Skip to main content

Clinical Practice Guidelines Directions for a New Program (1990) / Chapter Skim
Currently Skimming:


Pages 9-11

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 9...
... Priority setting is a crucial but separate task for which OBRA 89 provides guidance Drawing on its members' experience and expertise and the work of past IOM committees and other relevant organizations, the committee recommends that the agency use the following eight attributes, properties, or characteristics to instruct expert panels or contractors and to assess their products. The attributes focus on practice guidelines and not on medical review criteria and other tools for evaluating practice.
Read the entire page →
From page 10...
... Participation may include seating on panels that develop guidelines, providing evidence and viewpoints to the panels, and reviewing draft guidelines. SCHEDULED REVIEW: Practice guidelines should include statements about when they should be reviewed to determine whether revisions are warranted, given new clinical evidence or changing professional consensus.
Read the entire page →
From page 11...
... When expert judgment proceeds ~ the absence of direct empirical evidence about a particular clinical practice, as is often necessary, the general scientific reasoning and normative principles supporting the judgments should be described. This report does not take a position on whether cost considerations should be explicitly factored into practice recommendations, although some committee members had strong views that they should be.
Read the entire page →

Key Terms

  • practice guidelines
  • review criteria
  • guidelines development
  • clinical practice
  • medical review

  • scientific evidence
  • scheduled review
  • expert panels
  • expert judgment
  • clinical evidence

  • projected health
  • eight attributes
  • empirical evidence
  • develop guidelines
  • developing guidelines

  • draft guidelines
  • clinical applicability
  • public hearings
  • clinical flexibility
  • developing practice

  • practice guideline
  • relevant scientific
  • evaluation tools
  • particular clinical
  • evaluating practice

  • existing guidelines
  • key affected
  • procedures followed


    • This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
    More information on Chapter Skim is available.