Assessment of implementability of an adapted clinical practice guideline for surgical antimicrobial prophylaxis at a tertiary care university hospital

Abstract

Rationale, aims and objectives Surgical site infections are the most common healthcare‐associated infections. Appropriate surgical antimicrobial prophylaxis (SAP), which is an integral part of surgical site infection SSI prevention, is one of the major preventable risks to surgical patient safety. Several clinical practice guidelines (CPGs) for SAP have been published. The aim of this study was to adapt a CPG for SAP and to assess its implementability. Methods The methodology was based on two validated tools for CPGs, namely, the ADAPTE and the Guideline Implementability Appraisal (GLIA). Results The ADAPTE CPG adaptation process methodology was utilized to produce an adapted CPG for SAP based on the American Society of Health System Pharmacists 2013 CPG. The finalized CPG was then assessed to identify any possible intrinsic barriers for implementation. Conclusions In conclusion, the ADAPTE tool is a practical and successful tool for production of CPGs. The GLIA tool is useful for assessing and preparing the finalized adapted CPG for the transition from the production stage to the implementation stage. GLIA could be added to the ADAPTE process either as a final step or to check the draft of the CPG before finalization.

Adapting evidence‐based clinical practice guidelines at university teaching hospitals: A model for the Eastern Mediterranean Region

“…Two tools were proposed to be used in the pre‐implementation phase, the Guidelines Implementability Assessment Instrument (GLIA) and one of the QI tools, Failure Modes and Effects Analysis (FMEA) …”

“…Examples include venous thromboembolism prophylaxis, surgical site infection prevention, central line‐associated bloodstream infection prevention, etc. These recommended topics have been included in the CPG priority list of relevant departments …”

Current Clinical Practice for the Use of Hypnotics to Manage Primary Insomnia in Adults in a Tertiary Hospital in Saudi Arabia: An Audit Study

“…The US guidelines were used because there are no country-specific guidelines for the treatment of insomnia in Saudi Arabia, and most Saudi physicians were taught using the American system at medical schools. In addition, the Saudi MOH and other departments that provide most medical services in Saudi Arabia often adopt US guidelines [18] because they are believed to be the best medical practice [19].…”

Quality assessment of evidence-based clinical practice guidelines for the management of pregnant women with sickle cell disease using the AGREE II instrument: a systematic review

“…After the appraisal, we focused on the scores of domains 3 and 5 to facilitate the filtration and final evaluation of the reporting quality of the included CPGs. Similar cut-off values have been reported in previous studies [14,15]. In addition to the classification of the six AGREE II domains, the evidence-bases of the included CPGs and their references sections were screened for systematic reviews or meta-analyses, specifically for Cochrane reviews.…”