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Developing prehospital clinical practice guidelines for resource limited settings : why re-invent the wheel?

dc.contributor.authorMcCaul, Michaelen_ZA
dc.contributor.authorDe Waal, Benen_ZA
dc.contributor.authorHodkinson, Peteren_ZA
dc.contributor.authorPigoga, Jennifer L.en_ZA
dc.contributor.authorYoung, Tarynen_ZA
dc.contributor.authorWallis, Lee A.en_ZA
dc.date.accessioned2018-02-12T05:39:53Z
dc.date.available2018-02-12T05:39:53Z
dc.date.issued2018-02-05
dc.identifier.citationMcCaul, M., et al. 2018. Developing prehospital clinical practice guidelines for resource limited settings : why re-invent the wheel?. BMC Research Notes, 11:97, doi:10.1186/s13104-018-3210-3
dc.identifier.issn1756-0500 (online)
dc.identifier.otherdoi:10.1186/s13104-018-3210-3
dc.identifier.urihttp://hdl.handle.net/10019.1/103110
dc.descriptionCITATION: McCaul, M., et al. 2018. Developing prehospital clinical practice guidelines for resource limited settings : why re-invent the wheel?. BMC Research Notes, 11:97, doi:10.1186/s13104-018-3210-3.
dc.descriptionThe original publication is available at https://bmcresnotes.biomedcentral.com
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.
dc.description.abstractObjectives: Methods on developing new (de novo) clinical practice guidelines (CPGs) have received substantial attention. However, the volume of literature is not matched by research into alternative methods of CPG development using existing CPG documents—a specific issue for guideline development groups in low- and middle-income countries. We report on how we developed a context specific prehospital CPG using an alternative guideline development method. Difficulties experienced and lessons learnt in applying existing global guidelines’ recommendations to a national context are highlighted. Results: The project produced the first emergency care CPG for prehospital providers in Africa. It included > 270 CPGs and produced over 1000 recommendations for prehospital emergency care. We encountered various difficulties, including (1) applicability issues: few pre-hospital CPGs applicable to Africa, (2) evidence synthesis: heterogeneous levels of evidence classifications and (3) guideline quality. Learning points included (1) focusing on key CPGs and evidence mapping, (2) searching other resources for CPGs, (3) broad representation on CPG advisory boards and (4) transparency and knowledge translation. Re-inventing the wheel to produce CPGs is not always feasible. We hope this paper will encourage further projects to use existing CPGs in developing guidance to improve patient care in resource-limited settings.
dc.description.urihttps://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-018-3210-3
dc.format.extent5 pages
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Central
dc.subjectEmergency medicine
dc.titleDeveloping prehospital clinical practice guidelines for resource limited settings : why re-invent the wheel?en_ZA
dc.typeArticleen_ZA
dc.date.updated2018-02-11T04:36:14Z
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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