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Creating clinical practice guidelines we can trust, use, and share: a new era is imminent

Vandvik, Per Olav
Brandt, Linn
Alonso-Coello, Pablo
Treweek, Shaun
Akl, Elie A
Kristiansen, Annette
Fog-Heen, Anja
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Published in Chest. 2013, vol. 144, no. 2, p. 381-389
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presentation formats, inefficient dissemination to clinicians at the point of care, high risk of becoming quickly outdated, and suboptimal facilitation of shared decision-making with patients.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 nonprofit 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. Modifications 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.
Keywords AuthorshipDecision MakingDecision Support TechniquesDiffusion of InnovationEvidence-Based MedicineHumansInternetInterprofessional RelationsPractice Guidelines as Topic/standardsPublishingQuality Assurance, Health CareUser-Computer Interface
PMID: 23918106
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Research group Epidémiologie clinique (115)
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VANDVIK, Per Olav et al. Creating clinical practice guidelines we can trust, use, and share: a new era is imminent. In: Chest, 2013, vol. 144, n° 2, p. 381-389. doi: 10.1378/chest.13-0746 https://archive-ouverte.unige.ch/unige:90328

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Deposited on : 2016-12-15

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