Development of a critical-appraisal tool for hospital clinical practice guideline in Cipto Mangunkusumo General Hospital, Indonesia




Poster session 3 Friday: Evidence Tools / Evidence synthesis - creation, publication and updating in the digital age


Friday 15 September 2017 - 12:30 to 14:00


All authors in correct order:

Harimurti K1, Saldi SRF1, Sulistyowati A1, Safitri ED1, Ranakusuma RW1, Pitoyo Y1, Wangge G1, Widyahening IS1, Kurniati N1, Soebadi A1, Nuryanto KH1, Setiati S1
1 Clinical Epidemiology and Evidence-Based Medicine (CEEBM) Unit, Dr. Cipto Mangunkusumo General Hospital - Faculty of Medicine Universitas Indonesia, Indonesia
Presenting author and contact person

Presenting author:

Siti Rizny Fitriana Saldi

Contact person:

Abstract text
Background: According to the Minister of Health’s decree concerning medical service standards, clinical practice guidelines (CPG) are one of the essential documents to guide healthcare service based on best-available scientific evidence. Throughout the years, a large number of hospital CPGs have been developed in Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. Nevertheless, the quality of the CPGs is yet to be assessed.

Objectives: To develop a critical- appraisal tool that address the government’s requirement for hospital CPG.

Methods: An initial review of the existing appraisal tools was conducted to select the questions to be included in the critical-appraisal tool. Subsequently, a Delphi panel was established to build a consensus for the appraisal tool.

Results: According to MoH’s decree concerning medical service standards, hospital CPGs should comply with 5 domains, i.e. validity, systematic, evidence-based, updated, and clearly written. An initial list of 22 questions, of each was coherent with at least one of the abovementioned domains, was identified through the review of existing appraisal tools. A Delphi panel consisting of methodological and clinical experts was developed and went through two rounds of the Delphi process to refine the initial lists of questions. A consensus of the Delphi panel decided the final hospital CPG appraisal tool consisting of 14 questions.

Conclusions: A critical-appraisal tool addressing 5 important domains for hospital CPG has been developed to ensure the quality of CPGs in Cipto Mangunkusumo General Hospital. The tool can also be used as a guide when initiating CPGs development in the hospital.