RESUMO
This paper describes the development and successful implementation of an evidence-based clinical practice guideline dealing with uncomplicated urinary tract infection in adult women (acute dysuria guideline). This guideline was based on an evaluation and synthesis of the medical literature using the best available evidence. Following guideline implementation, clinical practice changes recommended by the guideline were observed, including a significant decrease in laboratory testing and clinic visits for acute dysuria. Successful implementation of this guideline is attributed to the use of an explicit, evidence-based guideline development process, a combination of implementation strategies including decision support for providers, and a change in the roles of registered nurses.
Assuntos
Medicina Baseada em Evidências , Sistemas Pré-Pagos de Saúde/normas , Guias de Prática Clínica como Assunto , Infecções Urinárias/terapia , Doença Aguda , Adulto , Idoso , Feminino , Sistemas Pré-Pagos de Saúde/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente , Projetos Piloto , Resultado do Tratamento , Infecções Urinárias/diagnóstico , Infecções Urinárias/epidemiologia , WashingtonRESUMO
Early detection and treatment of alcoholism benefits patients. Group Health Cooperative of Puget Sound (GHC) charged a committee with identifying ways to improve this area of care within their organization. The results of the Committee's investigation led to the recommendation for use of the CAGE screening tool. Follow-up activities included the development of a practice guideline on the early detection, referral and treatment of alcoholism.
