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Insight and Judgement

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121. AASLD Guidelines for Treatment of Chronic Hepatitis B

, this guidance identifies preferred approaches to the diagnostic, therapeutic, and preventive aspects of care for patients with CHB. As with clinical practice guidelines, it provides general guidance to optimize the care of the majority of patients and should not replace clinical judgement for a unique patient. This guidance does not seek to dictate a “one size fits all” approach for the management of CHB. Clinical considerations may justify a course of action that differs from this guidance. Interim Data

2018 American Association for the Study of Liver Diseases

123. What is the evidence on the policy specifications, development processes and effectiveness of existing front-of-pack food labelling policies in the WHO European Region?

and Nutrition Action Plan 2015–2020 identified the introduction of interpretative, consumer-friendly FOPL as a priority policy issue. Based on surveys undertaken by the WHO Regional Office for Europe, most European countries have some form of FOPL, although fewer countries have interpretive systems that provide judgements about the relative healthfulness of foods. The synthesis question This report has synthesized information on the development and implementation of interpretive FOPL policies across the WHO (...) consumers to choose nutritionally favourable products. Policy considerations Based on the evidence synthesized in this report, a number of considerations can be identified for the adoption or review of FOPL policies at the national or regional level: • establish a consistent FOPL system to aid consumer use and understanding of the label; • utilize a system of interpretive FOPL that can provide evaluative judgements about product unhealthfulness, which appears to be a more effective way to support

2018 WHO Health Evidence Network

125. Shared responsibility for health

choices, for example in relation to rising levels of overweight and obesity in the population and preventing or delaying the onset and progression of chronic diseases. Understanding that ‘the patient is the most important primary care provider’ (Sobel cited in ) is essential to accelerate progress in the direction we have argued for. This simple insight is a reminder that the decisions each of us makes has a profound influence on our health and wellbeing. Making a reality of this insight by supporting (...) on people accessing the support they needed to ‘make informed judgements about how to reduce their risk of ill health’. Wanless argued that there should be a new relationship between health professionals and the public ‘based on the twin planks of public and patient rights and responsibilities’. As we noted at the outset, the fully engaged scenario has not been realised and there are growing concerns about the ability of the NHS to respond to the needs of people with type 2 diabetes and other long-term

2018 The King's Fund

126. Guidelines for the investigation of chronic diarrhoea in adults

anthraquinones and rhubarb turn the stool red, bisacodyl turns it purple-blue), are not of sufficient sensitivity and should be abandoned. A screen for ‘laxative abuse’ should include the detection of anthraqui- nones, bisacodyl and phenolphthalein in urine and magnesium and phosphate in stool, and should be carried out in a specialist r ecommendations ? Faecal impaction with overflow diarrhoea should be considered especially in the elderly. We recommend clinical judgement rather than marker studies

2018 British Society of Gastroenterology

127. Neonatal jaundice

a multidisciplinary approach with reference to the best information and evidence available at the time of preparation. No assurance is given that the information is entirely complete, current, or accurate in every respect. The guideline is not a substitute for clinical judgement, knowledge and expertise, or medical advice. Variation from the guideline, taking into account individual circumstances, may be appropriate. This guideline does not address all elements of standard practice and accepts that individual (...) of metabolism if baby looks unwell and the jaundice is severe, e.g. galactosaemia, tyrosinaemia · Liver disease 4,23 : o Albumin § Decreased levels result in poor bilirubin binding capacity and risk of bilirubin toxicity o Liver function tests (LFT) as liver enzymes may be increased, e.g. in congenital infections, inborn errors of metabolism Refer to online version, destroy printed copies after use Page 15 of 40 Queensland Clinical Guideline: Neonatal jaundice 5.3 Prolonged jaundice Clinical judgement

2018 Queensland Health

129. Transcatheter aortic valve implantation (TAVI) in patients at intermediate surgical risk

TAVI system/model 91 Table A6: Risk of bias study level (RCTs) summary: review authors' judgements about each risk of bias item for each included study according to type of outcome and time follow-up 93 Figure 2.1. Flow chart efficacy and safety studies – search for SRs published in 2013 onwards..19 Figure 2.2. Flow chart efficacy and safety studies – search for RCTs published in 2016 onwards20 Figure 2.3. Flow chart registry studies 21 Figure 5.1. All-cause mortality at 30-day, 1-year, and 2-year

