Some resources for searching for clinical guidelines

1. In the name of God the gracious no one can measure
Best Clinical Guidelines;
where to look for ?
Vahideh Zarea Gavgani (PhD)
ICEBM
Guideline Adoption Workshop
Tabriz University of Medical Sciences
Tabriz-Iran
April 2012

2. What we will do ?
• In this slide we will have a description about
clinical guidelines as an introduction
• Then the search tools and websites for CG will
be presented in tow sections:
– 1) Search Engines
– 2) specific websites for Guidelines
• We have tried to cover the guidelines by
region and topics as well ,
1 May 2012 Gavgani Vahideh Zarae (PhD) 2

3. What are Clinical Guidelines
• “systematically developed statements to assist practitioners and
patient decisions about appropriate health care for specific
circumstances”(Field &Lohr,1990).
• Clinical guidelines are recommendations on the appropriate
treatment and care of people with specific diseases and conditions
within the NHS in England and Wales. Clinical guidelines are based on
the best available evidence. Guidelines help healthcare professionals
in their work, but they do not replace their knowledge and skills
• Guidelines are designed to support the decision-making processes in
patient care . The content of a guideline is based on a systematic
review of clinical evidence - the main source for evidence-based care.
1 May 2012 Gavgani Vahideh Zarae (PhD) 3

4. Protocol or Guideline
• Clinical protocols can be seen as more specific
than guidelines, defined in geater detail.
Protocols provide "a comprehensive set of rigid
criteria outlining the management steps for a
single clinical condition or aspects of
organisation""
1 May 2012 Gavgani Vahideh Zarae (PhD) 4

5. Purposes of guidelines
• To describe appropriate care based on the best
available scientific evidence and broad consensus;
• To reduce inappropriate variation in practice;
• To provide a more rational basis for referral;
• To provide a focus for continuing education;
• To promote efficient use of resources;
• To Act as focus for quality control, including audit;
• To highlight shortcomings of existing literature and
suggest appropriate future research.
1 May 2012 Gavgani Vahideh Zarae (PhD) 5

6. Purposes of guidelines
• provide recommendations for the treatment and
care of people by health professionals
• be used to develop standards to assess the
clinical practice of individual health professionals
• be used in the education and training of health
professionals
• help patients to make informed decisions
• Improve communication between patient and
health professional
1 May 2012 Gavgani Vahideh Zarae (PhD) 6

7. Search Engines
• PubMed
• Trip
• MdConsult
• Google
• And directories like openclinicals
1 May 2012 Gavgani Vahideh Zarae (PhD) 7

8. PubMed
1 May 2012 Gavgani Vahideh Zarae (PhD) 8

9. 1 May 2012 Gavgani Vahideh Zarae (PhD) 9

10. 1 May 2012 Gavgani Vahideh Zarae (PhD) 10

11. 1 May 2012 Gavgani Vahideh Zarae (PhD) 11

12. 1 May 2012 Gavgani Vahideh Zarae (PhD) 12

13. TRIP data base
• http://www.tripdatabase.com
1 May 2012 Gavgani Vahideh Zarae (PhD) 13

14. Basic Search
1 May 2012 Gavgani Vahideh Zarae (PhD) 14

15. Trip database Advance search
1 May 2012 Gavgani Vahideh Zarae (PhD) 15

16. 1 May 2012 Gavgani Vahideh Zarae (PhD) 16

17. trip
“phrase”
1 May 2012 Gavgani Vahideh Zarae (PhD) 17

18. Google
Title
1 May 2012 Gavgani Vahideh Zarae (PhD) 18

19. Google
NZ
1 May 2012 Gavgani Vahideh Zarae (PhD) 19

20. Google
1 May 2012 Gavgani Vahideh Zarae (PhD) 20

21. MD Consult
1 May 2012 Gavgani Vahideh Zarae (PhD) 21

22. MD Consult
1 May 2012 Gavgani Vahideh Zarae (PhD) 22

23. Web Sites and Organizations
• ADOPTE (for process)
• NGC
• NICE
• GAIN
• eGuidelines
• GIN
• WHO
1 May 2012 Gavgani Vahideh Zarae (PhD) 23

