W14– Developing quality indicators from clinical guideline recommendations: Learning from the NICE and Duodecim approaches

2010 
2. Share experiences in selecting and considering evidence across clinical conditions. 3. Discuss challenges integrating primary prevention messages in primary care practice. DESCRIPTION: This workshop will describe the process by which information across disease areas was selected and integrated into implementation strategies at both practice and patient levels (e.g., audit and feedback, computer-based decision support and prompts, prevention practitioners, etc.) The emphasis was to build from what already exists and to leverage the knowledge of the participating practices to develop effective toolkits and strategies for implementation. The first step in this process was to review current guideline recommendations and existing tools to determine relevance to the primary care setting and feasibility for uptake. Guidelines published in each clinical area were identified using a very direct search strategy that focused on currency and relevance to the clinical setting. Guidelines were then evaluated using the AGREE domains as a guide in order to determine which had good rigor of development, editorial independence, and had recommendations that were linked directly to the evidence. Recommendations from the top three to five highest ranking guidelines were extracted along with their levels of evidence. These recommendations were compared to one another and considered within the local context to select the recommendations that would form the basis for our interventions. TARGET AUDIENCE(S): 1. Clinical researcher 2. Evidence synthesizer, developer of systematic reviews or meta-analyses 3. Guideline implementer 4. Developer of guideline-based products 5. Quality improvement manager/facilitator 6. Medical educator 7. Health care policy analyst/policy-maker 8. Medical providers and executives 9. Allied health professionals
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