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Medical News & Perspectives
March 26, 2014

Groups Aim for Trustworthy Clinical Practice Guidelines

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Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2014;311(12):1187-1188. doi:10.1001/jama.2014.876

The federal National Guideline Clearinghouse, which makes available to physicians and the public thousands of clinical practice guidelines, is raising the bar for acceptance of such documents to improve their trustworthiness.

Beginning June 1, the clearinghouse will use the definition of clinical practice guidelines developed by the Institute of Medicine (IOM), as stated in the institute’s 2011 report Clinical Practice Guidelines We Can Trust: “Clinical practice guidelines are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options” ( The IOM definition came about as a result of the Medicare Improvements for Patients and Providers Act of 2008, in which Congress asked the IOM to investigate the best methods for developing clinical practice guidelines.

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