Evidence Based Clinical Guideline

Running head: EVIDENCE BASED CLINICAL GUIDELINE
Evidence Based Clinical Guideline
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EVIDENCE BASED CLINICAL GUIDELINE
1
Introduction
The major aim of the essay to study the evidence based practice guideline operating in
United States. The chosen guideline is titled as “Clinical Practice Guidelines: Directions for a
New Program” developed by the Institute of Medicine. The guideline focus on the determination
of the disease, disorder, and health condition of the various disease and ways to manage and treat
it clinically. The essay has also highlighted the development strategy of the guidelines and its
funding agency for its making. The essay also speaks about the reproducibility, authenticity and
strength to get improved health outcome. Further the essay reflects the recommendations made
and it’s clinically relevancy in treating and taking care of the patients.
Development of the Guideline
The clinical practice guideline to measure the quality of care was developed in the year
1991 by the Institute of Medicine, United States. They published the guideline as a report tilted
“Clinical Practice Guidelines: Directions for a New Program”. The Institute of Medicine
appointed the other committee in the year 1990 which involved both public and private member
to develop the guideline (Bhaumik, 2017). Public member were practicing physicians,
experienced person and experts, users of the guideline and staffs of nursing, law, and economics.
Among the group of medicals American academy of family and physicians, American college of
cardiology and physicians and American society of anesthesiologist were included. The
developer of the guideline were the representative of key stakeholders in the areas of health care.

EVIDENCE BASED CLINICAL GUIDELINE
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Funding
Agency for Health Care Policy and Research approached to Institute of Medicine, United
States to implement the evidence based practice guideline. Initially the guideline was facing the
issue of high cost and doubts regarding the value of expenditure in making the policy for health
care. In the year 1990, May Institute of Medicine, United States started the project which was of
18 month duration which include the evidence based practice guideline for health care. The
project was funded by John A. Hartford Foundation and Public Health Service in order to
examine the both public and private activities to develop the guidelines. Among the developers
of guideline the members of American college of cardiology, American college of physician and
American society of anesthesiologist was the funded researcher of reviewed studies.
Development Strategy
The team had valid development strategy. They conceptualized the strategy in three basic
stages that includes development, intervention and evaluation as the important and pioneer plan
to develop evidence based clinical practice guidelines. They also viewed that second and third
stages of guideline is flexible to change in accordance with the error, technical obsolescence and
different related problems. Thus, the guideline development is dynamic and need to be updated
in time and need (Mercuri et al., 2015).
The making of the guidelines for clinical evidence based practice has included the expert
members. The decision was made according to the cultural difference of the peoples of United
States. The process of making the guideline requires professional licensure, board certification
and assurance of the quality and review the utilization of the aspect of health service
administration (Postelnicu, Rhodes & Evans, 2018). The policy maker has not overlooked the