Clinical Guidelines: Potential Benefits, Limitations, and Harms of Clinical Guidelines

Overview

Journal BMJ

Specialty General Medicine

Date 1999 Feb 19

PMID 10024268

Citations 639

Authors

S H Woolf

R Grol

A Hutchinson

M Eccles

J Grimshaw

Affiliations

Soon will be listed here.

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References

Kane R . Creating practice guidelines: the dangers of over-reliance on expert judgment. J Law Med Ethics. 1995; 23(1):62-4. DOI: 10.1111/j.1748-720x.1995.tb01332.x. View

Hemming M, Mashford M . Implementing clinical guidelines. It works in Australia. BMJ. 1993; 307(6905):678. PMC: 1678966. DOI: 10.1136/bmj.307.6905.678-a. View

Feder G, Eccles M, Grol R, Griffiths C, Grimshaw J . Clinical guidelines: using clinical guidelines. BMJ. 1999; 318(7185):728-30. PMC: 1115154. DOI: 10.1136/bmj.318.7185.728. View

Cook D, Mulrow C, Haynes R . Systematic reviews: synthesis of best evidence for clinical decisions. Ann Intern Med. 1997; 126(5):376-80. DOI: 10.7326/0003-4819-126-5-199703010-00006. View

Grimshaw J, Russell I . Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet. 1993; 342(8883):1317-22. DOI: 10.1016/0140-6736(93)92244-n. View

Shekelle P, Woolf S, Eccles M, Grimshaw J . Clinical guidelines: developing guidelines. BMJ. 1999; 318(7183):593-6. PMC: 1115034. DOI: 10.1136/bmj.318.7183.593. View

Chassin M, Brook R, Park R, Keesey J, Fink A, Kosecoff J . Variations in the use of medical and surgical services by the Medicare population. N Engl J Med. 1986; 314(5):285-90. DOI: 10.1056/NEJM198601303140505. View

Shapiro D, Lasker R, Bindman A, LEE P . Containing costs while improving quality of care: the role of profiling and practice guidelines. Annu Rev Public Health. 1993; 14:219-41. DOI: 10.1146/annurev.pu.14.050193.001251. View

Hurwitz B . Legal and political considerations of clinical practice guidelines. BMJ. 1999; 318(7184):661-4. PMC: 1115098. DOI: 10.1136/bmj.318.7184.661. View

10.

Entwistle V, Watt I, Davis H, Dickson R, Pickard D, Rosser J . Developing information materials to present the findings of technology assessments to consumers. The experience of the NHS Centre for Reviews and Dissemination. Int J Technol Assess Health Care. 1998; 14(1):47-70. DOI: 10.1017/s0266462300010527. View

11.

Woolf S . Shared decision-making: the case for letting patients decide which choice is best. J Fam Pract. 1997; 45(3):205-8. View