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Guideline Evaluation According to Agree II
Guideline In Question: WHO Guidelines on Hand Hygiene in Health Care. Geneva: WHO, 2009.
DOMAIN 1. SCOPE AND PURPOSE
The overall objective(s) of the guideline is (are) specifically described.
Strongly Disagree 12 3 4 5 6 7 Strongly Agree
Comments: Numerous sources and studies have demonstrated the importance of cleanliness of the hands, and that when hand hygiene is complete, patient outcomes are more positive and surgeries are safer. (Grol et al., 2003) (Sax et al., 2007) (O’Boyle, 2001)
2. The health question(s) covered by the guideline is (are) specifically described.
Strongly Disagree 2 3 4 5 6 7 Strongly Agree
Comments:
This guideline could be more specific in detailing all specific health questions this pertains to, though perhaps their lack of specificity was directly connected to the fact that hand hygiene impacts nearly every health condition.
3. The population (patients, public, etc.) to whom the guideline is meant to apply is specifically described.
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
Comments:
In this case, the population to whom this guideline is meant to apply is not specifically described, most likely because it applies to so many or nearly all populations.
DOMAIN 2. STAKEHOLDER INVOLVEMENT
4. The guideline development group includes individuals from all relevant professional groups. Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
Comments: There is clear mention that all participating members of the healthcare arena have a duty to participate in this guideline.
5. The views and preferences of the target population (patients, public,...
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
Comments: The implied target population in this case is largely everyone who receive professional healthcare in virtually any and every professional setting. Their goals aren’t explicitly stated as they are implied: they want to be healthy.
6. The target users of the guideline are clearly defined.
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
Comments: All clinicians have a duty to participate in the highest and most comprehensive level of thorough hang hygiene that they are capable of.
DOMAIN 3. RIGOUR OF DEVELOPMENT
7. Systematic methods were used to search for evidence.
Strongly Disagree 12 3 4 5 6 7 Strongly Agree
Comments: Even the most cursory perusal of the evidence demonstrates the most systematic methods for researching the support of hand washing (Grol et al., 2003) (Sax et al., 2007) (O’Boyle, 2001).
8. The criteria for selecting the evidence are clearly described.
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
Comments: The guideline makes a slight reference to the criteria for selecting evidence.
9. The strengths and limitations of the body of evidence are clearly described.
Strongly Disagree 1 2 3 4 5 6 7 Strongly Agree
Comments: There could have been more discussion regarding the strengths and limitations of the body of evidence.
10. The methods for formulating the recommendations are clearly described.
Strongly Disagree 12 3 4 5 6 7 Strongly Agree
Comments: The methods for formulating the recommendations based on the current evidence are described clearly and in detail.
11. The health…
References
Grol, R., & Grimshaw, J. (2003). From best evidence to best practice: effective implementation of change in patients' care. The lancet, 362(9391), 1225-1230.
O'boyle, C. A., Henly, S. J., & Larson, E. (2001). Understanding adherence to hand hygiene recommendations: the theory of planned behavior. American journal of infection control, 29(6), 352-360.
Pittet, D., Allegranzi, B., Boyce, J., & World Health Organization World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. (2009). The World Health Organization guidelines on hand hygiene in health care and their consensus recommendations. Infection Control & Hospital Epidemiology, 30(7), 611-622.
Sax, H., Allegranzi, B., Uckay, I., Larson, E., Boyce, J., & Pittet, D. (2007). ‘My five moments for hand hygiene’: a user-centred design approach to understand, train, monitor and report hand hygiene. Journal of Hospital Infection, 67(1), 9-21.
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