Title
Creating clinical practice guidelines we can trust, use, and share a new era is imminent
Date Issued
01 January 2013
Access level
open access
Resource Type
editorial
Author(s)
Vandvik P.O.
Brandt L.
Alonso-Coello P.
Treweek S.
Akl E.A.
Kristiansen A.
Fog-Heen A.
Agoritsas T.
Guyatt G.
Mayo Clinic
Publisher(s)
American College of Chest Physicians
Abstract
Standards and guidance for developing trustworthy clinical practice guidelines are now available, and a number of leading guidelines adhere to the key standards. Even current trustworthy guidelines, however, generally suffer from a cumbersome development process, suboptimal presentation formats, ineffi cient dissemination to clinicians at the point of care, high risk of becoming quickly outdated, and suboptimal facilitation of shared decision-making with patients. To address these limitations, we have-in our innovative research program and nonprofi t organization, MAGIC (Making GRADE the Irresistible Choice)-constructed a conceptual framework and tools to facilitate the creation, dissemination, and dynamic updating of trustworthy guidelines. We have developed an online application that constitutes an authoring and publication platform that allows guideline content to be written and structured in a database, published directly on our web platform or exported in a computer-interpretable language (eg, XML) enabling dissemination through a wide range of outputs that include electronic medical record systems, web portals, and applications for smartphones/tablets. Modifi cations in guidelines, such as recommendation updates, will lead to automatic alterations in these outputs with minimal additional labor for guideline authors and publishers, greatly facilitating dynamic updating of guidelines. Semiautomated creation of a new generation of decision aids linked to guideline recommendations should facilitate face-to-face shared decision-making in the clinical encounter. We invite guideline organizations to partner with us (www.magicproject.org) to apply and further improve the tools for their purposes. This work will result in clinical practice guidelines that we cannot only trust, but also easily share and use. © 2013 American College of Chest Physicians.
Start page
381
End page
389
Volume
144
Issue
2
Language
English
OCDE Knowledge area
Políticas de salud, Servicios de salud
Scopus EID
2-s2.0-84881518501
PubMed ID
Source
Chest
ISSN of the container
00123692
Sources of information: Directorio de Producción Científica Scopus