practice guidelines

Hammurabi, Defensive Medicine, and Practice Guidelines

Journal/Website: 
Journal of the Medical Association of Georgia
Article Type: 
Editorial
Published Date: 
Wednesday, March 1, 1995

The world owes all its onward impulses to men ill at ease.
The happy man inevitably confines himself within ancient limits.

Nathaniel Hawthorne (1804-1864)

On Managed Care And Cutting-Edge Technology

Practice Guidelines: Micromanagement on a Broad Scale or A Modest Proposal for Omniscience

Author: 
Hilton P. Terrell, MD, PhD
Article Type: 
Feature Article
Issue: 
Spring 1996
Volume Number: 
1
Issue Number: 
1

I cannot remember a medical world without guidelines. Algorithms and “work-ups” have permeated my reading from day one and I have grown to like them. They are a helpful kind of pre-thinking and can lead to efficiency in practice. I’m hearing more and more about guidelines and, despite my fond experience with them, I’m having an adverse reaction to what I hear. Suspicion. 

Practice Guidelines and Outcomes Research (Part I): Insights from the Clinton Health Care Task Force

Author: 
Jane M. Orient, MD
Article Type: 
Feature Article
Issue: 
Spring 1996
Volume Number: 
1
Issue Number: 
1

Reasons for the Outcomes Revolution in Medicine

Practice Guidelines and Outcomes Research (Part III): Scientific Results

Author: 
Jane M. Orient, MD
Article Type: 
Feature Article
Issue: 
Winter 1997
Volume Number: 
2
Issue Number: 
1

The trend in the medical literature written for practicing physicians is away from the old-fashioned study with “materials and methods,” “results,” and “discussion” sections. The new “consensus statements” on practice guidelines have a different format.

Practice Guidelines and Outcomes Research (Part II): Scientific Pitfalls

Author: 
Jane M. Orient, MD
Article Type: 
Feature Article
Issue: 
Fall 1996
Volume Number: 
1
Issue Number: 
3

The purpose of practice guidelines and outcomes research is to optimize the outcome for the collective. As with other designs of “scientific” socialism, serious methodologic flaws are papered over with scientific terminology and quantified opinions.

A societal imperative to follow guidelines should be rejected on moral grounds alone, for it repeals and supersedes the Oath of Hippocrates, which states: “I will prescribe regimen for the good of my patients according to my ability and my judgment and never do harm to anyone.”



Diary of Dreams performs at the 2016 M’era Luna festival in Hildesheim, Germany. M’era Luna, “one of the biggest dark music events in Germany,” is held each year on the second weekend in August. Close to 25,000 people attend the festival annually to hear gothic, metal and industrial music performed on two large festival-style stages.