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Paul Glasziou wrote:
> Are you aware of examples of rational disagreement with guidelines?
I wrote some time ago that systems designed to present guidelines to
clinicians should include a system for collecting and channelling from
the point of use disagreement back to the originators and controllers,
and that when a guideline was not followed there should be a simple way
of recording why not.
The implication was that this was electronic record system /medical note
automation systems, but I suppose it would apply to paper guidelines if
they actually worked.
I am unaware of any example of a system actually doing that.
- --
Midgley
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