Adapting evidence-based clinical practice guidelines at university teaching hospitals: A model for the Eastern Mediterranean Region.

Autor: Amer YS; Clinical Practice Guidelines Unit, Quality Management Department, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.; Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia.; Alexandria Center for Evidence-Based Clinical Practice Guidelines, Alexandria University Medical Council, Alexandria University, Alexandria, Egypt.; Guidelines International Network, Adaptation Working Group (Steering)., Wahabi HA; Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia.; Family and Community Medicine Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Abou Elkheir MM; Pharmacy Services, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia., Bawazeer GA; Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia.; Pharmacy Services, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia., Iqbal SM; Pediatrics Department, King Khalid University Hospital, King Saud University, Hospital, Riyadh, Saudi Arabia.; Department of Pediatrics and Child Health, University of Manitoba, College of Medicine, Manitoba, Canada., Titi MA; Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia.; Patient Safety Unit, Quality Management Department, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia., Ekhzaimy A; Medicine Department, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia., Alswat KA; Medicine Department, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia., Alzeidan RA; Cardiac Sciences Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia., Al-Ansary LA; Research Chair for Evidence-Based Health Care and Knowledge Translation, Deanship of Scientific Research, King Saud University, Riyadh, Saudi Arabia.; Guidelines International Network, Adaptation Working Group (Steering).; Family and Community Medicine Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.; Health Metrics and Measurement, World Health Organization, Geneva, Switzerland.
Jazyk: angličtina
Zdroj: Journal of evaluation in clinical practice [J Eval Clin Pract] 2019 Aug; Vol. 25 (4), pp. 550-560. Date of Electronic Publication: 2018 Apr 24.
DOI: 10.1111/jep.12927
Abstrakt: Rationale, Aims, and Objectives: Clinical practice guidelines (CPGs) are significant tools for evidence-based health care quality improvement. The CPG program at King Saud University was launched as a quality improvement program to fulfil the international accreditation standards. This program was a collaboration between the Research Chair for Evidence-Based Healthcare and Knowledge Translation and the Quality Management Department. This study aims to develop a fast-track method for adaptation of evidence-based CPGs and describe results of the program.
Methods: Twenty-two clinical departments participated in the program. Following a CPGs awareness week directed to all health care professionals (HCPs), 22 teams were trained to set priorities, search, screen, assess, select, and customize the best available CPGs. The teams were technically supported by the program's CPG advisors. To address the local health care context, a modified version of the ADAPTE was used where recommendations were either accepted or rejected but not changed. A strict peer-review process for clinical content and methodology was employed.
Results: In addition to raising awareness and building capacity, 35 CPGs were approved for implementation by March 2018. These CPGs were integrated with other existing projects such as accreditation, electronic medical records, performance management, and training and education. Preliminary implementation audits suggest a positive impact on patient outcomes. Leadership commitment was a strength, but the high turnover of the team members required frequent and extensive training for HCPs.
Conclusion: This model for CPG adaptation represents a quick, practical, economical method with a sense of ownership by staff. Using this modified version can be replicated in other countries to assess its validity.
(© 2018 John Wiley & Sons, Ltd.)
Databáze: MEDLINE
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