Article type
Abstract
"Introduction: Adapting Clinical Practice Guidelines (CPGs) to local contexts requires collaborative efforts, systematic and sustainable processes, interdisciplinary approaches, and evidence-based methods, aiming to enhance efficiency, quality of care, and patient health outcomes.
Objective: To develop an adaptation process for CPGs, termed Evidence-Based Clinical Standards (EBCS), in a high-complexity university hospital in Colombia.
Methods: An interdisciplinary team was formed to review national and international guidelines for adapting CPGs. A phased activity plan was devised, tailored to institutional needs and resources. Thematic leaders and methodological experts were convened to form interdisciplinary teams for the development, implementation, and evaluation of EBCS.
Results: 42 conditions/diseases were prioritized based on disease burden and the preferences of institutional healthcare services. 20 (40.48%) were finalized as EBCS, involving systematic review of CPGs, construction of a clinically validated algorithm through interdisciplinary consensus, and layout and editing. Dissemination activities and identification of facilitators and barriers for implementation were conducted. 22 (52.38%) conditions/diseases are in the process of EBCS development. Annual adherence, clinical outcomes, and economic evaluations have been conducted for all prioritized conditions through cross-sectional studies. The process engaged 117 graduate and undergraduate health science students and 157 professionals from 49 healthcare service/area units, involving approximately 370 hours of training and 80 hours of interdisciplinary consensus.
Conclusion: The EBCS generation process facilitated the adaptation of CPGs to a context of limited resources, requiring synergy between evidence analysis and synthesis, interdisciplinary collaboration, and organizational commitment."
Objective: To develop an adaptation process for CPGs, termed Evidence-Based Clinical Standards (EBCS), in a high-complexity university hospital in Colombia.
Methods: An interdisciplinary team was formed to review national and international guidelines for adapting CPGs. A phased activity plan was devised, tailored to institutional needs and resources. Thematic leaders and methodological experts were convened to form interdisciplinary teams for the development, implementation, and evaluation of EBCS.
Results: 42 conditions/diseases were prioritized based on disease burden and the preferences of institutional healthcare services. 20 (40.48%) were finalized as EBCS, involving systematic review of CPGs, construction of a clinically validated algorithm through interdisciplinary consensus, and layout and editing. Dissemination activities and identification of facilitators and barriers for implementation were conducted. 22 (52.38%) conditions/diseases are in the process of EBCS development. Annual adherence, clinical outcomes, and economic evaluations have been conducted for all prioritized conditions through cross-sectional studies. The process engaged 117 graduate and undergraduate health science students and 157 professionals from 49 healthcare service/area units, involving approximately 370 hours of training and 80 hours of interdisciplinary consensus.
Conclusion: The EBCS generation process facilitated the adaptation of CPGs to a context of limited resources, requiring synergy between evidence analysis and synthesis, interdisciplinary collaboration, and organizational commitment."