Enhancing the evidence-based healthcare principles in clinical
practice guidelines development in the Czech Republic: a best
practice implementation project

J 2022

Enhancing the evidence-based healthcare principles in clinical practice guidelines development in the Czech Republic: a best practice implementation project

VRBOVÁ, Tereza; Jitka KLUGAROVÁ; Andrea POKORNÁ; Ladislav DUŠEK; Radim LÍČENÍK et. al.

Basic information

Original name

Enhancing the evidence-based healthcare principles in clinical practice guidelines development in the Czech Republic: a best practice implementation project

Authors

VRBOVÁ, Tereza (203 Czech Republic, belonging to the institution); Jitka KLUGAROVÁ (203 Czech Republic, belonging to the institution); Andrea POKORNÁ (203 Czech Republic, belonging to the institution); Ladislav DUŠEK (203 Czech Republic, belonging to the institution); Radim LÍČENÍK (203 Czech Republic, belonging to the institution) and Miloslav KLUGAR (203 Czech Republic, guarantor, belonging to the institution)

Edition

JBI EVIDENCE IMPLEMENTATION, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2022, 2691-3321

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30218 General and internal medicine

Country of publisher

Switzerland

Confidentiality degree

is not subject to a state or trade secret

References:

URL

Impact factor

Impact factor: 2.300

RIV identification code

RIV/00216224:14110/22:00126986

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1097/XEB.0000000000000337

UT WoS

000858607100009

EID Scopus

2-s2.0-85141660351

Keywords in English

clinical audit; clinical practice guidelines; Czech Republic; grading of recommendations; assessment; development and evaluation; implementation

Abstract

V originále

Objectives: The main aim of this project was to enhance compliance with the best available evidence in clinical practice guidelines (CPGs) development based on evidence-based healthcare (EBHC) and GRADE (grading of recommendations, assessment, development and evaluation) principles in healthcare professionals and healthcare providers. Introduction: In various healthcare fields, the quality of care provided in different healthcare settings may vary. Guidelines following the EBHC principles should help make the right decisions in healthcare by providing the best healthcare option and be available for all patients. The perspectives of all engaged stakeholders should be respected, however. Within the Czech Republic, there had been no standardized process of CPG development. Methods: A baseline audit was conducted to demonstrate the status quo of the EBHC in the Czech Republic, which identified several barriers. Consequently, strategies (educational activities, methodological guidelines) to overcome the barriers were suggested and implemented. Two more audits followed (November 2017, November 2020). Results: The baseline audit results showed no or very low compliance to the best available evidence in CPG development. After the implementation, an increased compliance in all audit criteria (national methodology guidelines, trustworthy CPGs, experienced methodologists, clinical summaries) has been reported. The project has helped to establish procedures of CPGs development, enhanced knowledge and skills on EBHC in healthcare professionals, and ignited patients' involvement in CPG development. Conclusions: The implementation project showed an increasing number of national methodology guidelines, CPGs being developed using EBHC and GRADE principles and HC professionals educated in EBHC. A national center for CPGs development within the Ministry of Health is being planned to sustain the project achievements.

Links

LTC20031, research and development project

Name: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic

Investor: Ministry of Education, Youth and Sports of the CR, INTER-COST

2019-1-CZ01-KA202-061350, interní kód MU

Name: Strategic Partnership in Innovation and Development of Evidence-Based Healthcare (Acronym: SPIDER)

Investor: European Union, Strategic Partnerships in the field of education, training and youth

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Cite

VRBOVÁ, Tereza; Jitka KLUGAROVÁ; Andrea POKORNÁ; Ladislav DUŠEK; Radim LÍČENÍK and Miloslav KLUGAR. Enhancing the evidence-based healthcare principles in clinical practice guidelines development in the Czech Republic: a best practice implementation project. JBI EVIDENCE IMPLEMENTATION. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2022, vol. 20, Supplement 1, p. "S67"-"S75", 9 pp. ISSN 2691-3321. Available from: https://dx.doi.org/10.1097/XEB.0000000000000337.

