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STANDING Collaboration: a study protocol for developing clinical standards.

Louise K Wiles1,2, Peter D Hibbert1,2,3,4,5, Jacqueline H Stephens1

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This summary is machine-generated.

This study develops a new collaborative online system to create and update clinical standards, aiming to bridge the gap between recommended and actual patient care. The method ensures transparency and stakeholder involvement for better healthcare delivery.

Keywords:
consensus development conferences as topichealthcarepractice guidelines as topicquality assurancequality indicators

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Area of Science:

  • Healthcare Quality Improvement
  • Clinical Practice Guidelines Development
  • Health Informatics

Background:

  • Significant discrepancies exist between recommended 'appropriate care' and actual patient care delivery.
  • Current clinical practice guidelines (CPGs) face challenges in accessibility and staying up-to-date, hindering optimal care.
  • Existing CPGs are often cited as barriers to implementing evidence-based practices.

Purpose of the Study:

  • To develop and evaluate an innovative, collaborative online system for creating and maintaining accessible, up-to-date clinical standards (indicators).
  • To mitigate identified problems with current CPGs by employing a transparent, iterative, and inclusive development process.
  • To engage diverse stakeholders, including researchers, healthcare professionals, patients, and consumers, in defining 'appropriate care'.

Main Methods:

  • A modified e-Delphi process will be utilized to achieve consensus on 'appropriate care' indicators for common medical conditions.
  • Clinical indicators will be developed from national and international guidelines, with explicit inclusion/exclusion criteria.
  • A wiki-type online platform will facilitate collaborative review and iterative refinement of indicators by healthcare professionals and consumers, with conflict of interest management.

Main Results:

  • The study protocol outlines a phased approach: stakeholder engagement, process design for clinical indicator development, and evaluation of feasibility and outcomes.
  • A transparent system logging indicator provenance will be implemented.
  • A mixed-methods formative evaluation will assess the developed methodology.

Conclusions:

  • This research proposes a novel, inclusive, and transparent method for developing and updating clinical standards to improve healthcare quality.
  • The collaborative online system aims to enhance the accessibility and relevance of clinical guidance.
  • Successful implementation could reduce the gap between recommended and provided care, leading to improved patient outcomes.