NEOMED Library: PPC IV & V Practice Based Learning and Improvement Presentation Guide: Step 5: Clinical Guidelines

Where to Find Clinical Guidelines

The National Guideline Clearinghouse will no longer be available after July 16th.

AccessMedicine
Basic science & clinical medicine textbooks, clinical tools, and case studies. Online access to over 60 current medical texts.
ECRI Guidelines Trust
MEDLINE - PubMed
Covers medicine, nursing, dentistry, veterinary medicine, the health care system, and the pre-clinical sciences. Over 5600 biomedical journals with links to full text. 1940s-present.
UpToDate
UpToDate covers over 10,000 clinical topics in over 20 medical specialties and includes links to fulltext articles, drugs & drug interaction databases, and medical calculators.

You need to discuss why this clinical guideline is relevant to your patient.

Determiing Validity for a Clinical Guideline
Duke University Medical Center Library and Archives

Duke University Medical Center Library and Archive Evidence-Based Practice Guide: Appraise (https://guides.mclibrary.duke.edu/ebm/appraise)

Supplementary resource: What do they mean by values on the worksheet?

Levels of Evidence (EL) for Clinical Practice Guidelines
Appendix 10 in Kamel C, McGahan L, Mierzwinski-Urban M, et al. Preoperative Skin Antiseptic Preparations and Application Techniques for Preventing Surgical Site Infections: A Systematic Review of the Clinical Evidence and Guidelines [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2011 Jun. Appendix 10, Levels of Evidence (EL) for Clinical Practice Guidelines. Available from: https://www.ncbi.nlm.nih.gov/books/NBK174545/
Other Level of Evidence Scales for Clinical Guidelines

Need to have on slides or mention during your presentation that it is not applicable to calculate NNT for a clinical guideline.

Consider the recommendations for the clinical guidelines.
- Are they POEMS, DOEs, or both?