Clinical Practice Guideline Development Manual, Third Edition
Top Cited Papers
Open Access
- 14 December 2012
- journal article
- research article
- Published by Wiley in Otolaryngology -- Head and Neck Surgery
- Vol. 148 (S1), S1-S55
- https://doi.org/10.1177/0194599812467004
Abstract
Guidelines translate best evidence into best practice. A well-crafted guideline promotes quality by reducing health care variations, improving diagnostic accuracy, promoting effective therapy, and discouraging ineffective—or potentially harmful—interventions. Despite a plethora of published guidelines, methodology is often poorly defined and varies greatly within and among organizations. The third edition of this manual describes the principles and practices used successfully by the American Academy of Otolaryngology—Head and Neck Surgery Foundation to produce quality-driven, evidence-based guidelines using efficient and transparent methodology for actionable recommendations with multidisciplinary applicability. The development process emphasizes a logical sequence of key action statements supported by amplifying text, action statement profiles, and recommendation grades linking action to evidence. New material in this edition includes standards for trustworthy guidelines, updated classification of evidence levels, increased patient and public involvement, assessing confidence in the evidence, documenting differences of opinion, expanded discussion of conflict of interest, and use of computerized decision support for crafting actionable recommendations. As clinical practice guidelines become more prominent as a key metric of quality health care, organizations must develop efficient production strategies that balance rigor and pragmatism. Equally important, clinicians must become savvy in understanding what guidelines are—and are not—and how they are best used to improve care. The information in this manual should help clinicians and organizations achieve these goals.Keywords
This publication has 61 references indexed in Scilit:
- Clinical Practice GuidelineOtolaryngology -- Head and Neck Surgery, 2012
- Building better guidelines with BRIDGE-Wiz: development and evaluation of a software assistant to promote clarity, transparency, and implementabilityJournal of the American Medical Informatics Association, 2012
- Conflicts of Interest in Cardiovascular Clinical Practice GuidelinesArchives of Internal Medicine, 2011
- How "should" we write guideline recommendations? Interpretation of deontic terminology in clinical practice guidelines: survey of the health services communityBMJ Quality & Safety, 2010
- Clinical practice guideline development manual: A quality-driven approach for translating evidence into actionOtolaryngology -- Head and Neck Surgery, 2009
- The Yale Guideline Recommendation Corpus: A representative sample of the knowledge content of guidelinesInternational Journal of Medical Informatics, 2009
- GRADE: an emerging consensus on rating quality of evidence and strength of recommendationsBMJ, 2008
- Clinical Practice Guidelines: A Manual for Developing Evidence-Based Guidelines to Facilitate Performance Measurement and Quality ImprovementOtolaryngology -- Head and Neck Surgery, 2006
- Optimal search strategies for retrieving systematic reviews from Medline: analytical surveyBMJ, 2004