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    Professional groups such as the American Academy of Neurology (AAN), American Academy of Neurosurgery, American Psychological Association, the Special Interest Group on Computer-Human Interaction of the Association for Computing Machinery, viagra sale toronto and the Human Factors and Ergonomics Society may also intervene to establish evidence-based quality standards when a practice, device, or treatment becomes professionally relevant and widespread. Key goals are to improve health outcomes, determine if practice follows current best evidence, identify research priorities based on gaps in the literature, promote efficient use of resources, and influence related public policy. The Centers for Medicare and Medicaid Services will weigh in on efficacy and standards when it is asked to reimburse providers for rendering services that may as yet lack sufficient evidence to support clinical use (such as VR for phobias).

    The AAN guidelines make specific Future Prospects for Neuroergonomics 477 practice recommendations based upon a rigorous review of all available scientific data. For example, the Quality Standard Subcommittee of the AAN and similar groups in other medical subspecialties write clinical practice guidelines to assist their members in clinical decision making related to the prevention, diagnosis, prognosis, and treatment of medical disorders, which may come to include neuroergonomic applications or devices (such as neural implants to treat blindness or paralysis). It may be easier to propose standards than to apply them in practice, yet it is important to develop standards proactively before they become externally imposed.

    Relevant to neuroergonomics, the Food and Drug Administration is charged with administering standards for implantable brain devices, such as deep brain stimulators to mitigate Parkinson’s disease, spinal cord stimulators for pain relief, cochlear implants for hearing, cardiac pacemakers to treat heart rhythm abnormalities, and vagal nerve stimulators to treat epilepsy or, lately, depression. Standards and guidelines in specific application areas discussed in this book, such as VR systems, have been published (Stanney, 2001).

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