• How to evaluate and appraise clinical guidelines. Session speaker: Dr. Nadine Shehata
Evidence-Based Guidelines (EBGs) can improve the quality and consistency of clinical care and reduce health care costs. There may be several EBGs published on the same topic but they may not all have the same quality. A recent review evaluated the quality of EBGs for transfusion of red blood cells and plasma. Only 63% of published guidelines were recommended for use by appraisers. Dr. Shehata will discuss how to appraise the quality of EBGs to enable the audience to select guidelines that follow current standards for development.
• How to interpret guideline recommendations? Session speaker: Dr. Richard Kaufman
The quality and consistency of studies are used to determine the strength of available data i.e. level of evidence for EBGs. The strength of a guideline recommendation may differ as guideline developers also balance the net benefit by considering risks and resources. How did guideline developers develop recommendations and how should they be deciphered? Dr. Richard Kaufman will discuss the development and interpretation of recommendations according to the current standard Grading of Recommendations and Evaluation (GRADE). Dr. Kaufman will inform the audience of how recommendations were developed for the AABB’s platelet guideline.
• How to incorporate guideline recommendations into daily practice? Session speaker: Dr. Cynthia So-Osman
Being up to date with current research is important for all institutions. How to incorporate recommendations from EBG into daily practice however may be challenging. Dr. Cynthia So-Osman will discuss options to incorporate EBG recommendations into hospital practices including the effectiveness of these options in changing medical practice. Dr. So-Osman will furthermore apprise the audience of her experience in evaluation implementation from her recent study using a cluster RCT approach.
Differentiate high from low quality evidence based guidelines.
Interpret the components of recommendations developed according to GRADE.
Create processes to incorporate guideline recommendations into daily practice.
MD MSc FRCPC,
Canadian Blood Services; Mount Sinai Hospital