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The GIN-McMaster guideline tool extension for the integration of quality improvement and quality assurance in guidelines: a description of the methods for its development

  • Thomas Piggott
  • , Miranda W. Langendam
  • , Elena Parmelli*
  • , Jan Adolfsson
  • , Elie A. Akl
  • , David Armstrong
  • , Jeffrey Braithwaite
  • , Romina Brignardello-Petersen
  • , Jan Brozek
  • , Markus Follmann
  • , Ina Kopp
  • , Joerg J. Meerpohl
  • , Luciana Neamtiu
  • , Monika Nothacker
  • , Amir Qaseem
  • , Paolo Giorgi Rossi
  • , Zuleika Saz-Parkinson
  • , Philip J. van der Wees
  • , Holger J. Schünemann*
  • *Corresponding author for this work
  • McMaster University
  • European Commission Joint Research Centre Institute
  • Karolinska Institutet
  • American University of Beirut
  • Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Canada
  • Macquarie University
  • German Cancer Society, Guidelines, Berlin, Germany;
  • University of Marburg
  • University of Freiburg
  • Cochrane Germany, Cochrane Germany Foundation, Freiburg, Germany
  • American College of Physicians, Philadelphia, United States
  • Epidemiology Unit, 42122, Italy
  • Radboud University Medical Center
  • Humanitas University

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background and Objectives: Our objective was to develop an extension of the widely used GIN-McMaster Guideline Development Checklist and Tool for the integration of quality assurance and improvement (QAI) schemes with guideline development. Methods: We used a mixed-methods approach incorporating evidence from a systematic review, an expert workshop and a survey of experts to iteratively create an extension of the checklist for QAI through three rounds of feedback. As a part of this process, we also refined criteria of a good guideline-based quality indicator. Results: We developed a 40-item checklist extension addressing steps for the integration of QAI into guideline development across the existing 18 topics and created one new topic specific to QAI. The steps span from ‘organization, budget, planning and training’, to updating of QAI and guideline implementation. Conclusion: The tool supports integration of QAI schemes with guideline development initiatives and it will be used in the forthcoming integrated European Commission Initiative on Colorectal Cancer. Future work should evaluate this extension and QAI items requiring additional support for guideline developers and links to QAI schemes.
Original languageEnglish
JournalJournal of clinical epidemiology
Early online date2022
DOIs
Publication statusE-pub ahead of print - 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Checklist
  • GIN-McMaster Checklist
  • GRADE
  • Guidelines
  • Health decision-making
  • Performance monitoring
  • Quality assurance
  • Quality improvement

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