An Evidence-Based Clinical Practice Guideline Adaptation Process on Surgical Site Infection Prevention

Author(s):
ERGIE INOCIAN, KING KHALID UNIVERSITY HOSPITAL, RIYADH, KSA ; MOHAMMED ATALLAH, KING KHALID UNIVERSITY HOSPITAL, RIYADH, KSA ; YASSER SAMI, KING KHALID UNIVERSITY HOSPITAL, RIYADH, KSA

Background:

The issue of “Surgical Site Infection Prevention” is one of the high priority health topics for CPGs production in the Nursing Department due to the following reasons: Prevalence of the condition in KKUH; The burden associated with SSI Concerns about practice variation; The likelihood that the CPG will be effective in influencing practice; The potential for improving quality of care and/or patient outcomes and The existence of relevant good-quality evidence-based CPGs in the international context. Since, a rigorous development process of clinical practice guidelines is costly and time consuming, the hospital has prompted to rely on adaptation of guidelines developed internationally by experts.

Hypothesis:

none

Methods:

The description of the methodology for the production Clinical Practice Guideline (CPG) in the hospital utilized the sequential process for trans-contextual adaptation of CPGs proposed by the ADAPTE Working group of the Guidelines International Network (G-I-N). The ADAPTE Manual and Resource Toolkit Version 2.0 was used as guide in the adaptation process.

Results:

The panel retrieved 27 source CPGs; 24 CPGs were excluded based on the identified PIPOH and selection criteria and 3 were considered for further assessment. The National Guidelines Clearinghouse (NGC) “Compare Guidelines” tool was used to compare the 3 selected CPGs. The Appraisal of Guidelines Research & Evaluation II (AGREE II) Instrument was used to assess the quality of the CPG.   The Overall Assessment and decision of the panel was to adapt the Clinical Practice Guideline from The National Collaborating Centre for Women’s and Children’s Health Surgical site infection: prevention and treatment of surgical site infection. London (UK): National Institute for Health and Clinical Excellence (NICE); (2008 Oct. reaffirmed 2011).

Conclusions:

Surgical Site Infection prevention is a high priority health topic for CPG development, adaptation and implementation both locally and internationally. The ADAPTE process for CPG adaptation (version 1.0 and 2.0) is an excellent scientific and rigorous process for clinical performance improvement which can be further adapted according to the local context.