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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Prioritizing guideline recommendations for implementation: a systematic, consumer-inclusive process with a case study
Elizabeth A Lynch1,2,3, Chris Lassig4, Tari Turner5
1Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Sturt Campus, GPO Box 2100, Adelaide, SA, 5001, Australia. Elizabeth.lynch@flinders.edu.au.
Health Research Policy and Systems
|May 23, 2021
Summary
A new four-step process systematically prioritizes clinical guideline recommendations for implementation, involving consumers and health professionals. This method successfully identified three key priorities from the Australian Stroke Clinical Guidelines.
Area of Science:
- Health Services Research
- Implementation Science
- Clinical Practice Improvement
Background:
- Implementing evidence-based care is a persistent challenge in healthcare.
- Identifying priority recommendations from clinical guidelines is crucial for effective implementation efforts.
- This study addresses the need for a structured approach to prioritize recommendations, integrating consumer and professional perspectives.
Purpose of the Study:
- To describe and evaluate a novel process for prioritizing clinical guideline recommendations for implementation.
- To incorporate the perspectives of consumers and health professionals in identifying high-priority recommendations.
- To apply the process to the Australian Stroke Clinical Guidelines as a case study.
Main Methods:
- A multidisciplinary group developed a four-step process involving expert consultation, surveys, and facilitated workshops.
- Key implementation criteria included evidence reliability, measurability, practice gaps, clinical importance, and feasibility.
- A graph theory-based voting system was used for ranking recommendations.
Main Results:
- The process was applied to the Australian Stroke Clinical Guidelines, involving 75 health professionals and 16 consumers.
- It successfully identified three high-priority recommendations for implementation from over 400 initial recommendations.
- The developed process was found to be feasible and effective.
Conclusions:
- A robust process involving consumers, clinicians, and researchers can systematically prioritize guideline recommendations.
- This prioritization process is generalizable to other clinical areas and geographical regions.
- The identified priority recommendations will inform national implementation strategies for stroke care.
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