AN ANNOTATED CLINICAL ALGORITHM FOR THE MANAGEMENT OF GLAUCOMA

Title AN ANNOTATED CLINICAL ALGORITHM FOR THE MANAGEMENT OF GLAUCOMA
Author, Co-Author Sarah Foster, William Dell
Topic
Year
1992
Day
Monday
Program Number
Poster 68
Room
Great Hall
Affiliation
Abstract Clinical algorithms are written guides to stepwise evaluation and management strategies that require observations to be made, decisions to be considered, actions to be taken, and clinical thoughts organize in a visible way. They have been shown to result in faster learning, higher retention, and better compliance with established practice standards than prose text. Clinical algorithms have been criticized, however, on the bases of two significant deficiencies in that they: (1) lack clinical flexibility imposing a too rigid approach on providers and (2) lack clinical validity. A panel sponsored by Agency for Health Care Policy and Research (AHCPR) has recently developed an approach to developing clinically-valid algorithms that permitted the precise definition of key terms, the explicit linking of management recommendations to the literature (and, as necessary, to expert judgment and consensus), and the incorporation of uncertainty and respect for patient preferences. Using these guidelines for annotated clinical algorithms, a sample clinical algorithm was developed for the complex clinical entity of glaucoma as a model both for this disease as well as for other ophthalmic conditions. This poster will present the algorithm developed on glaucoma as a clinically-useful guide to patient management. Additionally important factors in the development of annotated clinical algorithms and in glaucoma specifically will be discussed.
Affiliation of Co-Authors
Outline