Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

Organized around real patient scenarios, Clinical Review of Oral and Maxillofacial Surgery: A Case-based Approach, 2nd Edition, covers all the material you need to know for the board, in-service, and certification exams, while also preparing you to handle common patient situations in professional practice. Over 100 teaching cases are brought to life with an overview of the most common clinical presentations, physical examination findings, diagnostic tools, complications, treatments, and discussions of possible issues. This text covers the full scope of modern oral and maxillofacial surgery, while helping you focus on the conditions and disorders which are the most common, or have significant implications for modern clinical practice. "I would most definitely recommend this book." Reviewed by: N.Galligan, British Dental Journal Date: Jan 2015 Case-based approach incorporates teaching around real patient scenarios to actively engage and raise your interest and retention of the information. 103 cases, many of which are new, represent the full scope of modern oral and maxillofacial surgery practice to encompass the most common and significant implications for modern clinical practice, including content emphasized on OMS boards and training exams. Detailed illustrations including one or more radiographs, full-color clinical photographs, or drawings for the majority of cases provide a visual guide to conditions, techniques, diagnoses, and key concepts that will further enhance your understanding and retention of all content. Content that's perfect for all levels of study or practice covers both concepts and techniques that residents and pre-doctoral students can apply in the clinical setting, and the preparation tools necessary for oral and maxillofacial surgery boards and training/certification examinations. NEW! Full-color illustrations and photos give you a better pictures of common surgical techniques and pathology. NEW! Chapter 6: Dental Implant Surgery discusses the contemporary issues related to dental implants - specifically the routine placement of maxillary and mandibular implants, sinus augmentation, zygoma implants, treatment of edentulism, guided implant surgery, extraction socket preservation, and implantology for the esthetic zone. NEW! Section on cone beam computed tomography (CBCT) highlights the role of imaging from diagnosis to image guidance for many surgical procedures. NEW! Section on the advantages of computer assisted surgery highlights virtual surgical planning for a patient who presents for combined surgical and orthodontic correction of his facial asymmetry and apertognathia. NEW! Section on trigeminal neuralgia (TN) walks you through the diagnosis and possible treatments for a patient suffering from trigeminal neuralgia, the signs and symptoms that uniquely define the disorder, and the clinician's ability to recognize the specific diagnostic pattern. NEW! Section on neck dissection, an important aspect of head and neck cancer treatment, provides a case that involves a patient in which right selective neck dissection (I-III) was conducted on the right neck and a selective left neck dissection (I-V) was completed on the left side. NEW! Section on dentoalveolar trauma presents a new case that takes you through diagnosing and treating a patient who presents with anterior maxillary alveolar segment fractures involving teeth #7-9, with lateral luxation and Ellis class III fracture tooth of #9, and an intraoral laceration of the upper lip. NEW! Section on nasal septoplasty addresses a patient with a severely deviated nasal septum to the left, involving the quadrangular cartilage and the bony septum and how septoplasty can make a dramatic change in the patient's quality of life, by facilitating nasal airflow, allowing for better spontaneous drainage of the paranasal sinuses, possibly reducing mouth breathing, and reducing or eliminating the symptoms of snoring, and perhaps lessening the severity of the obstructive sleep apnea syndrome.

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Surgery: A Case Based Clinical Review has proven to be the premiere resource to help prepare medical students for the surgical shelf exam and clinical wards. The second edition was conceived after listening to the feedback we received from students. We have added several new chapters and updated the others. This book continues to provide the reader with a comprehensive understanding of surgical diseases in one easy-to-use reference that combines multiple teaching formats. The book begins using a case based approach. The cases presented cover the diseases most commonly encountered on a surgical rotation. The cases are followed by a series of short questions and answers, designed to provide further understanding of the important aspects of the history, physical examination, differential diagnosis, diagnostic work-up and management, and questions that may arise on surgical rounds and on the shelf exam. The book is written in an easy-to-understand manner to help reinforce important surgical exam concepts. The second edition of Surgery: A Case Based Clinical Review will be of great utility for medical students when they rotate on surgery, as well as interns, physician assistant students, nursing students, and nurse practitioner students.