Chapter 8

Question 1

What is the focus of Evidence-Based Practice Guidelines? (EBPGs)

Answer 1

decreasing variation in practice

(intended to optimize patient care/outcomes; include recommendations for practice/policies/research)

Question 2

What is EBPGs based on

Answer 2

systematic review of evidence

Question 3

What is the benefit to EBPGs

Answer 3

flexibility

Question 4

what is the purpose of updating clinical practice guidelines

Answer 4

evolving nature of evidence

Question 5

Information contained in EBPGs (7)

Answer 5

• expertise of guideline developers
• funders of guideline development
• thoroughness of evidence search
• strength & quality of evidence
• population for whom guideline was developed for
• methods section
• date guideline was finalized

REMEMBER “FRESH-MD”

F - funders
R - resources/research thoroughness
E - expertise
S - strength
H - health population

M - methods
D - date

Question 6

Appraisal (AGREE II Instrument)

purposes (3)

Answer 6

• assess quality
• provide methodological strategy
• inform guideline appraisal

Question 7

Appraisal (AGREE II Instrument)

the 6 domains

Answer 7

1. scope and purpose
2. stakeholder involvement
3. rigor of development
4. clarity and presentation
5. application
6. editorial independence

REMEMBER “SCRAPE”

S - scope and purpose
C - clarity and presentation
R - rigor of development
A - application
P - (participant); stakeholder involvement
E - editorial independence

Question 8

Steps in EBPG development

(6)

Answer 8

1. use a formal and explicit process
2. identifying experts first
3. analytic framework or causal pathway
4. perform formal search and review of literature
5. develop recommendations based on the strength of evidence
6. perform peer review

REMEMBER: “Find Experts, Analyze, Search, Strengthen, and Review”

F - formal and explicit process
E - experts
A - analyze
S - search
S - strengthen
R - review

Question 9

critical elements for successful implementation of EBPGs

Answer 9

1. administrative support
2. positive culture
3. interactive education
4. reminders
5. electronic systems
6. prioritizing interventions
7. critically appraise prior to implementing

REMEMBER “PRIME-CAP”

P - positive culture
R - reminders
I - interactive education
M - methods (electronic system)
E - education

C - critically appraise
A - administrative support
P - prioritizing interventions