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Examples and tips for choosing the most appropriate CPG

Examples and tips for choosing the most appropriate CPG
So I’m going to show you four examples of excerpts from some guidelines and I want you to take a look at each one of them and then answer the question that’ll be at the end as far as which one is considered to be the appropriate practice guideline so that at that point I want you once you’ve looked through the four of them stop the tape try to go through them before starting again to find out with the answer.
So here’s the first one: nausea and vomiting in pregnancy you can see the guideline listed there how many pages it is, what year it is and the Association that approves it
this is number two: you can see the association the number of pages and the year that this one was developed. The third one you can see that went what date from the number of pages and the group that sponsored it and the fourth one again you can see what the date is how many pages and who is sponsoring it so here are the four listed.
Take a moment, stop the tape, go back and look at each one of those use the finding Waldo or the highlight type of a section think about what you’re looking for and then come back and turn on the tape and we’ll discuss what the correct answer will be so let’s go through each one of them individually and see if you came up with the correct answer. So here is the first one the nausea and vomiting and pregnancy the clinical practice guideline and you can see it was from 2011 ninety-eight patients it was endorsed by the American, the association of a Association of women’s health.
Now if you look quickly you can see that this is a guideline developed just for nurses and so we need something a little bit more broad-based than something that’s specifically for nursing. So again that’s why I talked about the finding the Waldo then highlight to quickly be able to see what it is you don’t want or do want in a guideline when you’re looking at it. The next one is from NICE And NICE is from the UK. So it’s okay if you want to have European guidelines but NICE is from the National Institutes of Health Care excellence from the UK not the United States.
This third one if you take a look at this one you can see that it’s from the American Society of Clinical Oncology. So it’s going to be limited to nausea and vomiting in oncology. So you really don’t want to have this one as a general guideline. So you can see the last one even though it’s may look a little deceiving because I told you usually they’re longer but this is the most updated one. This is only 13 pages but you can see it’s from the American College of obstetrics and gynecology which if you thought about it hopefully that would be the organization that you would think would be have the best guidelines.
So this one is the one that you would want to select as the most appropriate of the four as a general guideline for nausea and vomiting in pregnancy. So let’s look at a few tips to go over how you search for these again. So if there’s any unfamiliar terminology that maybe you know or a topic or something that you need to make sure that you’ve got a clear background of all the information before you start looking for a clinical practice guidelines if there’s any disease states or drugs or anything that you’re unfamiliar with, you need to and this is a good thing to do in any type of literature evaluation or drug information.
You always want to look at at least two sources to make sure that you found the right information. And if you find something that’s not endorsed by a national organization ever it’s not free it’s probably not the one you’re looking for so those are two key things you can use to make sure you’re selecting the right one. And then if it’s possible check with the National organization’s website to verify that that’s the most recent CPG because oftentimes when you do a google search the most current one won’t show up. so if you don’t know that organization use that to perform a Google search but then go to that organization’s website to make sure you’ve got the most recent one.
Then I highly recommend and once you find the one you’re looking for, for this one that you save it. It would be great if you could keep a library of the most common or the most recent ones in the areas that you commonly practice with and then you can refer back to them and not have to continually search for them and then just keep abreast as to when those guidelines are being updated to make sure you’re not using an old guideline. Oftentimes clinical practice guidelines will be published in multiple journals or multiple websites and that’s okay. As long as they’re the same ones.
Because oftentimes you’ll have more than one organization who endorses something so it’ll be located in more than one places. Place but they should be exactly the same. So just go ahead and save the one that you think is organized the best for your needs. So this is just a summary that we’ve developed at Palm Beach Atlantic that if you wanted to you could print these separately and use these as just a quick little handy tool. It could print it front and back to be able to quickly do this. As I know you’re not gonna be looking for guidelines and necessarily in a regular basis.
So you’re gonna have to then go back and refresh yourself on how to find them when you’re looking for them. So you want to make sure that you could go back and look for what’s a practice guideline what your search strategies for, tips for locating them. All that information that I just presented is just listed here succinctly. So you can go back and just use this every time you want to look at one and I have to pull up the full slides from this to be able to do this. Now what I also did was I took all the websites that I mentioned you could possibly use for assessing guidelines and just gave you a little screenshots.
So you can see with each one of them, where the guidelines sections are listed. Now obviously some of these are paid. So you’re not going to be able to use Pharmacist’s letter DynaMed and Lexicomp and Ovid Medline unless you have subscriptions to them but you can use the Cinahl and the Pubmed without a personal subscription but if you do have access to these, I’m just trying to help you to see where you would go find that guideline information if you needed to look for it in a tertiary or secondary resource.

Prof. Mary Ferrill gives an example to clarify how to choose an appropriate CPG.

We are given a topic on the treatments of nausea and vomiting in pregnancy, and we are asked to choose the most appropriate CPG. Remember to choose one that can be applied in general!

Besides, there are several tips for locating CPGs, such as checking with the national organization’s website to verify that the most recent CPG has been located. Once the correct CPG has been located, remember to save it. Create your own personal library of CPGs.

Ultimately, she gives screenshots of various resources that we can use, including DynaMed, OVID Medline database, Pharmacist’s letter, and NLM Pubmed.

Have you used these resources before? Which one do you prefer? Please share your opinion below.

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Evidence-Based Medicine in Clinical Pharmacy Practice

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