Guide to clinical practice guidelines: the current state of play

Tamara Kredo (Author), Susanne Bernhardsson (Author), Shingai Machingaidze (Author), Taryn Young (Author), Quinette Louw (Author)

URI http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-126852, URN urn:nbn:se:liu:diva-126852, DOI 10.1093/intqhc/mzv115

Linköpings universitet Institutionen för medicin och hälsa (Publisher), Linköpings universitet Medicinska fakulteten (Publisher)

publication

OXFORD UNIV PRESS, 2016

Is part of

International Journal for Quality in Health Care · ISSN 1353-4505

28:1, 122-128

Component part, Online resource

Available online:

http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-126852

web site

Subject

Medical and Health Sciences, Health Sciences, Medicin och hälsovetenskap, Hälsovetenskap, clinical practice guidelines; guideline development; implementation; adaptation

More details Cite

Summary

Introduction: Extensive research has been undertaken over the last 30 years on the methods underpinning clinical practice guidelines (CPGs), including their development, updating, reporting, tailoring for specific purposes, implementation and evaluation. This has resulted in an increasing number of terms, tools and acronyms. Over time, CPGs have shifted from opinion-based to evidence-informed, including increasingly sophisticated methodologies and implementation strategies, and thus keeping abreast of evolution in this field of research can be challenging. Methods: This article collates findings from an extensive document search, to provide a guide describing standards, methods and systems reported in the current CPG methodology and implementation literature. This guide is targeted at those working in health care quality and safety and responsible for either commissioning, researching or delivering health care. It is presented in a way that can be updated as the field expands. Conclusion: CPG development and implementation have attracted the most international interest and activity, whilst CPG updating, adopting (with or without contextualization), adapting and impact evaluation are less well addressed.