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Adopting and adapting clinical guidelines for local use
Author(s) -
Penney Gillian C
Publication year - 2007
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.9.1.048.27296
Subject(s) - guideline , rigour , medicine , resource (disambiguation) , adaptation (eye) , process management , nursing , medical education , management science , psychology , engineering , computer science , pathology , computer network , geometry , mathematics , neuroscience
Key content• Clinical guidelines help to standardise and improve patient care. • Development of a valid clinical guideline requires resources and skills. • Local adaptation of a national guideline provides a cost‐effective approach to guideline introduction. • A formal consensus process allows local stakeholders to adapt a national guideline. • The adapted guideline combines the rigour of national development with the acceptability engendered by local consensus.Learning objectives• To gain an overview of the fundamental principles of clinical guideline development. • To learn how to adapt national guidelines for use by local NHS organisations or by groups of clinicians in non‐UK settings.Ethical issues• Guideline introduction diverts scarce resources from direct clinical care. • Evidence indicates that guidelines result in only modest to moderate improvements in patient outcomes. • Clinicians wishing to introduce clinical guidelines should adopt an approach that minimises resource use.Please cite this article as: Penney GC. Adopting and adapting clinical guidelines for local use. The Obstetrician & Gynaecologist 2007;9:48–52.