Von Leitlinien zur Qualitätssicherung

Abstract

Clinical practice guidelines have been introduced to assist decision making at the bedside of individual patients. Guidelines are also increasingly regarded as being an indispensable part of professional quality systems. Guidelines are important tools to improve knowledge-management, processes and outcomes in healthcare. They aim to assist professional and patient decisions especially in those areas of healthcare where considerable variation or potential for improvement exist and they can provide a foundation for assessing and evaluating the quality and effectiveness of healthcare in terms of measuring processes and outcomes. Quality indicators or performance measures based on guideline recommendations are necessary to evaluate the usefulness of guidelines and the appropriateness of healthcare delivery. Guideline recommendations are the tools for healthcare professionals to develop strategies for quality improvement in case deviations from desired processes or outcomes are identified by the measurement of quality indicators.

The development of general practice as an academic discipline in Germany - an analysis of research output between 2000 and 2010

“…The German College of General Practitioners and Family Physicians (DEGAM) produced fifteen evidence and consensus based guidelines [7]. These are classified as S3 guidelines, which corresponds to the highest quality with respect to the graduation of the German Working Society of Scientific Medical Disciplines (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften, AWMF) [8]. Beyond that, the DEGAM is involved in all seven national guidelines (Nationale Versorgungsleitlinie) [9].…”

Need for the Development of Indonesian Clinical Practice Guideline

“…Guidelines recommendations are the tools for healthcare professionals to develop strategies for quality improvement in case deviations from desired processes or outcomes are identified by the measurement of quality indicators. 8 Perceptively, it should be noted that a recommendation is non-mandatory control, is not a policy (which is the rules for fair and consistent staff treatment and ensure compliance), and is not a procedure (which is a step by step instructions for implementation), and is not a standard (which is quantifiable low level mandatory controls). Guidelines refers to pronouncements, statements, or declarations that suggest or recommend specific professional behavior, endeavors, or conduct some medical (surgical) intervention.…”

“…Guidelines refers to pronouncements, statements, or declarations that suggest or recommend specific professional behavior, endeavors, or conduct some medical (surgical) intervention. 8 In the implementation in Indonesia, there's a confusing terminology of CPGs in Bahasa which is (should be translated as) 'Panduan Praktik Klinik' (PPK). In accordance with 'Standar Pelayanan Kesehatan' (Indonesian standard of Health care) published by the consortium of health care, Ministry of Health Republic of Indonesia, the CPGs attributed to 'Pedoman Pelayanan Nasional Kesehatan' (PPNK) where as in the development, and the format is a CPGs, indeed.…”

Implementation of study results in guidelines and adherence to guidelines in clinical practice

“…Thus the recommendations of evidence-based medicine are based especially on randomized controlled trials [23], [29], [39], [44]. …”