Get University Of Michigan Inpatient Guideline Topic Intake Form

This guide provides clear instructions on how to complete the University Of Michigan Inpatient Guideline Topic Intake Form online. The information collected is essential for evaluating potential guideline topics and ensuring a thorough review process.

Follow the steps to effectively fill out the form.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by entering the suggested guideline topic in the designated field. This should clearly state the medical condition or topic you wish to propose.
3. Fill in your name and contact information, including your email address and phone number, to ensure that the guideline team member can reach you for further discussion.
4. Indicate whether the topic is primarily related to clinical decision making by selecting 'Yes' or 'No.'
5. Provide a concise explanation as to why this topic is being requested and its importance. Detail its relevance to clinical practices.
6. Answer whether the topic is multispecialty or multidisciplinary by specifying involved specialties if applicable.
7. Identify any institutional committees or entities that may have an interest in the topic or may own this question, along with any existing guidelines relevant to it.
8. Assess the impact of the topic on patient volume. Indicate if the topic affects a large number of patients.
9. Consider if there are inconsistent practices or outcomes related to the topic within the institution and whether there is consensus in the literature or nationally.
10. If applicable, describe any improvement projects related to the topic and explain how this will enhance patient safety or address risk issues.
11. Determine if the topic is pertinent to inpatients and note if a person is available who could champion this issue or exhibit expertise on the topic.
12. Review all entered information for accuracy and completeness. Once satisfied, save changes, download a copy for your records, or share the completed form via email to dskvarce@med.umich.edu.

Start completing the University Of Michigan Inpatient Guideline Topic Intake Form online today.