Title
Evaluation Of Guideline Quality Using Gem-Q
Abstract
A variety of rating instruments that evaluate the quality of practice guidelines have been published. Application of these instruments can be difficult and time-consuming.In a literature review, we identified two evaluation instruments that are comprehensive, have clearly defined constructs, and have undergone validation/testing-the Guidelines Quality Assessment Questionnaire (GQAQ) and the Appraisal Instrument for Clinical Guidelines (AICG). Overall, the AICG is more comprehensive. The AICG addresses the implementability of a guideline, which is not evaluated by the GQAQ. However, the GQAQ is more amenable to computerization.GEM-Q is a Guideline Elements Model (GEM)-derived application intended to facilitate automated evaluation of guideline quality using one of the published instruments. To develop GEM-Q, various items in the GQAQ were mapped to corresponding elements in the GEM hierarchy and a customized XSL stylesheet was designed based on this mapping. GEM-Q selectively extracts text components of the guideline relevant to quality evaluation and displays the results in HTML format. GEM-Q was applied to a set of six guidelines to test its reliability. It ranked two guidelines as of "good" quality, two as "intermediate", and two as "poor". In all six instances, GEM-Q ranked guidelines in the same order of quality as the experts who validated the GQAQ,This work demonstrates the feasibility of developing an application to facilitate automated guideline quality evaluation.
Year
Venue
Keywords
2001
MEDINFO 2001: PROCEEDINGS OF THE 10TH WORLD CONGRESS ON MEDICAL INFORMATICS, PTS 1 AND 2
practice guideline, evaluation, rating instrument, quality control
Field
DocType
Volume
Ranking,Family medicine,Knowledge management,XSL,Style sheet,Hierarchy,Guideline,Medicine,Process management
Conference
84
Issue
ISSN
Citations 
Pt 2
0926-9630
3
PageRank 
References 
Authors
0.78
1
3
Name
Order
Citations
PageRank
Abha Agrawal1385.11
Richard N. Shiffman212426.09
MCIS330.78