The GIN-McMaster guideline tool extension for the integration of quality improvement and quality assurance in guidelines: a description of the methods for its development

Thomas Piggott¹, Miranda W Langendam², Elena Parmelli³, Jan Adolfsson⁴, Elie A Akl⁵, David Armstrong⁶, Jeffrey Braithwaite⁷, Romina Brignardello-Petersen¹, Jan Brozek¹, Markus Follmann⁸, Ina Kopp⁹, Joerg J Meerpohl¹⁰, Luciana Neamtiu¹¹, Monika Nothacker⁹, Amir Qaseem¹², Paolo Giorgi Rossi¹³, Zuleika Saz-Parkinson¹¹, Philip J van der Wees¹⁴, Holger J Schünemann¹⁵

Affiliations

¹ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
² Department of Epidemiology, and Data Science, Amsterdam UMC, University of Amsterdam, Amsterdam of Public Health Research Instute, Amsterdam, The Netherlands.
³ European Commission, Joint Research Centre (JRC), Ispra, Italy. Electronic address: Elena.PARMELLI@ec.europa.eu.
⁴ Swedish Agency for Health Technology Assessment and Assessment of Social Services, Sweden & The Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
⁵ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; American University of Beirut, Beirut, Lebanon.
⁶ Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, Hamilton, McMaster University, Hamilton, Ontario, Canada.
⁷ Australian Institute of Health Innovation, Level 6, 75 Talavera Rd, Macquarie University, Sydney, Australia 2109.
⁸ German Cancer Society, Berlin, Germany.
⁹ Institute for Medical Knowledge Management, Association of the Scientific Medical Societies, (AWMF-IMWi), c/o Philipps-University, Marburg, Germany.
¹⁰ Institute for Evidence in Medicine, Medical Center and Faculty of Medicine, University of Freiburg, Freiburg, Germany; Cochrane Germany, Cochrane Germany Foundation, Freiburg, Germany.
¹¹ European Commission, Joint Research Centre (JRC), Ispra, Italy.
¹² American College of Physicians, Philadelphia, PA, USA.
¹³ Epidemiology Unit, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
¹⁴ Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare and Department of Rehabilitation, The Netherlands.
¹⁵ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, Hamilton, McMaster University, Hamilton, Ontario, Canada; Institute for Evidence in Medicine, Medical Center and Faculty of Medicine, University of Freiburg, Freiburg, Germany; Department of Biomedical Sciences Humanitas University Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milano, Italy. Electronic address: schuneh@mcmaster.ca.

PMID: 35436527
PMCID: PMC10109085
DOI: 10.1016/j.jclinepi.2022.04.002

The GIN-McMaster guideline tool extension for the integration of quality improvement and quality assurance in guidelines: a description of the methods for its development

Thomas Piggott et al. J Clin Epidemiol. 2023 Feb.

. 2023 Feb:154:197-203.

doi: 10.1016/j.jclinepi.2022.04.002. Epub 2022 Apr 15.

