How to Write a Guideline from Start to Finish

1st Edition

A Handbook for Healthcare Professionals


  • Print ISBN 9780443100352

Key Features

  • An all-in-one handbook on the development and implementation of clinical guidelines
  • Step-by-step approach
  • Includes lots of examples and references to websites and other useful information
  • Covers the following key topics:
    • An explanation behind the different methodology used with regard to guidelines.
    • How to get started, including assembling a guideline development group.
    • Forming clinical questions and searching for evidence in the literature.
    • Grading the evidence, including explanations of the different systems available.
    • Forming recommendations.
    • Consensus processes.
    • Implementation and dissemination including the use of algorithms, integrated care pathways and audit tools.
    • Appraisal tools.
    • Economic considerations in guideline development.
    • Legal issues.

Table of Contents

Chapter 1. Introduction, M. Atkinson

Chapter 2. Developing a National Guideline, T. Stephenson

Chapter 3. Developing Local Guidelines, M. Atkinson

Chapter 4. Getting started – or Working Back to Front, R. Bowker

Chapter 5. Forming Clinical Questions, R. Bowker

Chapter 6. Searching for Evidence, R.Bowker

Chapter 7. Critical Appraisal and Building Evidence Tables, R. Bowker

Chapter 8. Consensus Processes, K. Armon

Chapter 9. The Delphi Consensus Process, K. Armon

Chapter 10. Health Economics, H.-R. Douglas

Chapter 11. Making Recommendations, M. Lakhanpaul

Chapter 12. The Audit Package, R. MacFaul

Chapter 13. Appraisal, R. Bowker

Chapter 14. Dissemination and Implementation - or Getting the Message Across, M. Lakhanpaul

Chapter 15. Legal Issues, R. Bowker

Appendix 1: The AGREE Appraisal Instrument

Appendix 2: Care Pathways



No. of pages:
© 2008
Churchill Livingstone
Print ISBN:

About the authors

Richard Bowker

Affiliations and Expertise

Paediatric Specialist Registrar, Nottingham University Hospital NHS Trust, UK

Monica Lakhanpaul

Affiliations and Expertise

Senior Lecturer in Child Health, University of Leicester, and Consultant Paediatrician, Leicester Specialist Community Children Services, UK

Maria Atkinson

Affiliations and Expertise

Clinical Research Fellow, Academic Divsion of Child Health, Queens Medical Centre, Nottingham, UK

Kate Armon

Affiliations and Expertise

Consultant Paediatrician, Norfolk and Norwich Hospital, Norwich, UK

Roderick MacFaul

Affiliations and Expertise

Consultant Paediatrician, Pinderfields General Hospital, Wakefield, UK

Terence Stephenson

Affiliations and Expertise

Professor of Child Health; Dean, Faculty of Medicine & Health Sciences, Medical School, University of Nottingham, Nottingham, UK