• Int J Qual Health Care · Feb 2016

    Review

    Guide to clinical practice guidelines: the current state of play.

    • Tamara Kredo, Susanne Bernhardsson, Shingai Machingaidze, Taryn Young, Quinette Louw, Eleanor Ochodo, and Karen Grimmer.
    • South African Cochrane Centre (SACC), South African Medical Research Council, Francie van Zijl Drive, Parow Valley, Cape Town 7505, South Africa.
    • Int J Qual Health Care. 2016 Feb 1; 28 (1): 122-8.

    IntroductionExtensive 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.MethodsThis 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.ConclusionCPG 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.© The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care.

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