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HC Quality Management and Outcome Analysis

What are the pros and cons of implementing clinical pathways and/or practice guidelines or other evidence based medicine tools?

How does fear of litigation affect patient care and customer service?

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Please see response below, as well as two supporting articles. The first article provides a full discussion of problems related to evidence-based practice guidelines and solutions to these problems. The second provides an informative discussion on the fear litigation can impact decision-making that can then impact patient care and customer services negatively.

RESPONSE:

Interesting questions! Let's take a closer look.

1. What are the pros and cons of implementing clinical pathways and/or practice guidelines or other evidence based medicine tools?

Definition: Evidenced-bases Medicine (EBM) is the use of research based medical practice suggesting the best practice for specific conditions. Example: the specific protocol used to treat those having a heart attack, clinical pathways or practice guidelines for other patient treatment. Many of these protocols/guidelines are available on the web. http://trusted.md/blog/naomi/2006/08/29/questions_on_evidence_based_medicine Evidence-based medicine (EBM) has been proposed as a new paradigm of practicing medicine.

Given the challenging environment in which physicians and healthcare professionals must practice, the use of medical literature to guide medical practice increases the opportunity for the adoption and application of evidence-based medicine (EBM). EBM has become pervasive in the practice of medicine.
http://72.14.253.104/search?q=cache:cix8sBLGfHkJ:www.pharmahorizons.com/TrainingPDF/2007/Evidence_Based_Medicine_2007.pdf+healthcare+pros+andcons+of+evidence+based+medicine+tools%3F&hl=en&ct=clnk&cd=1&gl=ca&client=firefox-a

However, EBM is still in its infancy and is controversial, as it has both opponents (cons) and proponents (pros). Before looking specifically at the pros and cons, let's look at some opposing views in the literature. For example, Sauerland, Lefering and Neugebauer (2004) argue that there is an unproductive polarization between supporters and opponents, which can make its unbiased assessment difficult. In their review, they give ...

Solution Summary

This solution discusses the pros and cons of implementing clinical pathways and/or practice guidelines or other evidence based medicine tools. It also examines how fear of litigation affects patient care and customer service. Supplemented with two supporting articles on quality management and fear.

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