Recognizing the critical importance of transparently developed and clearly stated guideline recommendations for effective implementation, GLIDES worked with guideline developers to provide tools and guidance to improve guideline development and reporting processes. GLIDES partners designed, implemented and are piloting processes and tools intended to make guidelines clearer and more implementable.
Specifically, these tools include the automated guideline-authoring tool – BridgeWiz – and the Guideline Implementability Appraisal tool (GLIA). Regardless of the infrastructure chosen by guideline implementers to design and deliver CDS, these tools for guideline developers can enhance the “implementability” of medical guidelines and policy statements.
Tools and Methods to Improve the Logic and Structure of Clinical Guidelines
Generate Structured Recommendations
The objective of BridgeWiz is to formalize a process for writing implementable recommendations, based on a controlled natural language, and incorporating decidability and executability checks and other productivity features.
Appraise Quality and Implementability
The objective of GLIA is to provide a tool for the appraisal of the implementability of clinical guidelines. Implementability refers to a set of guideline characteristics that predict potential challenges to effective implementation. In addition to a series of questions that inquire about global aspects of a guideline's implementability, the instrument explores the following dimensions of individual recommendations: Executability; Decidability; Validity; Flexibility; Effect On Process Of Care; Measurability; Novelty/Innovation; Computability.