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News from Members

Cochrane Colloquium

The Cochrane Colloquium was held in Auckland, New Zealand from 30 September to 3 October. The Collaboration was celebrating its 20 year birthday and it was great for G-I-N to be represented. Prior to the Colloquium, Sue Huckson and Catherine Marshall ran a one day Guideline Implementation Training Class with a panel of guest speakers including the following G-I-N members: Jean Slutsky, Holger Schünemann, Rich Rosenfeld and Rosie Forster. A number of other G-I-N Board members were also at the Colloquium including Lubna Al-Ansary and Craig Robbins.

Catherine was invited by the Colloquium organisers to be an opening plenary speaker and she took the opportunity to share information on the newly released G-I-N Public Toolkit. A number of Cochrane people who have shared interests in both G-I-N and Cochrane were involved in the development of the toolkit. During the plenary about one-third of those attending indicated that they had been involved with G-I-N activities. For further information on the Colloquium and to listen to Catherine’s plenary, click here:


REMINDER - FREE online trial to BMJ Quality and Safety

We would like to remind those of you who have not yet accessed the free trial to BMJ Quality and Safety, that it is available to members of Guidelines International Network until 31 January 2013.

A note from BMJ about the journal:

This monthly international journal provides a rich mix of news, opinion, debate and research for academics, clinicians, healthcare managers and policy makers. It encourages innovation and creative thinking to improve the quality of health care the science of improvement.

Some of you may already be familiar with the journal, which was previously known as Quality and Safety in Healthcare. In 2011, the journal re-launched as BMJ Quality and Safety, and moved to monthly publication. A new editor, Kaveh Shojania (Director, University of Toronto Centre for Patient Safety, University of Toronto) was appointed and together we have been introducing a more dynamic journal, which is now led by a patient-focused editorial team with a view towards helping all team members improve their knowledge with the overall goal of improving patient care. BMJ Quality and Safety integrates the academic and clinical aspects of quality and safety in healthcare by encouraging academics to create evidence and knowledge valued by clinicians and clinicians to value using evidence and knowledge to improve quality.

The trial will end on the 31st January 2013. In order to access the trial please visit We value your input and invite you to send your feedback through a short survey that we will be conducting in early January. It will only take 5 minutes of your time, but will allow us to ensure that we create a journal useful to all aspects of your work.

Thank you from the BMJ team.

BMJ invites applications for the post of Section Editor – Guidelines – Education and Practice

Education and Practice (E&P) is an edition of Archives of Disease in Childhood (ADC) and is published six times per year (launched in 2004). It aims to assist paediatricians, at all levels in their training, in their ongoing professional development and is supported by the RCPCH but has international appeal.

Each edition contains a number of educational sections including:

  • Best practice
  • Problem solving in clinical practice
  • Pharmacy update
  • Guidelines review
  • Picket - Evidence-based medicine
  • Illuminations - radiology
  • Dermatophile - dermatology
  • Interpretations - rational use of tests

E & P is seeking a section editor for its Guidelines section who would be expected to:

  • take a wide-ranging view of the guideline literature
  • write articles and commission appropriate authors to write summaries of new and important guidance
  • help redesign and reformat the guidelines section as part of a re-launch of the section

The closing date for applications is 31st December 2012. Interviews will be held in London or Birmingham. It is envisaged that the incoming editor will start the role as soon as possible.

Further details of the post can be discussed with the Editor-in-Chief of Archives of Disease in Childhood, Dr Mark Beattie (email: and/or Dr Ian Wacogne, Deputy Editor, Education and Practice (email:

Applications including a CV should be addressed to Dr Mark Beattie, Editor-in-Chief, ADC, BMJ Publishing Group Ltd, BMA House, Tavistock Square, London WC1H 9JR or email Claire Langford, Journal Manager, ADC:



The Guideline Implementability Research and Application Network

The Guideline Implementability Research and Application Network (GIRAnet), with assistance from G-I-N, brings together guideline developers, implementers, and researchers to identify, develop, evaluate and share guideline implementability tools (GItools). This refers to information within or accompanying guidelines that helps users to accommodate, implement, and evaluate use of the recommendations. For more information visit:

We need your help!

Please help us to plan ongoing GIRAnet activities and research by completing the brief survey that was recently sent out by email. It can be found at: This may require 10 minutes. Responses will remain confidential and a summary of the findings will be shared in a future G-I-N newsletter.

Criteria and Methods for Developing GItools

Thank you to all G-I-N members that recently participated in our other survey requesting feedback on a GItool definition and identifying criteria by which to develop and assess their merits. Respondents suggested a number of required (tool objectives are stated, target users identified, development described, underpinning evidence cited) and ideal (quality of evidence described, development incorporated user input, pilot-testing with stakeholders, full-scale evaluation, mechanism to prospectively gather feedback for improvement and to monitor use and impact) GItool Assessment Criteria. Findings are available in a summary report. Based on this initial list of criteria, we will now undertake a more rigorous process to confirm and expand on those criteria.

