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    Updating clinical guidelines

    This could result in wasted resources, however, if a full update is undertaken prematurely in a slowly evolving field, or in guidelines in a rapidly evolving field becoming out of date before the scheduled review.

    Some guidelines state that they should be updated when new information becomes available.

    This guide is targeted at those working in health care quality and safety and responsible for either commissioning, researching or delivering health care.

    It is presented in a way that can be updated as the field expands.

    New evidence may identify as important outcomes that were previously unappreciated or wholly unrecognised.

    Quality of life, for example, an end point often not considered in earlier research and guidelines, is receiving increasing …

    Of those 62, 19 (31%) were categorized as urgent, 16 (26%) as high, and others as medium or low priority.

    In 2012, 88 total documents were assessed; 15 (17%) were archived, 32 (36%) deferred, 3 (3%) were considered special cases, and 38 (43%) were prioritized for review.

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    In 2011, 109 documents were assessed; 22 (20%) were archived, 1 (1%) was deferred for assessment in 2012, 24 (22%) were considered special cases and 62 (57%) needed a new systematic review of the evidence.The objective of our review is to systematically identify, describe and assess strategies for monitoring and updating CPGs.We conducted a systematic review of studies evaluating one or more methods of updating (with or without monitoring) CPGs or recommendations.Extensive research has been undertaken over the last 30 years on the methods underpinning clinical practice guidelines (CPGs), including their development, updating, reporting, tailoring for specific purposes, implementation and evaluation.This has resulted in an increasing number of terms, tools and acronyms.

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