A QUALITY DRIVEN PROCESS FOR DEVELOPING SEPSIS PRACTICE GUIDELINE

Mirkaber Mosavianpour; Jean Paul Collet; Hamideh (Helen) Sarmast; Niranjan Kissoon

Volume : V, Issue : X, October - 2015

A QUALITY DRIVEN PROCESS FOR DEVELOPING SEPSIS PRACTICE GUIDELINE

Mirkaber Mosavianpour, Jean Paul Collet, Hamideh Helen Sarmast, Niranjan Kissoon

Abstract :

<p>&lt;p&gt;&amp;lt;p&amp;gt;&amp;amp;lt;p&amp;amp;gt;&amp;amp;amp;nbsp;The AGREE II instrument, initially developed for the appraisal of quality of practice guidelines, can also be used for the development of high quality guidelines or the improvement of existing guidelines. Using both the IHI improvement model and the AGREE II instrument, we adopted a systematic approach for improving British Columbia&amp;amp;amp;rsquo;s Children Hospital sepsis guideline through iterative rapid improvement cycles in the context of an action research project. Descriptive statistics were used for analysis. The overall quality showed a 1 to 4 score improvement in a 7 point scale. Six domains of AGREE II showed improvement between 2% in domain 4 (Clarity of Presentation) to 78% in domains 6 (Clarity of Presentation and Editorial Independence), respectively. We report the successful use of a systematic approach to improve quality scores of a sepsis guideline. This process may be helpful for other clinicians involved in the development or the improvement of guidelines.&amp;amp;lt;/p&amp;amp;gt;&amp;lt;/p&amp;gt;&lt;/p&gt;</p>