywords

ARTICLE; CHILD HEALTH CARE; DIAGNOSTIC ACCURACY; EMERGENCY CARE; EVIDENCE BASED PRACTICE; HEALTH CARE PLANNING; OUTCOME ASSESSMENT; PATIENT IDENTIFICATION; PRACTICE GUIDELINE; RELIABILITY; TOTAL QUALITY MANAGEMENT;

EID: 79959870262     PISSN: 15228401     EISSN: 15582310     Source Type: Journal    
DOI: 10.1016/j.cpem.2011.05.001     Document Type: Article

References (23)

1. Lohr K.N., Schroeder S.A. A strategy for quality assurance in Medicare. N Eng J Med 1990, 322:707-712.
2. Evidence based medicine working group Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA 1992, 268:2420-2425.
3. Lougheed M.D., Garvey N., Chapman K.R., et al. The Ontario Asthma Regional Variation Study: emergency department visit rates and the relation to hospitalization rates. Chest 2006, 129:909-917.
4. Wang N.E., Saynina O., Kuntz-Duriseti K., et al. Variability in pediatric utilization of trauma facilities in California: 1999 to 2005. Ann Emerg Med 2008, 52:607-615.
5. Goldman R.D., Dolansky G., Rogovik A.L. Predictors for admission of children with periorbital cellulitis presenting to the pediatric emergency department. Pediatr Emerg Care 2008, 24:279-283.
6. Lander L., Lu S., Shah R.K. Pediatric retropharyngeal abscesses: a national perspective. Int J Pediatr Otorhinolaryngol 2008, 72:1837-1843.
7. Straus S.E., McAlister F.A. Evidence-based medicine: a commentary on common criticism. CMAJ 2000, 163:837-841.
8. Heiwe S., Kajermo K.N., Tyni Lenne R., et al. Evidence-based practice: attitudes, knowledge and behaviour among allied health care professionals. Int J Qual Health Care 2011, 23:198-209.
9. McAlister F.A., Graham I., Karr G.W., et al. Evidence based medicine and the practicing clinician. J Gen Intern Med 1999, 14:236-242.
10. McColl A., Smith H., White P., et al. General practitioner's perceptions of the route to evidence based medicine: a questionnaire survey. BMJ 1998, 316:361-365.
11. Tieder J.S., Robertson A., Garrison M.M. Pediatric hospital adherence to the standard of care of acute gastroenteritis. Pediatrics 2009, 124:e1081-e1087.
12. Crabtree E.A., Mariscalco M.M., Hesselgrave J., et al. Improving care for children with sickle cell disease/acute chest syndrome. Pediatrics 2011, 127:e480-8.
13. Ahmad F.A., Macias C.G., Allen J.Y. The use of incentive spirometry in pediatric patients with sickle cell disease to reduce the incidence of acute chest syndrome. J Pediatr Hematol Oncol 2011, (in press).
14. Appraisal of Guidelines Research and Evaluation. AGREE Instrument. Available at: Accessed 4/7/2011. http://www.agreecollaboration.org/instrument/.
15. Richardson W.S., Wilson M.C., Nishikawa J., et al. The well-built clinical question: a key to evidence-based decisions. ACP J Club 1995, 123:A12-A13.
16. Guyatt G.H., Oxman A.D., Vist G.E., et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008, 336:924-926.
17. Grewal S., Ali S., McConnell D.W., et al. A randomized trial of nebulized 3% hypertonic saline with epinephrine in the treatment of acute bronchiolitis in the emergency department. Arch Pediatr Adolesc Med 2009, 163:1007-1012.
18. Kuzik B.A., Flavin M.P., Kent S., et al. Effect of inhaled hypertonic saline on hospital admission rate in children with viral bronchiolitis: a randomized trial. CJEM 2010, 12:477-484.
19. Zhang L., Mendoza-Sassi R.A., Wainwright C., et al. Nebulized hypertonic saline solution for acute bronchiolitis in infants. Cochrane Database Syst Rev 2008, CD006458.
20. Committee on Standards for Developing Trustworthy Clinical Practice Guidelines Promoting adoption of clinical practice guidelines. Clinical practice guidelines we can trust 2011, Institute of Medicine, Available at, Accessed 4/7/2011. http://books.nap.edu/openbook.php?record_id=13058&page=111.
21. Grimshaw J., Eccles M., Thomas R., et al. Toward evidence-based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998. J Gen Intern Med 2006, 21(suppl):14-20.
22. Cruz A.T., Perry A.M., Williams E.A., et al. Implementation of goal-directed therapy for children with suspected sepsis in the emergency department. Pediatrics 2011, 127:e758-66.
23. Warner B.W., Rick K.A., Atherton H., et al. The sustained impact of an evidence-based clinical pathway for acute appendicitis. Semin Pediatr Surg 2002, 11:29-35.