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Clinical practice guidelines: on what evidence is our clinical practice based?

  • Sarah Marriott (a1) and Claire Palmer (a2)
Abstract

Many sources of evidence inform clinical practice, including research findings, patients' views, and clinical experience. This article describes recent progress in developing what will be the College's first guideline, The Assessment and Management of Violence In Clinical Settings. The design of the programme acknowledges the diversity of evidence in this area, by drawing a distinction between different types of evidence. Evidence is systematically identified and its quality appraised by the Work Group, through commissioning literature reviews. Initial recommendations will be based on experimental data. The methods used to consider non-experimental data, particularly expert opinion, will be described in more detail in a later article in this series.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Footnotes
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1.

The Work Group members are Professor John Wing (Chair, and previously Director, College Research Unit), Dr Zerrin Atakan (Consultant Psychiatrist), Dr David Ndegwa (Consultant Forensic Psychiatrist), Dr Brian Kidd (Senior Registrar), Dr Martin Ward (Lecturer in Nursing), Dr John Deeks (Medical Statistician), Dr Brian Thomas-Peter (Clinical Forensic Psychologist), Ms Nina Rideout (Service User), Mr David Leadbetter (Approved Social Worker).

2.

The Clinical Practice Guideline Project Team includes Ms Claire Palmer (CPG Programme Facilitator), Ms Victoria Thomas (Administrator), Dr Paul Lelliott (Director, College Research Unit), and Dr Sarah Marriott (Research Fellow).

3.

The Clinical Practice Guidelines Office Team includes Ms Claire Palmer, Ms Victoria Thomas, and Dr Sarah Marriott.

Footnotes
References
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Deeks, J. J. & Sheldon, T. A. (1995) Guidelines far Undertaking Systematic Reviews of Effectiveness. Centre for Reviews and Dissemination Report, No. 4. York: NHS Centre for Reviews and Dissemination.
Dickersin, K., Scherer, D. & Lefebvre, C. (1994) Identifying relevant studies for systematic reviews. British Medical Journal 309, 1286–91.
Marriott, S. & Lelliott, P. (1994) Clinical Practice Guidelines and Their Development Council Report CR34. London: Royal College of Psychiatrists.
Oxman, A. (1994) Preparing and maintaining a systematic review. “The Cochrane Collaboration Tool Kit”. In The Cochrane Collaboration Handbook (eds Oxman, A., Chalmers, I., Clarke, M., et al). Oslo: National Institute of Public Health.
Oxman, A., Sackett, D. & Guyatt, G. (1995) User's guide to the medical literature: how to get started. Journal of the American Medical Association, 276, 20932095.
Palmer, C. (1995) Clinical practice guidelines: the priorities. Psychiatric Bulletin, 20, 4042.
Pereira, S. (1995) The Assessment and Management of Violence: Where is the Experimental Evidence? Paper presented to the Work Group for the Assessment and Management of Violence in the Clinical Setting, at the College Research Unit London. November 1995.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Clinical practice guidelines: on what evidence is our clinical practice based?

  • Sarah Marriott (a1) and Claire Palmer (a2)
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