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September 1, 2015

Specialty Society Clinical Practice Guidelines: Time for Evolution or Revolution?

Author Affiliations
  • 1Division of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City
  • 2Warren Alpert Medical School of Brown University, Providence, Rhode Island
  • 3Division of Infectious Diseases, Rhode Island Hospital, Providence, Rhode Island
JAMA. 2015;314(9):871-872. doi:10.1001/jama.2015.7462

Clinical practice guidelines (CPGs) should be the basis for improving the quality and safety of health care. However, despite enormous investment in development and dissemination, many CPGs are not used in the delivery of care. This is often because many CPGs are encyclopedic tomes without recommendations tailored for practical and effective implementation for physicians and health care workers or for patients, without measurement of effect, and often with developmental cycles so protracted that guidelines may be outdated by the time they are ready for application in clinical care.1

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