@article{2226195,
   author = {Vrbová, Tereza and Klugarová, Jitka and Pokorná, Andrea and Dušek, Ladislav and Líčeník, Radim and Klugar, Miloslav},
   article_location = {PHILADELPHIA},
   article_number = {Supplement 1},
   doi = {http://dx.doi.org/10.1097/XEB.0000000000000337},
   keywords = {clinical audit; clinical practice guidelines; Czech Republic; grading of recommendations; assessment; development and evaluation; implementation},
   language = {eng},
   issn = {2691-3321},
   journal = {JBI EVIDENCE IMPLEMENTATION},
   title = {Enhancing the evidence-based healthcare principles in clinical practice guidelines development in the Czech Republic: a best practice implementation project},
   url = {https://journals.lww.com/ijebh/Abstract/2022/08001/Enhancing_the_evidence_based_healthcare_principles.9.aspx},
   volume = {20},
   year = {2022}
}

TY  - JOUR
ID  - 2226195
AU  - Vrbová, Tereza - Klugarová, Jitka - Pokorná, Andrea - Dušek, Ladislav - Líčeník, Radim - Klugar, Miloslav
PY  - 2022
TI  - Enhancing the evidence-based healthcare principles in clinical practice guidelines development in the Czech Republic: a best practice implementation project
JF  - JBI EVIDENCE IMPLEMENTATION
VL  - 20
IS  - Supplement 1
SP  - "S67"-"S75"
EP  - "S67"-"S75"
PB  - LIPPINCOTT WILLIAMS & WILKINS
SN  - 26913321
KW  - clinical audit
KW  - clinical practice guidelines
KW  - Czech Republic
KW  - grading of recommendations
KW  - assessment
KW  - development and evaluation
KW  - implementation
UR  - https://journals.lww.com/ijebh/Abstract/2022/08001/Enhancing_the_evidence_based_healthcare_principles.9.aspx
N2  - Objectives: The main aim of this project was to enhance compliance with the best available evidence in clinical practice guidelines (CPGs) development based on evidence-based healthcare (EBHC) and GRADE (grading of recommendations, assessment, development and evaluation) principles in healthcare professionals and healthcare providers. Introduction: In various healthcare fields, the quality of care provided in different healthcare settings may vary. Guidelines following the EBHC principles should help make the right decisions in healthcare by providing the best healthcare option and be available for all patients. The perspectives of all engaged stakeholders should be respected, however. Within the Czech Republic, there had been no standardized process of CPG development. Methods: A baseline audit was conducted to demonstrate the status quo of the EBHC in the Czech Republic, which identified several barriers. Consequently, strategies (educational activities, methodological guidelines) to overcome the barriers were suggested and implemented. Two more audits followed (November 2017, November 2020). Results: The baseline audit results showed no or very low compliance to the best available evidence in CPG development. After the implementation, an increased compliance in all audit criteria (national methodology guidelines, trustworthy CPGs, experienced methodologists, clinical summaries) has been reported. The project has helped to establish procedures of CPGs development, enhanced knowledge and skills on EBHC in healthcare professionals, and ignited patients' involvement in CPG development. Conclusions: The implementation project showed an increasing number of national methodology guidelines, CPGs being developed using EBHC and GRADE principles and HC professionals educated in EBHC. A national center for CPGs development within the Ministry of Health is being planned to sustain the project achievements.
ER  -

VRBOVÁ, Tereza; Jitka KLUGAROVÁ; Andrea POKORNÁ; Ladislav DUŠEK; Radim LÍČENÍK and Miloslav KLUGAR. Enhancing the evidence-based healthcare principles in clinical practice guidelines development in the Czech Republic: a best practice implementation project. \textit{JBI EVIDENCE IMPLEMENTATION}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2022, vol.~20, Supplement 1, p.~''S67''-''S75'', 9 pp. ISSN~2691-3321. Available from: https://dx.doi.org/10.1097/XEB.0000000000000337.

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