Start Updating clinical guidelines

Updating clinical guidelines

This guide is targeted at those working in health care quality and safety and responsible for either commissioning, researching or delivering health care.

water or air quality, food security, incident reporting and investigation, etc.) and are generally developed and used by policy-makers, service organizations, funders or regulatory authorities.

relate to clinical matters, generally dealing with clinical conditions or symptoms, and are typically intended for use by health care providers and clinic managers [4].

Notably, there are well-credentialed international and national guideline development groups, including the World Health Organization (WHO) [10], the Scottish Intercollegiate Guidelines Network (SIGN) [11], the National Institute for Health and Care Excellence (NICE) [12] and the Australian National Health and Medical Research Council (NHMRC) [13], each with their own approach to guideline construction and writing, usually described in a guideline development manual.

Globally, potentially many hundreds more health departments, insurers and other health care organizations, professional associations, hospitals, specialty colleges and individuals have attempted to produce recommendations to improve and/or standardize local clinical practices, all using their own interpretations of the best way to construct and write CPGs.

In this rapidly evolving field of research, a more recent definition suggested a modern twist to the guideline description: ‘Guidelines are a convenient way of packaging evidence and presenting recommendations to healthcare decision makers’ [3].

Guidelines have a range of purposes, intended to improve effectiveness and quality of care, to decrease variations in clinical practice and to decrease costly and preventable mistakes and adverse events.

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.