Article type
Abstract
Background:
Rapid recommendations (RapidRecs) are single recommendations developed over a short period of time and under specific conditions (eg, urgent need, emergency situation, or new evidence with potential to change current practice). The need for development of RapidRecs is high, especially in the clinical sphere, as it goes hand in hand with scientific knowledge and technological development.
Objective:
In the Czech Republic so far, there has not been a project focusing on the development of RapidRecs. For this reason, the “Komodor” project was set up under the auspices of the Ministry of Health of the Czech Republic (MoH), with the aim to develop 80 new, precisely targeted RapidRecs.
One of the initial tasks of the NIKEZ was to collect the most relevant current clinical questions that should form the RapidRecs' basis.
Methods:
According to national Methodology of Development and Updating of Guidelines and Rapid Recommendations in Healthcare, which is based on GRADE, a wide range of relevant professional institutions and entities may request the development of specific RapidRecs. For this reason, NIKEZ addressed all relevant institutions (eg, MoH, National Screening Centre [NSC], and professional medical and health care societies) with a request to send the currently most important and urgent clinical questions, for which it is necessary to develop RapidRecs.
Results:
A list of 84 clinical questions was generated based on the responses received from the institutions contacted. This was presented to the NIKEZ Executive Board for approval and prioritization of the topics, which were divided into 4 areas: (1) topics prioritized by the Ministry of Health, (2) topics prioritized by the NSC, (3) topics related to DRGs and nonhomogeneities, and (4) topics prioritized by the professional medical societies. The criteria for prioritization were based on the experience of the WHO meeting in Copenhagen and were as follows: (1) patient safety and improving quality of care, (2) heterogeneity of care, (3) economic considerations, (4) population perspective, and (5) high volume/low volume of care.
Conclusions:
The process of collecting 84 current clinical questions (topics) suitable for RapidRecs development is presented. This will be followed by their processing according to the prioritization approved by the NIKEZ Executive Board.
Rapid recommendations (RapidRecs) are single recommendations developed over a short period of time and under specific conditions (eg, urgent need, emergency situation, or new evidence with potential to change current practice). The need for development of RapidRecs is high, especially in the clinical sphere, as it goes hand in hand with scientific knowledge and technological development.
Objective:
In the Czech Republic so far, there has not been a project focusing on the development of RapidRecs. For this reason, the “Komodor” project was set up under the auspices of the Ministry of Health of the Czech Republic (MoH), with the aim to develop 80 new, precisely targeted RapidRecs.
One of the initial tasks of the NIKEZ was to collect the most relevant current clinical questions that should form the RapidRecs' basis.
Methods:
According to national Methodology of Development and Updating of Guidelines and Rapid Recommendations in Healthcare, which is based on GRADE, a wide range of relevant professional institutions and entities may request the development of specific RapidRecs. For this reason, NIKEZ addressed all relevant institutions (eg, MoH, National Screening Centre [NSC], and professional medical and health care societies) with a request to send the currently most important and urgent clinical questions, for which it is necessary to develop RapidRecs.
Results:
A list of 84 clinical questions was generated based on the responses received from the institutions contacted. This was presented to the NIKEZ Executive Board for approval and prioritization of the topics, which were divided into 4 areas: (1) topics prioritized by the Ministry of Health, (2) topics prioritized by the NSC, (3) topics related to DRGs and nonhomogeneities, and (4) topics prioritized by the professional medical societies. The criteria for prioritization were based on the experience of the WHO meeting in Copenhagen and were as follows: (1) patient safety and improving quality of care, (2) heterogeneity of care, (3) economic considerations, (4) population perspective, and (5) high volume/low volume of care.
Conclusions:
The process of collecting 84 current clinical questions (topics) suitable for RapidRecs development is presented. This will be followed by their processing according to the prioritization approved by the NIKEZ Executive Board.