Adapting lung cancer symptom investigation and referral guidelines for general practitioners in <scp>A</scp>ustralia: Reflections on the utility of the <scp>ADAPTE</scp> framework

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.

Section: Discussionsupporting

confidence: 86%

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

Altokhais

Al-Obaid

Kattan

et al. 2016

“…A survey by the G‐I‐N reported that the need for training, the complexity of the process, and the time needed to adapt a CPG are perceived as barriers to the use of a formal adaptation process . Similar barriers were identified elsewhere . Our observations are in line with the literature.…”

Section: Discussionsupporting

confidence: 93%

“…32 Similar barriers were identified elsewhere. 31,[33][34][35] Our observations are in line with the literature.…”

Section: Findings Related To Pilot Adaptationssupporting

confidence: 92%

Exploring guideline adaptation strategy for Turkey: Is “ADAPTE” feasible or does it need adaptation as well?

Başer

Kahveci

Artantaş

et al. 2017

“…in the evaluation of the Alberta Ambassador Project [24,29], by Chakraborty et al . [19] in Australia. They were very much the same as those expressed by the participants involved in our process.…”

Section: Discussionmentioning

confidence: 99%

“…A survey by the Guideline International Network reported that the need for training, the complexity of the process and the time needed to adapt a CPG are perceived as barriers to the use of a formal adaptation process [31]. Very similar barriers were identified by Harstall et al in the evaluation of the Alberta Ambassador Project [24,29], by Chakraborty et al [19] in Australia. They were very much the same as those expressed by the participants involved in our process.…”

Section: Improving the Adaptation Processmentioning

confidence: 90%

Adapting a large database of point of care summarized guidelines: a process description

Delvaux¹,

Velde²,

Aertgeerts³

et al. 2015

Rationale, aims and objectivesQuestions posed at the point of care (POC) can be answered using POC summarized guidelines. To implement a national POC information resource, we subscribed to a large database of POC summarized guidelines to complement locally available guidelines. Our challenge was in developing a sustainable strategy for adapting almost 1000 summarized guidelines. The aim of this paper was to describe our process for adapting a database of POC summarized guidelines.MethodsAn adaptation process based on the ADAPTE framework was tailored to be used by a heterogeneous group of participants. Guidelines were assessed on content and on applicability to the Belgian context. To improve efficiency, we chose to first aim our efforts towards those guidelines most important to primary care doctors.ResultsOver a period of 3 years, we screened about 80% of 1000 international summarized guidelines. For those guidelines identified as most important for primary care doctors, we noted that in about half of the cases, remarks were made concerning content. On the other hand, at least two‐thirds of all screened guidelines required no changes when evaluating their local usability.ConclusionsAdapting a large body of POC summarized guidelines using a formal adaptation process is possible, even when faced with limited resources. This can be done by creating an efficient and collaborative effort and ensuring user‐friendly procedures. Our experiences show that even though in most cases guidelines can be adopted without adaptations, careful review of guidelines developed in a different context remains necessary. Streamlining international efforts in adapting international POC information resources and adopting similar adaptation processes may lessen duplication efforts and prove more cost‐effective.