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Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and Current Clinical Practices
The use of relevant guidelines is critical in psychiatric clinical practice to ensure the homogeneity of the global care provided. Consequently, it is important to identify whether they are utilized successfully and, if not, why. This would enable pragmatic solutions to be agreed to improve the orga...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8044516/ https://www.ncbi.nlm.nih.gov/pubmed/33868036 http://dx.doi.org/10.3389/fpsyt.2021.581449 |
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author | Cases, Cécile Gallini, Adeline Lafont Rapnouil, Stéphanie Bougon, Emmanuelle Mathur, Anjali Brismontier, Ariane Taib, Simon Sporer, Marie Arbus, Christophe Salles, Juliette |
author_facet | Cases, Cécile Gallini, Adeline Lafont Rapnouil, Stéphanie Bougon, Emmanuelle Mathur, Anjali Brismontier, Ariane Taib, Simon Sporer, Marie Arbus, Christophe Salles, Juliette |
author_sort | Cases, Cécile |
collection | PubMed |
description | The use of relevant guidelines is critical in psychiatric clinical practice to ensure the homogeneity of the global care provided. Consequently, it is important to identify whether they are utilized successfully and, if not, why. This would enable pragmatic solutions to be agreed to improve the organization of care and the removal of any barriers to the guidelines' implementation. The first step in this process, before any exploration of the limitations of the guidelines themselves, involves a determination of whether they are actually applied in clinical practice. We therefore evaluated discrepancies between the guidelines relating to patients with borderline personality disorder and current practices in the psychiatric Emergency Department at Toulouse University Hospital. This was achieved using a reading process involving a panel of eight local experts who analyzed relevant medical files extracted from a database. They were guided by, and instructed to answer, six standardized questions in relation to each file to determine the method's feasibility. A total of 333 files were analyzed to determine whether, in the local experts' judgment, the care provided reflected current guidance. This reading process revealed substantial agreement (0.85%; Fleiss Kappa −0.69), which is a promising outcome and suggests that such methods could be used in future protocols. Moreover, the process is practical and reliable and requires very few materials. |
format | Online Article Text |
id | pubmed-8044516 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80445162021-04-15 Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and Current Clinical Practices Cases, Cécile Gallini, Adeline Lafont Rapnouil, Stéphanie Bougon, Emmanuelle Mathur, Anjali Brismontier, Ariane Taib, Simon Sporer, Marie Arbus, Christophe Salles, Juliette Front Psychiatry Psychiatry The use of relevant guidelines is critical in psychiatric clinical practice to ensure the homogeneity of the global care provided. Consequently, it is important to identify whether they are utilized successfully and, if not, why. This would enable pragmatic solutions to be agreed to improve the organization of care and the removal of any barriers to the guidelines' implementation. The first step in this process, before any exploration of the limitations of the guidelines themselves, involves a determination of whether they are actually applied in clinical practice. We therefore evaluated discrepancies between the guidelines relating to patients with borderline personality disorder and current practices in the psychiatric Emergency Department at Toulouse University Hospital. This was achieved using a reading process involving a panel of eight local experts who analyzed relevant medical files extracted from a database. They were guided by, and instructed to answer, six standardized questions in relation to each file to determine the method's feasibility. A total of 333 files were analyzed to determine whether, in the local experts' judgment, the care provided reflected current guidance. This reading process revealed substantial agreement (0.85%; Fleiss Kappa −0.69), which is a promising outcome and suggests that such methods could be used in future protocols. Moreover, the process is practical and reliable and requires very few materials. Frontiers Media S.A. 2021-03-31 /pmc/articles/PMC8044516/ /pubmed/33868036 http://dx.doi.org/10.3389/fpsyt.2021.581449 Text en Copyright © 2021 Cases, Gallini, Lafont Rapnouil, Bougon, Mathur, Brismontier, Taib, Sporer, Arbus and Salles. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Cases, Cécile Gallini, Adeline Lafont Rapnouil, Stéphanie Bougon, Emmanuelle Mathur, Anjali Brismontier, Ariane Taib, Simon Sporer, Marie Arbus, Christophe Salles, Juliette Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and Current Clinical Practices |
title | Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and Current Clinical Practices |
title_full | Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and Current Clinical Practices |
title_fullStr | Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and Current Clinical Practices |
title_full_unstemmed | Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and Current Clinical Practices |
title_short | Developing and Testing a Local Expert-Based Reading Process for Use to Examine Discrepancies Between Guidelines and Current Clinical Practices |
title_sort | developing and testing a local expert-based reading process for use to examine discrepancies between guidelines and current clinical practices |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8044516/ https://www.ncbi.nlm.nih.gov/pubmed/33868036 http://dx.doi.org/10.3389/fpsyt.2021.581449 |
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