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- W2057634066 abstract "Editorials1 June 1994Credibility, Cookbook Medicine, and Common Sense: Guidelines and the CollegePeter E. Dans, MD, Deputy EditorPeter E. Dans, MD, Deputy Editor Annals of Internal Medicine, Philadelphia, PA 19106.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-120-11-199406010-00010 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Guideline [n] −a line by which one is guided: a.) a cord or rope to aid a passer over a difficult point or to permit retracing a course; b.) an indication or outline (as by a government) of policy or conduct [1].Practice guidelines − systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances [2].Guidelines and their siblings (protocols and algorithms) are not new [3]. However, their popularity has burgeoned, especially when compared with their more restrictive first cousins (standards, prediction rules, and decision rules) (Table 1). They have been hailed ...References1. Webster's New Collegiate Dictionary. Springfield, Massachusetts: Merriam Co.; 1981. Google Scholar2. Field MJ, Lohr KN, eds. Institute of Medicine. Clinical Practice Guidelines: Directions for a New Program. Washington, D.C.: National Academy Press; 1990. Google Scholar3. Woolf SH. Practice guidelines: a new reality in medicine. I. Recent developments. Arch Intern Med. 1990; 150:1811-8. Google Scholar4. Alper PR. ACP guidelines for common diagnostic tests and the practicing internist. J Gen Intern Med. 1989; 4:548-50. Google Scholar5. Woolf SH. Practice guidelines: a new reality in medicine. III. Impact on patient care. Arch Intern Med. 1993; 153:2646-55. Google Scholar6. Tunis SR, Hayward RS, Wilson MC, Rubin HR, Bass EB, Johnson W, Stan EP. Internists' attitudes about clinical practice guidelines. Ann Intern Med. 1994; 120; 956-63. Google Scholar7. McGuire LB. A long run for a short jump: understanding clinical guidelines. Ann Intern Med. 1990; 113:705-8. Google Scholar8. Audet AM, Greenfield S, Field M. Medical practice guidelines: current activities and future directions. Ann Intern Med. 1990; 113:709-14. Google Scholar9. Fletcher RH, Fletcher SW. Clinical practice guidelines (Editorial). Ann Intern Med. 1990; 113:645-6. Google Scholar10. Lomas J, Anderson GM, Domnick-Pierre K, Vayda E, Enkin MW, Hannah WJ. Do practice guidelines guide practice? The effect of a consensus statement on the practice of physicians. N Engl J Med. 1989; 321:1306-11. Google Scholar11. Kosecoff J, Kanouse DE, Rogers WH, McCloskey L, Winslow CM, Brook RH. Effects of the National Institutes of Health Consensus Development Program on physician practice. JAMA. 1987; 258:2708-13. Google Scholar12. Sox HC, ed. Common Diagnostic Tests: Use and Interpretation. First edition. Philadelphia: American College of Physicians; 1987. Google Scholar13. Holoweiko M. What cookbook medicine will mean for you. Med Econ. 1989:66; 118-133. Google Scholar14. Beck S, Bertholle L, Child J. Mastering The Art of French Cooking. New York: Knopf; 1961. Google Scholar15. Hirshfeld EB. From the Office of the General Counsel. Practice parameters and the malpractice liability of physicians. JAMA. 1990; 263:1556-62. Google Scholar16. McDonald CJ, Overhage JM. Guidelines you can follow and can trust. An ideal and an example (Editorial). JAMA.1994; 271:872-3. Google Scholar17. Dans PE. The Great Zebra Hunt: a view of internal medicine from the walk-in clinic. Pharos. 1978; 41:2-6. Google Scholar18. Bjorn JC, Cross HD. The Problem-oriented Private Practice of Medicine: A System for Comprehensive Health Care. Chicago: Modern Hospital Press; 1970. Google Scholar19. Tufo HM, Bouchard RE, Rubin AS, Twitchell JC, Van Buren HC, Weed LB, et al. Problem-oriented approach to practice. I. Economic impact. JAMA. 1977; 238:414-7. Google Scholar20. Hudak CM, Redstone PM, Hokanson NC, Suzuki IE. Clinical Protocols: A Guide for Nurses and Physicians. Philadelphia: J.B. Lippincott; 1976. Google Scholar21. Dans PE, Klaus B, Owen M. A problem-oriented approach to the venereal disease clinic patient. Journal of the American Venereal Disease Association. 