Authors

Affiliations

¹ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
² Department of Epidemiology, and Data Science, Amsterdam UMC, University of Amsterdam, Amsterdam of Public Health Research Instute, Amsterdam, The Netherlands.
³ European Commission, Joint Research Centre (JRC), Ispra, Italy. Electronic address: Elena.PARMELLI@ec.europa.eu.
⁴ Swedish Agency for Health Technology Assessment and Assessment of Social Services, Sweden & The Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
⁵ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; American University of Beirut, Beirut, Lebanon.
⁶ Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, Hamilton, McMaster University, Hamilton, Ontario, Canada.
⁷ Australian Institute of Health Innovation, Level 6, 75 Talavera Rd, Macquarie University, Sydney, Australia 2109.
⁸ German Cancer Society, Berlin, Germany.
⁹ Institute for Medical Knowledge Management, Association of the Scientific Medical Societies, (AWMF-IMWi), c/o Philipps-University, Marburg, Germany.
¹⁰ Institute for Evidence in Medicine, Medical Center and Faculty of Medicine, University of Freiburg, Freiburg, Germany; Cochrane Germany, Cochrane Germany Foundation, Freiburg, Germany.
¹¹ European Commission, Joint Research Centre (JRC), Ispra, Italy.
¹² American College of Physicians, Philadelphia, PA, USA.
¹³ Epidemiology Unit, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
¹⁴ Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare and Department of Rehabilitation, The Netherlands.
¹⁵ Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, Hamilton, McMaster University, Hamilton, Ontario, Canada; Institute for Evidence in Medicine, Medical Center and Faculty of Medicine, University of Freiburg, Freiburg, Germany; Department of Biomedical Sciences Humanitas University Via Rita Levi Montalcini 4, 20090 Pieve Emanuele, Milano, Italy. Electronic address: schuneh@mcmaster.ca.

PMID: 35436527
PMCID: PMC10109085
DOI: 10.1016/j.jclinepi.2022.04.002

Abstract

Background and objectives: Our objective was to develop an extension of the widely used GIN-McMaster Guideline Development Checklist and Tool for the integration of quality assurance and improvement (QAI) schemes with guideline development.

Methods: We used a mixed-methods approach incorporating evidence from a systematic review, an expert workshop and a survey of experts to iteratively create an extension of the checklist for QAI through three rounds of feedback. As a part of this process, we also refined criteria of a good guideline-based quality indicator.

Results: We developed a 40-item checklist extension addressing steps for the integration of QAI into guideline development across the existing 18 topics and created one new topic specific to QAI. The steps span from 'organization, budget, planning and training', to updating of QAI and guideline implementation.

Conclusion: The tool supports integration of QAI schemes with guideline development initiatives and it will be used in the forthcoming integrated European Commission Initiative on Colorectal Cancer. Future work should evaluate this extension and QAI items requiring additional support for guideline developers and links to QAI schemes.

Keywords: Checklist; GIN-McMaster Checklist; GRADE; Guidelines; Health decision-making; Performance monitoring; Quality assurance; Quality improvement.

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Figures

**Fig. 1**
Overview of methods for the development of the GIN-McMaster Guideline Tool Extension for the Integration of Quality Improvement and Quality Assurance in Guidelines.

See this image and copyright information in PMC

References

1. Nothacker M., Stokes T., Shaw B., Lindsay P., Sipilä R., Follmann M., et al. Reporting standards for guideline-based performance measures. Implement Sci. 2016;11:6. - PMC - PubMed
1. MacLean C.H., Kerr E.A., Qaseem A. Time out - charting a path for improving performance measurement. N Engl J Med. 2018;378:1757–1761. - PubMed
1. Nothacker M., Bolster M., Steudtner M., Arnold K., Deckert S., Becker M., et al. International experiences in the development and implementation of guideline-based quality indicators: a qualitative study. BMJ Open. 2021;11(1):e039770. - PMC - PubMed
1. Piggott T., Langendam M., Parmelli E., Adolfsson J., Akl E.A., Armstrong D., et al. Bringing two worlds closer together: a critical analysis of an integrated approach to guideline development and quality assurance schemes. BMC Health Serv Res. 2021;21:172. - PMC - PubMed
1. Langendam M.W., Piggott T., Nothacker M., Agarwal A., Armstrong D., Baldeh T., et al. Approaches of integrating the development of guidelines and quality indicators: a systematic review. BMC Health Serv Res. 2020;20:875. - PMC - PubMed

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The GIN-McMaster guideline tool extension for the integration of quality improvement and quality assurance in guidelines: a description of the methods for its development

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The GIN-McMaster guideline tool extension for the integration of quality improvement and quality assurance in guidelines: a description of the methods for its development

Authors

Affiliations

Abstract

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References

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Full Text Sources

Research Materials