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Related Experiment Videos

Stakeholder-Driven Quality Improvement: A Compelling Force for Clinical Practice Guidelines.

Richard M Rosenfeld1, Peter C Wyer2

  • 11 Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 18, 2017
PubMed
Summary
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A stakeholder-driven approach to clinical practice guideline development prioritizes quality improvement by focusing on patient and clinician needs. This contrasts with topic-driven methods that may overlook diverse patient populations and their unique health concerns.

Area of Science:

  • Health Services Research
  • Clinical Practice Guidelines

Background:

  • Clinical practice guideline development requires rigorous methodology.
  • The integration of quality improvement (QI) into guideline development remains unclear: should it guide priorities or follow recommendation formulation?

Purpose of the Study:

  • To advocate for a stakeholder-driven approach to guideline development.
  • To emphasize quality improvement as an overarching goal driven by stakeholder-identified needs, uncertainties, and knowledge gaps.

Main Methods:

  • Comparative analysis of stakeholder-driven versus topic-driven guideline development approaches.
  • Examination of specific guidelines for otitis media with effusion, thyroid nodules, sepsis, and acute bacterial rhinosinusitis.

Main Results:

Keywords:
clinical practice guidelinesevidence-based medicinequality improvement

Related Experiment Videos

  • Stakeholder-driven guidelines better address the QI needs and concerns of clinicians and patients.
  • These guidelines are more inclusive of understudied populations and patients with multiple chronic conditions.
  • Topic-driven approaches, focused on randomized controlled trials, may neglect the needs of high-risk or atypical patient groups.

Conclusions:

  • A stakeholder-driven approach enhances the relevance and applicability of clinical practice guidelines.
  • Integrating QI from the outset ensures guidelines meet the practical needs of diverse patient populations and healthcare providers.