GLIA (Guideline Implementability Appraisal) Tool For Assessing Guidelines

Elements of the GLIA (Guideline Implementability Appraisal) tool for assessing guidelines:
  • Decidability: precisely under what circumstances to do something
  • Executability: exactly what to do under the defined circumstances
  • Effect on process of care: the degree of impact of the recommendation on the usual workforce
  • Presentation and formatting: the degree to which the recommendation is recognizable and succinct
  • Measureable outcomes: the degree to which the guidelines identify markers or end-points for tracking the effect of implementation of the recommendation
  • Validity: the degree to which the recommendation reflects the intent of the developer and the strength of the evidence
  • Novelty and innovation: the degree to which the recommendation proposes behaviour considered unconventional by clinicians or patients
  • Flexibility: the degree to which the recommendation permits interpretation and allows for alternatives in its execution
  • Computability: the ease with which the recommendation can be operationalized in an electronic information system (only relevant if electronic implementation is planned).
Shiffman RN, Dixon J, Brandt C, et al. Guideline Implementability Appraisal (GLIA) v1.0 [Internet]. New Haven (CT): Yale University; 2005. Available: http://nutmeg.med.yale.edu/glia (accessed 2009, November 3)
Brouwers et al (2009). Knowledge creation: synthesis, tools and products. CMAJ 2009. DOI:10.1503/cmaj.081230 (accessed 2009, November 3)

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