24. ADAPTE
To know how to adopt a guideline
visit the ADAPTE website
1 May 2012 Gavgani Vahideh Zarae (PhD) 24

25. National Guidelines Clearinghouse
(NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 25

26. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 26

27. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 27

28. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 28

29. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 29

30. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 30

31. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 31

32. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 32

33. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 33

34. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 34

35. NGC
1 May 2012 Gavgani Vahideh Zarae (PhD) 35

36. (NGC)
1 May 2012 Gavgani Vahideh Zarae (PhD) 36

37. Open Clinical www.openclinical.org
1 May 2012 Gavgani Vahideh Zarae (PhD) 37

38. Open Clinical links to C-Guidelines Organizations
1 May 2012 Gavgani Vahideh Zarae (PhD) 38

39. National Institute for Clinical Excellence
(NICE)
1 May 2012 Gavgani Vahideh Zarae (PhD) 39

40. NICE ; Find a Guideline
1 May 2012 Gavgani Vahideh Zarae (PhD) 40

41. NICE; Search for Guidelines by type
1 May 2012 Gavgani Vahideh Zarae (PhD) 41

42. NICE;
1 May 2012 Gavgani Vahideh Zarae (PhD) 42

43. NICE; search for a specific topics
“Low Back Pain”
1 May 2012 Gavgani Vahideh Zarae (PhD) 43

44. eGuidelines
1 May 2012 Gavgani Vahideh Zarae (PhD) 44

45. eGuidlines
1 May 2012 Gavgani Vahideh Zarae (PhD) 45

46. eGuidlines
1 May 2012 Gavgani Vahideh Zarae (PhD) 46

47. eGuidlines
1 May 2012 Gavgani Vahideh Zarae (PhD) 47

48. eGuidlines
1 May 2012 Gavgani Vahideh Zarae (PhD) 48

49. eGuidlines
1 May 2012 Gavgani Vahideh Zarae (PhD) 49

50. eGuidlines
1 May 2012 Gavgani Vahideh Zarae (PhD) 50

51. GAIN
1 May 2012 Gavgani Vahideh Zarae (PhD) 51

52. 1 May 2012 Gavgani Vahideh Zarae (PhD) 52

53. GAIN
1 May 2012 Gavgani Vahideh Zarae (PhD) 53

54. Guidelines International Network
http://www.g-i-n.net/
G.I.N
1 May 2012 Gavgani Vahideh Zarae (PhD) 54

55. Click here &
Enter your
topics
1 May 2012 Gavgani Vahideh Zarae (PhD) 55

56. Search results for “low back pain”
1 May 2012 Gavgani Vahideh Zarae (PhD) 56

57. 1 May 2012 Gavgani Vahideh Zarae (PhD) 57

58. Other Countries
• Malaysia
• India
• New Zealand
• Iran
• Italy
• Nederland
• Russia
• Japan
• Canada
• Germany
1 May 2012 Gavgani Vahideh Zarae (PhD) 58

59. Malaysia ;Academy of Medicine
1 May 2012 Gavgani Vahideh Zarae (PhD) 59

60. Malaysia ;Academy of Medicine
TOPICS
1 May 2012 Gavgani Vahideh Zarae (PhD) 60

61. Malaysia ;Ministry of Health
1 May 2012 Gavgani Vahideh Zarae (PhD) 61

62. Malaysia ;Ministry of Health
1 May 2012 Gavgani Vahideh Zarae (PhD) 62

63. INDIA
• www.qmedkf.org.in www.indianmedicalsites.in
1 May 2012 Gavgani Vahideh Zarae (PhD) 63

64. India
1 May 2012 Gavgani Vahideh Zarae (PhD) 64

65. India
1 May 2012 Gavgani Vahideh Zarae (PhD) 65

66. New Zealand Guidelines Group
1 May 2012 Gavgani Vahideh Zarae (PhD) 66

67. New Zealand
1 May 2012 Gavgani Vahideh Zarae (PhD) 67

68. New Zealand
1 May 2012 Gavgani Vahideh Zarae (PhD) 68

69. New Zealand
1 May 2012 Gavgani Vahideh Zarae (PhD) 69

70. New Zealand
1 May 2012 Gavgani Vahideh Zarae (PhD) 70

71. New Zealand
1 May 2012 Gavgani Vahideh Zarae (PhD) 71

72. Iran
1 May 2012 Gavgani Vahideh Zarae (PhD) 72

73. Italy < http://www.snlg-iss.it/en_method>
1 May 2012 Gavgani Vahideh Zarae (PhD) 73

74. Nederland http://www.cbo.nl/en/
1 May 2012 Gavgani Vahideh Zarae (PhD) 74

75. Russia http://www.klinrek.ru/cgi-bin/mbook
1 May 2012 Gavgani Vahideh Zarae (PhD) 75

76. Japan http://jcqhc.or.jp/
1 May 2012 Gavgani Vahideh Zarae (PhD) 76

77. WHO
1 May 2012 Gavgani Vahideh Zarae (PhD) 77

78. WHO
1 May 2012 Gavgani Vahideh Zarae (PhD) 78

79. WHO
1 May 2012 Gavgani Vahideh Zarae (PhD) 79

80. WHO
1 May 2012 Gavgani Vahideh Zarae (PhD) 80

81. End!
• This Slide show was prepared and presented
at the Guideline Adoption workshop (April
2012) in Iranian Center for Evidence Based
Medicine in Tabriz University of Medicine by
Vahideh Zarea Gavgani ; reachable at
Vgavgani@gmail.com
1 May 2012 Gavgani Vahideh Zarae (PhD) 81