2018 EUnetHTA

133. Guidelines for the Performance Assessment of a Peer

with this task is included in Appendix 1. 5.3.5 Multisource feedback. Interviews should include a range of colleagues, nursing staff, and other staff. The practitioner should be given the opportunity to nominate interviewees but feedback should be sought from others considered relevant by the assessors including medical administration. A toolkit to assist with this task is included in Appendix 2. 5.3.6 Review of medical records and anaesthesia charts. This will provide insight into the level of documentation (...) and adequacy as well as pre-anaesthesia preparation and postoperative management. Anaesthesia charts will not be relevant for pain medicine specialists who do not administer anaesthesia. 5.3.7 CPD – a review of the ANZCA CPD portfolio. CPD participation provides a good insight into attitudes and professionalism as well as being an indicator of potential problems where there is a lack of adequate activity in all mandatory categories of CPD. 5.3.8 Interview with the practitioner subsequent to completion

2018 Australian and New Zealand College of Anaesthetists

134. Different knowledge, different styles of reasoning: a challenge for guideline development

. GRADE Evidence to Decision (EtD) Frameworks Guidance. Version 1.1 . 2015 . Verkerk K , Van Veenendaal H , Severens JL , et al . Considered judgement in evidence-based guideline development . Moreira T . Diversity in clinical guidelines: the role of repertoires of evaluation . Calderón C , Rotaeche R , Etxebarria A , et al . Gaining insight into the Clinical Practice Guideline development processes: qualitative study in a workshop to implement the GRADE proposal in Spain . Barnett-Page E , Thomas J (...) , we can be “usually” right (eg, 95% of the time)’ as long as events or cases are frequent enough. Frequency-based reasoning relies on basic assumptions that have some drawbacks. First, this line of reasoning assumes that reality is dice like and that we—eg, scientists guideline developers and healthcare professionals—are rolling the same dice (online ). Frequency-type reasoning presupposes adequate framing and defining of what is similar and what is not, which is always based on judgement

2018 Evidence-Based Medicine (Requires free registration)

135. Building Connections: co-locating advice services in GPs and job centres

of local community members we worked with and generating the evaluative insight which informs the discussions presented in this report. Although not exhaustive, the following list details the organisations we worked with throughout the last three years. Addaction Jobs and Business Glasgow Amina: The Muslim Women’s Resource Centre Joseph Rowntree Foundation BEMIS Scotland Lafferty, MacPhee and Dames GP practice Burns/McKenzie GP practice Laurieston job centre Calton Learning and Heritage Centre NHS (...) College) and Douglas O’Malley (Health Improvement). Their role as advisory group members, funders and insightful sources of expertise cannot be underestimated. Finally, many thanks to Joe Crossland and Jennie Coyle (Glasgow Centre for Population Health) for their comments and support regarding the production of this report. 3 Author’s note The Building Connections programme focused exclusively on helping partner organisations to develop collaborative service delivery interventions which utilised

2017 Glasgow Centre for Population Health

138. Principles for effective social regeneration

the ‘solution space’; or the range of activities, innovations, resources and perspectives brought to the pursuit of positive outcomes. Organisations such as Sistema Scotland offer unique contributions and fresh insights as to the types of community-based approaches required to address inequalities and transform lives. Sistema Scotland is a charity “on a mission to transform lives through music” 2 . Through its Big Noise programme Sistema Scotland believes that children from disadvantaged backgrounds can (...) to promote programme engagement for a few especially vulnerable or socially excluded participants detract resources or compromise ‘normal’ provision for the many? Difficult decisions and judgements may need to be made. Based on learning from Sistema Scotland, what is certain is that innovation and flexibility demand a lot from the programme staf f. This often means asking team members ‘to go above and beyond’ and to perhaps change their work patterns, for example, at short notice. Social interventions

2017 Glasgow Centre for Population Health

139. Asset-based approaches in service settings: striking a balance

, who opened their services and day jobs to us, and who shared their learning, insights, opinions and experiences. Thanks also to the staff of the GCPH for their continued support and encouragement, and to Sara Dodds, Lisa Garnham, Lorna Kelly, Lisa Pattoni and Carol Tannahill for helpful comments and feedback on drafts of this report. We continue to be inspired by people working with sensitivity, compassion and the importance of building relationships at the centre of all they do. Photographs (...) and commentary on asset-based working within health and care services, ‘Towards asset-based health and care services’ 20 . The insights and learning from the Animating Assets c programme are also worthy of note. Through a process of engagement, facilitation, co-creation and learning over an 18-month period, Animating Assets aimed to support the development of asset-based approaches to a range of health and social wellbeing issues, as identified by local communities and partnerships in Scotland 24

2017 Glasgow Centre for Population Health

140. Towards tailoring of KCE guidelines to end-users' needs

literature reviews. However, there is a lack of evidence on which would be the crucial components or optimal combination of strategies that would most likely improve adherence to guidelines. Based on insights from literature and interviews, the KCE report recommended a unique platform for the comprehensive dissemination of clinical practice guideline in Belgium including clear messages, various formats and a label for high-quality guidelines. 2.2.3 Uptake The CPG uptake refers to the adoption

2017 Belgian Health Care Knowledge Centre

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