Defining the utility of clinically acceptable variations in evidence-based practice guidelines for evaluation of quality improvement activities

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Authors
Lescoe-Long, Mary A.
Long, Michael J.
Issue Date
1999-09
Type
Article
Language
eng
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Abstract

This study examines the utility of systematically accounting for acceptable physician variations in guideline application. The results argue against assuming that even seemingly noncontentious guideline protocol offer a threshold of variation similar to conventional Continuous Quality Improvement (CQI) assessment standards. Findings also suggest that health service organizations can derive greater benefits from expending the resources necessary to standardize guidelines if compliance with both the medical review criteria, and the guidelines as originally constructed, is monitored as part of the evaluation activity.

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Citation
Evaluation & the health professions. 1999 Sep; 22(3): 298-324.
Publisher
Sage Publications
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ISSN
0163-2787
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