![]() ![]() Specific, met a priori scientific standards for grading systematic reviews, randomized controlled trials, observational studies, and diagnostic tests eight systems (of 40 reviewed) met similar standards for rating the overall strength of evidence. To summarize an extensive review of systems for grading the quality of research articles and rating the strength of bodies of evidence, and to highlight for health professionals and decision-makers concerned with quality measurement and improvement the available "best practices" tools by which these steps can be accomplished.ĭrawing on an extensive review of checklists, questionnaires, and other tools in the field of evidence-based practice, this paper discusses clinical, management, and policy rationales for rating strength of evidence in a quality improvement context, and documents best practices methods for these tasks.Īfter review of 121 systems for grading the quality of articles, 19 systems, mostly
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