Tamariz-Cruz O

Language: Spanish
References: 14
Page: 204-214
PDF size: 765.29 Kb.

ABSTRACT

Maybe one of the most important advances of contemporary medicine, is the acceptance of the concept that only on solid and proved bases a certain management strategy may by applied or widely communicated; this is specially lmportant in critical áreas, where mechanization of non validated or false algorithms could generare irreversible darnage.
Based on those concepts, the Mexican College of Anesthesiology (CMA) called for the creation of Consensus Meetings of Experts in different areas considered of priority, with the aim to validate current practice strategies, providing first practice parameters (PP) and further, management guidelines, to direct the effort of those in the need of providing support to perioperative patients.
Concerning Shock States , a three-phase plan was constructed with the aim to create practice guidelines, in order to reduce the morbidíty associated with non-indicated, wrongly applied or unsupported maneuvers with methodological deficiencies.
In this report we describe the results achieved in the first phase of the Consensus Conference on Diagnosis and Management of Shock States, which included the formation of a document configured by experts on the subject, which will be validated by meta-analysis.The methodology, participants and agreements are described.

REFERENCES

1. l. Werner M. Can Medical Decisions be standardized? Should the be? Clin Chem 1993; 39 (7): 1361-8.

2. Coates JE In defense of Delphi: A Review of Delphi assessment expert opinion. forecasting and group process by H. Sackman. Technological Forecasting and Social Change 1975;7: 193-4

3. Eddy DM. Practice Policies. What are they? JAMA 1990: 263:877 -8O.

4. King JY. Practice guidelines and medical malpractice litigation. Med Law 1997; 16(1): 29-39.

5. Kapp MB.The legal status of c1inical practice parameters: an annotated bibliography.Am J Med Qual 1993;8(1): 24-7.

6. Kelly JT, Kellie SE. Appropriateness of medical careo Findings, strategies.Arch Pathol Lab Med 1990; 114(11): 1119-21

7. Kelly JT, Swartwout JE. Developrnent of practice parameters by physician organizations. QRB Qual Rey Bull 1990; 16(2):54-7.

8. Werner M. Can Medical Decisions be standardized? Should the be? Clin Chem 1993; 39 (7): 1361-8.

9. Coates JE In defense of Delphi: A Review of Delphi assessment expert opinion. forecasting and group process by H. Sackman. Technological Forecasting and Social Change 1975;7: 193-4

10. Eddy DM. Practice Policies. What are they? JAMA 1990: 263:877-8O.

11. King JY. Practice guidelines and medical malpractice litigation. Med Law 1997; 16(1): 29-39.

12. Kapp MB.The legal status of c1inical practice parameters: an annotated bibliography.Am J Med Qual 1993;8(1): 24-7.

13. Kelly JT, Kellie SE. Appropriateness of medical careo Findings, strategies.Arch Pathol Lab Med 1990; 114(11): 1119-21

14. Kelly JT, Swartwout JE. Developrnent of practice parameters by physician organizations. QRB Qual Rey Bull 1990; 16(2):54-7.