1975; 1:158-62. Google Scholar22. Kent DL, Hayner DR, Longstreth WT Jr, Larson EB. The clinical efficacy of magnetic resonance imaging in neuroimaging. Ann Intern Med. 1994; 170:856-71. Google Scholar23. Woolf SH. Practice guidelines, a new reality in medicine. II. Methods of developing guidelines. Arch Intern Med. 1992; 152:946-52. Google Scholar24. Weingarten SR, Riedinger MS, Conner L, Lee TH, Hoffman I, Johnson B, et al. Practice guidelines and reminders to reduce duration of hospital stay for patients with chest pain. An interventional trial. Ann Intern Med. 1994; 120:257-63. Google Scholar25. Voltaire. Philosophical Dictionary. v. 2. Gay P, trans. New York: Basic Books, Inc.; 1962:467. Google Scholar Author, Article, and Disclosure InformationAffiliations: Annals of Internal Medicine, Philadelphia, PA 19106.Corresponding Author: Peter E. Dans, MD, American College of Physicians, Sixth Street at Race, Philadelphia, PA 19106. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoInternists' Attitudes about Clinical Practice Guidelines Sean R. Tunis , Robert S. A. Hayward , Mark C. Wilson , Haya R. Rubin , Eric B. Bass , Mary Johnston , and Earl P. Steinberg Metrics Cited byClinical Practice Guidelines, Evidence-Based Medicine, and DiabetesThe Dilemma of Making Recommendations Based on Weak EvidenceThe Professionalization of Academic Advising: Where Are We in 2010?Preprinted Order Sets as a Safety Intervention in Pediatric SedationStrategyEvidence-based healthcare, clinical knowledge and the rise of personalised medicineEffects of Respiratory-Therapist Driven Protocols on House-Staff Knowledge and Education of Mechanical VentilationOntario doctors’ attitudes toward and use of clinical practice guidelines in oncologyBarriers and Strategies to Influencing Physician BehaviorMethods underpinning national clinical guidelines for hypertension: describing the evidence shortfallDissemination of the Canadian clinical practice guidelines for nutrition support: Results of a cluster randomized controlled trialDevelopment of Guidelines for Palliative Care PharmacotherapyVersorgungsstandards, Qualitätsmanagement und klinische StudienGuidelines in the intensive care unitPhysician adherence to preventive cardiology guidelines for womenGuidelines for the Laboratory Use of Autoantibody Tests in the Diagnosis and Monitoring of Autoimmune Rheumatic DiseasesHow to Evaluate Clinical Practice GuidelinesApplying Clinical Guidelines to Pediatric PracticeImplementation of Guidelines for Diagnosing and Treating HypertensionThe Overarching ChallengeEarly Physician Notification of Patient Disability Risk and Clinical Guidelines After Low Back InjuryAttributes of ATS Documents That Guide Clinical Practice10 Clinical guidelines for managementRegional Back PainCentral dimensions of clinical practice evaluation: efficiency, appropriateness and effectiveness - IISome guidelines about practice guidelinesThe american college of rheumatology practice guidelines strategyPractice guidelines in the addictionsQualitätssicherung und Qualitätsmanagement in der interventionellen KardiologieClinical guidelines: development, implementation, and effectiveness.Guidelines for Nutrition Support: Guidebook, Cookbook, or Coupon Book? 1 June 1994Volume 120, Issue 11Page: 966-968KeywordsCaregiversHealth careHealth care qualityMemoryMotivationNursesPatientsSexually transmitted diseasesSub-specialty careTreatment guidelines Issue Published: 1 June 1994 Copyright & PermissionsCopyright © 1994 by American College of Physicians. 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