Abstract
'Benchmarking' clinical practice and integrating such data with national guidelines offers a way of establishing standards for use in clinical governance. We report on a feasibility project for benchmarking clinical practice in one topic area (otitis media) using simulated clinical scenarios. Consistency and variations in clinical management were identified for different scenarios. Participants perceived the process likely to reflect actual practice and effect change in clinical management.
Full Text
The Full Text of this article is available as a PDF (52.4 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Carkhuff M. H. Reflective learning: work groups as learning groups. J Contin Educ Nurs. 1996 Sep-Oct;27(5):209–214. doi: 10.3928/0022-0124-19960901-05. [DOI] [PubMed] [Google Scholar]
- Culpepper L., Froom J. Routine antimicrobial treatment of acute otitis media: is it necessary? JAMA. 1997 Nov 26;278(20):1643–1645. [PubMed] [Google Scholar]
- Damoiseaux R. A., van Balen F. A., Hoes A. W., de Melker R. A. Antibiotic treatment of acute otitis media in children under two years of age: evidence based? Br J Gen Pract. 1998 Dec;48(437):1861–1864. [PMC free article] [PubMed] [Google Scholar]
- Del Mar C., Glasziou P., Hayem M. Are antibiotics indicated as initial treatment for children with acute otitis media? A meta-analysis. BMJ. 1997 May 24;314(7093):1526–1529. doi: 10.1136/bmj.314.7093.1526. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Grimshaw J. M., Russell I. T. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet. 1993 Nov 27;342(8883):1317–1322. doi: 10.1016/0140-6736(93)92244-n. [DOI] [PubMed] [Google Scholar]
- Howie J. G. Clinical judgement and antibiotic use in general practice. Br Med J. 1976 Oct 30;2(6043):1061–1064. doi: 10.1136/bmj.2.6043.1061. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kinnersley P., Pill R. Potential of using simulated patients to study the performance of general practitioners. Br J Gen Pract. 1993 Jul;43(372):297–300. [PMC free article] [PubMed] [Google Scholar]
- Mowle S., Edwards A., Stott N. Attitudes to the use of health outcome questionnaires. Br J Gen Pract. 1999 Jan;49(438):63–63. [PMC free article] [PubMed] [Google Scholar]