Canadian Critical Care Society revised process for guideline development and endorsement
To the Editor,
Clinical practice guidelines (CPGs) are “statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options”.1 Healthcare workers struggle to keep up with rapidly evolving scientific literature. In theory, CPGs constitute a comprehensive overview of the best available evidence addressing a specific clinical question and take into account considerations such as certainty in the evidence, patients’ values and preferences, and resource use or cost. These factors are used to generate actionable and trustworthy recommendations, which may inform clinician-patient discussions and shared decision-making.2 Reducing the gap between scientific evidence and actual practice may improve the safety and efficiency of healthcare interventions.3In contrast, failure to adhere to these high standards when developing guidelines may lead to erroneous...
Conflicts of interest
This submission was handled by Dr. Hilary P. Grocott, Editor-in-Chief, Canadian Journal of Anesthesia.
- 1.Institute of Medicine (US); Committee on Standards for Developing Trustworthy Clinical Practice Guidelines. Graham R, Mancher M, Miller Wolman D, Greenfield S, Steinberg E (Eds). Clinical Practice Guidelines We Can Trust. Washington, DC: National Academies Press; 2011.Google Scholar