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Evidence-Based Clinical Practice

Guidelines Adaptation

Presented ByDr. Yasser Sami Amer, MBBCh, MS

MS Pediatrics, MS Healthcare InformaticsMember, G-I-N Adaptation WG steering group

In Alexandria University Hospitals in Alexandria,

Egypt

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First Postgraduate Master thesis in [Clinical Practice Guidelines Adaptation] in Alexandria University Faculty of Medicine, Egypt

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Alexandria University HospitalsHealthcare Quality Directorate

Center for Evidence-Based Clinical Practice Guidelines

(AUH – HCQD, CEBCPGs)(Founded Nov. 2008)

http://www.med.alexu.edu.eg/cebcpgs/ Member of Guidelines International Network

(G-I-N)(2009-2012)

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2005 • It all started with a• VISION…….. a DREAM !

2007 • Then a Thesis

2008 • Then a Foundation………• A Reality ! ………..CEBCPGs

History of the Center

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IS THE SECOND MEMBER OF G-I-N FROM THE MIDDLE EAST, ARAB & AFRICAN COUNTRIES;

AFTER SUDAN EVIDENCE-BASED ASSOCIATION (SEA) SINCE 2009.

(ACCORDING TO G-I-N ANNUAL REPORT 2009)

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Founding Members 2008• Prof. Dr. Mahmoud Elzalabany• Prof. Dr. Tarek Omar• Prof. Dr. Nabil Dowidar• Prof. Dr. Afaf Ibrahim• Dr. Yasser S. Amer• Dr. Hossam Ashour• Eng. Ahmed Mourady

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First Workshop in Egypt: Adaptation of CPGs2009 (AFM-GIN-ADAPTE)

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*12 M.Sc. Theses plus 1 Ph.D. thesis to produce 13 Adapted EBCPGs

4 Finalized Adapted CPGs by CEBCPGs, HCQD-AUHs through MSc Theses (till 3/2012) in PEDIATRICS DEPT.:1- Treatment of Acute Childhood Asthma in ER - AUCH: Dr. Yasser Sami Amer (Finalized, Approved , Disseminated & Implemented).2- Treatment of Positioning & Attachment Breast Feeding Problems in BFCC - AUCH: Dr. Georgina Ramsis (Finalized & Approved).3- Triage and Acuity Scale in A & E Dept., AMUH: Dr. Mary Christeen Nabiel Sharobeem (Finalized, Approved & Disseminated ) – the only thesis outside the Pediatrics Dept.4- Treatment of HIE in Neonates in NICU: Dr. Walid Gamal AbdelKhaliq (Finalized & Approved).5- Treatment of ADHD in children in AUCH: Dr. Mariana Iskander Amin (Finalized & Approved).6-Management of Acute Bacterial Meningitis in AUCH: Dr Mariam Adly (Finalized & Approved).7- Treatment of Community Acquired Pneumonia in AUCH: Dr. Zobaida Altamezwi (Finalized & Approved).8- Diagnosis of acute attack of seizures in AUCH: Dr. Soheir Farouk AbdelSalam (Finalized & Approved).9- Treatment of Chronic Asthma in AUCH: Dr. Reem Galal Ghazal (Finalized & Approved).9 Adapted CPGs in progress by Pediatrics Dept. & CEBCPGs, HCQD-AUHs through MSc/PhD Theses (till 8/2012):1. Treatment of acute attack of seizures in AUCH : Dr. Islam Yousry A.Moneium (Set Up

Phase).2. Management of Epilepsy in children in AUCH: Dr. Shimaa Anwar (Adaptation Phase)3. Treatment of Childhood Autism in AUCH: Dr. Farioz Ibrahim (Finalization Phase).4. Treatment of Allergic Rhinitis in AUCH: Dr. Shahinaz (Set Up Phase).

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“The Adapted ADAPTE Process for CPGs Adaptation”

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3 New Tools3 Modified Tools

For the Guideline Adaptation: A Resource Toolkit Version 2.0

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http://qualitysafety.bmj.com/content/22/Suppl_1/43.1.abstract?sid=302fcfca-c444-4bd3-a295-c75c811b7d49 (last cited 7/6/2014 in BMJ Quality & Safety)

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For further details

Reference

Amer YS, Elzalabany MM, Omar TI, Ibrahim AG and Dowidar NL. The ‘Adapted ADAPTE’: an approach to improve utilization of the ADAPTE guideline adaptation resource toolkit in the Alexandria Center for Evidence-Based Clinical Practice Guidelines. J Eval Clin Pract 2015, 21: 1095-1106. doi:10.1111/jep.12479

Linkhttp://onlinelibrary.wiley.com/doi/10.1111/jep.12479/abstract