Dynamic evolution of practice guidelines: analysis of deviations from assessment and management plans.

ABSTRACT:

Objective

A Standardized Clinical Assessment and Management Plan (SCAMP) standardizes the care of patients with a predefined diagnosis while actively inviting and collecting data on clinician deviations (DEVs) from its recommendations. For 3 different pediatric cardiac diagnoses managed by SCAMPs, we determined the frequency of, types of, and reasons for DEVs, which are considered to be a valuable source of information and innovation.

Methods

DEVs were collected as part of SCAMP implementation. DEVs were reviewed by the SCAMP committee chairperson and by a separate protocol deviation committee; they were characterized as either justifiable (J), possibly justifiable (PJ), or not justifiable (NJ).

Results

We analyzed 415 patients, 484 clinic encounters, and 216 DEVs. Ei

SUBMITTER: Farias M 

PROVIDER: S-EPMC9923529 | biostudies-literature | 2012 Jul

REPOSITORIES: biostudies-literature