. EBP guidelines intro.pdf

1. Guideline
Adaptation
Workshop

2. Overview
 What are evidence-based guidelines?
 Why make guidelines?
 How are evidence-based guidelines made?
 When should guidelines be made?
 Where do we go from here?

3. What are evidence-based
guidelines?
 Systematically developed documents
designed to support clinical decision-making
based on the best available evidence
 What does “systematically” mean?
 Clear, well explained process for finding,
evaluating and summarising evidence

4. Guideline or
Clinical Protocol?
 Definition is not always clear
 Guideline usually is a big document
 explains the development process,
 includes all the evidence, and
 provides all the detail
 Protocol usually is a summary (short)
document that is used in practice

5. Why make guidelines?
 Evidence-based guidelines:
 improve patient outcomes
 reduce healthcare costs
 help get research into practice
 help junior staff learn best practice
 help standardise care
 are becoming a requirement of many hospitals
and health systems

6. How are evidence-based
guidelines made?
 Rigorous process based on many
systematic reviews
 Thorough searches for evidence
 Detailed appraisal of evidence
 Discussion of evidence with clinical experts
 Development of recommendations

7. What is the AGREEd process?
1. Define scope of guideline
2. Form multi-disciplinary group (including
consumers)
3. Develop clinical questions guideline will cover
4. Systematically find & appraise evidence for each
question
5. Develop recommendations
6. Write versions (full guideline/path/patient info)
7. Consult & pilot test
8. Disseminate and implement
9. Evaluate revise, & update

8. What resources are required?
 Time
 People
 With evidence skills
 With clinical skills
 With protected time
 Access to research evidence

9. Questions?