GItool Directory

We are currently developing a searchable Internet directory of GItools. A survey of GIRAnet Interest Group members contributed to the development of a GItool record template. The findings are available in a summary report. We will populate this directory with tools identified thus far, call upon G-I-N members to evaluate this prototype, and develop a process for reviewing and approving GItools submitted to the directory. This may lead to a sustainable effort where international guideline developers, implementers and researchers contribute to, and draw from this shared resource.

Join the GIRAnet Interest Group

To remain informed about GIRAnet products or participate in our activities, consider joining the GIRAnet Interest Group. Please contact Muriah Umoquit.

For more information about GIRAnet please visit the GIRAnet webpage For specific enquiries please contact the GIRAnet lead: Anna Gagliardi, Associate Professor, University of Toronto and Affiliate Scientist, University Health Network, Toronto, Canada,

Submitting Organization: AGREE Enterprise Scientific Office (McMaster University, Hamilton, Ontario, Canada)
No. of Submissions for Consideration: 3
Submitted by: Julie Makarski, AGREE Program Manager (
Submitted on: November 20, 2012, via email to

AGREE Enterprise Website User Survey and a NEW feature, "Our AGREE"

Since its launch in September 2010, the AGREE Enterprise website has been widely used by the international community. As of September 2012, the site had received 8,384 visits to the training tools page, 2,959 practice guideline appraisals had been completed or were in progress by 1,508 users, and a total of 2,469 individuals were registered as users of the "My AGREE" platform. The AGREE Enterprise website is also the medium that supports the language translations of the AGREE II instrument, with a total of 7 translations completed and another 11 in progress.

We seek to continually improve and to respond to the needs of our users. We are presently refining our website with minor upgrades and the introduction of a new on-line platform for group practice guideline appraisals called "Our AGREE". "Our AGREE" will allow for the on-line appraisal of one guideline by multiple appraisers with the results of individual appraisers collated, calculated and available for export in various file formats.

As part of this project, we are surveying our registered users to seek feedback on their experience with the website overall and to seek their suggestions for an effective "Our AGREE" platform.

If you receive a request to complete our short survey, we hope you will take the time to offer your feedback and suggestions.
We sincerely thank you in advance.

Look for the new on-line group appraisal platform, "Our AGREE", in early 2013!

For more information, please contact Julie Makarski, AGREE Program Manager, at

Introducing a NEW Guideline Development Framework: REX-F [Recommendation EXcellence Framework]

As a guideline developer, are you interested in optimizing the uptake of your guideline into practice? Would you be interested in knowing what you can do during the development process to increase the likelihood of your guideline’s implementability?

An international collaboration has developed a new framework targeting practice guideline development that considers the end goal of guideline implementability during the development process. The "Recommendation EXcellence Framework" (REX-F) is an organized representation of attributes that are intrinsic to practice guidelines and that can have an impact on practice guideline implementability.

The REX-F is based on the results of a realist review conducted by the collaboration that sought to understand i) why/why not practice guidelines are implemented and ii) under what circumstances and “how” can the uptake of guidelines be facilitated. The realist review focused on attributes that are intrinsic to guidelines, that is, those attributes that are modifiable by the guideline developer.

The international REX-F project is co-lead by Dr. Melissa Brouwers (AGREE A3 project team) and Dr. Onil Bhattacharyya (Better Guidelines for Better Care project team).

In January 2013, the REX-F will be available for external review through an on-line survey of the practice guideline development community. If you receive a request to participate in this external review, we hope you accept our request and provide us your feedback.

For any questions or more information, please feel free to contact Julie Makarski, AGREE Program Manager,

Updating Practice Guidelines: Guidance and a Survey

The updating of practice guidelines is an important task as the currency of guidelines has implications for its relevance and validity of recommendations. However, updating practice guidelines is an undoubtedly challenging and resource-intensive task. A new international effort is emerging with the goal of providing a common resource for practice guideline updating. The goal is to draw on existing work and knowledge in the area of practice guideline updating and to provide guidance both for the guideline developers and for the users.

To guide this effort and to engage both communities from the outset of this initiative, an on-line survey will be launched in early 2013 to assess the need, preferences, and suggestions for such updating guidance. Please watch for a survey request in early 2013.

The initiative is being lead by Dr. Pablo Alonso Coello and Dr. Melissa Brouwers. For any questions, please contact Dr. Alonso Coello at

Page last updated: Dec 14, 2012
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