Clinical practice guidelines are one of the foundations of efforts to improve health care. In 1999, we authored a paper about methods to develop guidelines. Since it was published, the methods of guideline development have progressed both in terms of methods and necessary procedures and the context for guideline development has changed with the emergence of guideline clearing houses and large s...

Clinical guidelines developed at a national level are often difficult to use in specific-settings because of contextual factors. We have created a model for guideline representation that enables local adaptation of nationally developed guidelines. Guidelines are specified in a setting-independent manner and are then locally adapted by each practice. A guideline is represented hierarchically wit...

Distress is commonly experienced by people with cancer. The National Comprehensive Cancer Network (NCCN) developed a guideline for screening and managing distress in 1999 and has updated the guideline on an annual basis ever since. Using the five-phase framework for translational research, this article summarizes research findings related to the guideline and associated distress thermometer for...

Guidelines are collections of practical information that assist with clinical decision making. Evidence-based guideline development includes a critique of the quality and an evaluation of the strength of published evidence. Evolution From opinion-based to evidence-based guidelines is incomplete in many of the organizations that author them, so perioperative nurses must become skillful at critiq...