November 1999
News
Guidelines
help define cause of cerebral palsy
No evidence that stress
causes cancer
Editorial
Most
cerebral palsy cases originate before labour
Dr Matthew Lockyer, general practitioner, Suffolk
Letters
Locality protocol
has many potential advantages
Guidelines in Practice welcomes letters; if would you like
to share your views with other readers, please write in
Personal View
Time to
take a fresh look at learning disability
Guidance on primary care for people with learning disability
stresses the importance of awareness, reports Dr Charles Sears
Guideline Development
Asking
three simple questions will help improve asthma care
Dr Christine Bucknall describes how the RCP developed three
patient-focused outcomes that would act as a prompt to review treatment
Guideline Implementation
Guidance
raises GP awareness of colorectal cancer
Dr Tom Kennedy describes how guidelines on colorectal cancer
designed to improve detection in symptomatic and asymptomatic patients have
helped his practice
Audit
Practice
audit leads to improved care for asplenic patients
Audit of asplenic patients in Dr Ian Heatley's practice
highlighted the need to offer vaccinations and antibiotic prophylaxis to all
post-splenectomy patients
IT Developments
Proposed
minimum data set could improve collation of guidelines
Dr Martyn Read outlines his proposals for a minimum data
set that could be used as the starting point for a computerised database of
clinical guidelines
Tips on Guideline Use
How to
ensure that your guideline is used
Dr Mark Charny discusses strategies for maintaining long-term
change, in the ninth article in this series
Questions & Answers
Your problems
solved
Our editorial board answer your questions on keeping your
guidelines up to date and the feasibility of'off-the-shelf' guidelines
Out of Hours
Guidelines
for use of the vernacular
Dr Phil Hammond, GP, lecturer and presenter of BBC2's Trust
Me, I'm a Doctor
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