臺北醫學大學市立萬芳醫院實證醫學中心陳杰峰主任.ppt

形成 Evidence-based Clinical Practice Guideline 陳杰峰 主任 clifchen@ http://clifchen.idv.tw 實證醫學中心 .tw/ebm 臺北醫學大學?萬芳醫院 臨床診療作業指引 (clinical practice guideline) 臨床診療作業指引 (clinical practice guideline)，就是有系統的陳述，用以幫助醫護人員處理病人之醫療問題時，作為臨床決策之參考 實證醫學對於的醫療品質的改善，主要透過臨床診療作業指引的建立 臨床診療作業指引 形成明確易使用的標準(To make evidence based standards explicit and accessible) 較容易作客觀的決定(To make decision making easier and more objective) 可教育病人或醫護人員目前的最佳治療方式(To educate patients and professionals about current best practice) 增進醫療的成本效應(To improve the cost effectiveness of health services) 當作管控的工具(To serve as a tool for external control) 醫療行為的ISO化? The Timing The best time for surgery for hypospadias is between 6 and 12 months of age. Orchidopexy should be performed at or near 1 year of age. The Timing Hypospadias surgery was best performed sometime after the childs third birthday. the ideal age for orchiopexy is after age 4 and before age 6 unless a symptomatic hernia is present. ACTION COMMITTEE FOR DETERMINING TIMING OF ELECTIVE SURGERY ON THE GENITALIA OF MALE CHILDREN COMMITTEE MEMBERSStanley J. Kogan, MDCharles Manley, MDJeffrey A. Wacksman, MDWilliam M. Klykylo, MDAnthony Meza, MDJanet Schultz, PhDEugene Wiener, MD Treatment of pressure ulcers  SOURCE(S):Rockville (MD): U.S. Department of Health and Human Services, Public Health Service, AHCPR; 1994 Dec. 154 p. (Clinical practice guideline; no. 15). COMMITTEE: GROUP COMPOSITION: Treatment of Pressure Ulcers Guideline Panel The panel was a multidisciplinary, 20-member committee consisting of seven physicians (family medicine, dermatology, plastic surgery, surgery-nutrition, gerontology, and physical medicine and rehabilitation), seven nurses (rehabilitation, aging, acute care, enterostomal therapy, wound care, nutrition, healthcare education, and management), one occupational therapist (rehabilitation), two biomedical engineers (rehabilitation), two basic scientists