De novo approach | African Federation for Emergency Medicine alternative approach |
1. Organisation, budget, planning and training. | * |
2. Priority setting. | * |
3. Guideline group membership. | Include advisory board (clinical and methodological). |
4. Establish guideline group processes. | Include decision framework for using existing guidelines and recommendations. |
5. Identify target audience and topic selection. | * |
6. Consumer and stakeholder involvement. | * |
7. Conflicts of interest. | * |
8. Question generation. | Create broader questions that are transferable to key priority areas applicable and likely to be reported in guidelines. |
9. Considering importance of outcomes and interventions, values, preferences and utilities. | * |
10. Deciding what evidence to include and searching for evidence. | Clearly defining inclusion of high-quality, up-to-date guidelines and perform comprehensive searches including guideline clearinghouses, Google and traditional databases. |
11. Summarising evidence and considering additional information. | Mapping evidence and/or guidelines by priority areas and/or questions. |
12. Judging quality, strength or certainty of a body of evidence. | Using Appraisal of Guidelines for Research & Evaluation II appraisal for guidelines and ranking included guidelines by date, relevance and overall quality. |
13. Developing recommendations and determining their strength. | Adopting, adapting or contextualising guidelines. Extract recommendations relevant to priority areas and questions. Reviewing adopted, adapted or contextualised recommendations with advisory boards. |
14. Wording of recommendations and of considerations about implementation, feasibility and equity. | Reporting original working of recommendations, levels of evidence and/or strength in plain language. Considering implementation points and practice points for each recommendation that has been adopted or contextualised. |
15. Reporting and peer review. | * |
16. Dissemination and implementation. | * |
17. Evaluation and use. | * |
18. Updating. | * |
*Indicates processes that are the same or implicit in both pathways.