Adrian,
Such feedback on guidelines would be a great idea! If you ever manage to
get a guideline producer to take it up please let me know.
Interestingly the AGREE tool to assess guidelines has "piloting with end
users" as one of its criteria but I can recall a guideline I've seen
pass that,
Cheers
Paul Glasziou
Dr Adrian Midgley wrote:
> -----BEGIN PGP SIGNED MESSAGE-----
> Hash: SHA1
>
> 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
> -----BEGIN PGP SIGNATURE-----
> Version: GnuPG v1.4.1 (GNU/Linux)
> Comment: Using GnuPG with Mozilla - http://enigmail.mozdev.org
>
> iD8DBQFE//hCj8Pwy18JDnIRAm0XAKCePc/ZvCj0D2EZ99izCix1DXazeQCfWTo5
> 3lZBDKtqJZzSjc1ntV5jBGs=
> =6F86
> -----END PGP SIGNATURE-----
>
>
--
Paul Glasziou
Director, Centre for Evidence-Based Medicine,
Department of Primary Health Care,
University of Oxford www.cebm.net
ph +44-1865-227055 fax +44-1865-227036
|