Detailed Analysis of Emergency Surgery Guideline Report Findings

This report provides a comprehensive analysis of an Emergency Surgery Guideline, evaluating its scope, objectives, and the health questions it addresses. The analysis assesses stakeholder involvement, including the views of patients and professional groups. It examines the rigor of the guideline's development, focusing on the methods used to search for evidence, the criteria for selecting evidence, and the methods for formulating recommendations. The report also scrutinizes the clarity of presentation, the specificity of recommendations, and the identification of different management options. Furthermore, it considers the applicability of the guideline, including facilitators and barriers to its implementation. The analysis provides scores and comments for each domain, offering a detailed evaluation of the guideline's strengths and weaknesses. The guideline's key recommendations are easily identifiable and the report highlights the explicit links between the recommendations and supporting evidence, as well as the external review process. The document also addresses the consideration of health benefits, side effects, and risks in formulating recommendations and the availability of procedures for updating the guideline.

Title: Emergency Surgery Guideline
Domain 1: SCOPE AND PURPOSE
1. The overall objective(s) of the guideline is (are) specifically described.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given and from the page
no. 10 is taken. The key objective associated with Emergency Surgery Guidelines is
to effectively provide the key principles which has been applied to the emergency
surgery reform and also specifying the significant steps which are required for the
redesign. Another objective of the study is to examine the key relevant benefits
related with the redesign of emergency surgery to improve the outcomes of patient
and also provide standardised degree of patient management.
Domain 1: SCOPE AND PURPOSE
2. The health question(s) covered by the guideline is (are) specifically described.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given and from the
page no. 2 is taken. Question 1: What are key relevant benefits related with
the redesign of emergency surgery to improve the outcomes of patient?
Question 2: What are the key principles related with redesign of emergency
surgery?
Question 3: What are the key relevant principles associated with redesign of inter-
hospital patient transfer?
The health questions helps in covering out the guidelines and has been described
specifically.
Domain 1: SCOPE AND PURPOSE
3. The population (patients, public, etc.) to whom the guideline is meant to apply
is specifically described.
1
Strongl
2 3 4 5 6 7
Strongly

y
Disagre
e
Agree
COMMENTS: From the scale of 1 to 7, the score 6 will be given and reference from
page no. 4 is taken. Emergency surgery is referred to as a major constituent of the
provision related with surgical services for the specific population of the New South Wales.
Emergency surgery is considered to be way more complex and also surgically challenging
when compared with elective surgery. This study tends to significantly focus on effectively
applying the guidelines to the public hospital, new south wales ambulance services and
area health services or the chief executive governed statutory health corporation and they
have been described on an effective basis.
Domain 2: STAKEHOLDER INVOLVEMENT
4. The guideline development group includes individuals from all relevant
professional groups.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree

COMMENTS: From the scale of 1 to 7, the score 5 will be given and reference from
page no. 1 is taken. The guideline development group comprises of individuals from
all set of relevant professional groups like patient and clinical service group like
governance, surgical and service delivery. It effectively applies to area health
service, public hospitals and new south wales ambulance service. This helps in
better understanding of the subject matter.
Domain 2: STAKEHOLDER INVOLVEMENT
5. The views and preferences of the target population (patients, public, etc.)
have been sought.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 4 will be given and reference from
page no. 10 is taken. The stakeholder involvement like AHS, local community,
patients, GPs and the ambulance service and hospital staff have their preferences and
views effectively sought in order to prominently deal with the specific range of surgical
presentations.
Domain 2: STAKEHOLDER INVOLVEMENT
6. The target users of the guideline are clearly defined.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given and reference from
page no. 10 is taken. Strongly agree, the target users associated with the
guidelines has been clearly defined. All the target users has their roles effectively
defined and complying with the key relevant principles. They effectively comply with
the key relevant principles and guidelines within the emergency surgery.
Domain 3: RIGOUR OF DEVELOPMENT
7. Systematic methods were used to search for evidence.
1
Strongl
y
Disagre
2 3 4 5 6 7
Strongly
Agree

e
COMMENTS: From the scale of 1 to 7, the score 7 will be given. The systematic
method is considered to be as a prominent method associated with the search
process within a pre- planned and a structured manner. It is useful in gathering
information from the wide range of sources and further helps in summarizing,
synthesizing and effectively addressing the research questions.
Domain 3: RIGOUR OF DEVELOPMENT
8. The criteria for selecting the evidence are clearly described.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 6 will be given and reference from
page no. 34 is taken. The criteria for effectively selecting the evidence has been
described by targeting the audience of the New South Wales. This is an appropriate
clinical decision making framework which is useful in encouraging the clinicians to
effectively integrate with the information with the help of clinical expertise. The
severity level as well as the development level like age, gender, grade and
experience has been taken into consideration.

Domain 3: RIGOUR OF DEVELOPMENT
9. The strengths and limitations of the body of evidence are clearly described.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 5 will be given and reference from
page no. 29 is taken. The strength associated with the body of evidence is that it
tends to effectively reflect the true information and all the data has been kept highly
confidential. The limitation of the study design is associated with the inconsistent
result and indirectness of the body of evidence. Within the specific study, the
researcher has effectively and clearly described the strengths and limitations
associated with the body of evidence.
Domain 3: RIGOUR OF DEVELOPMENT
10. The methods for formulating the recommendations are clearly described.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given and reference from
page no. 5 is taken. Strongly agree, that the effective method for the formulation of
recommendation has been used to provide best possible results and gain effective
recommendation. The data has been analysed and attain appropriate set of results
by examining the records and registers.
Domain 3: RIGOUR OF DEVELOPMENT
11. The health benefits, side effects, and risks have been
considered in formulating the recommendations.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 6 will be given and reference from
page no. 22, 29 and 33 is taken. The various set of health benefits, risks and side

effects has been considered at the time of formulation of the recommendation
section. This helps in gaining critical set of information associated with the
emergency surgery guidelines. This way it leads to formulate better health
outcomes and leads to greater efficiency and outcomes.
Domain 3: RIGOUR OF DEVELOPMENT
12. There is an explicit link between the recommendations and the
supporting evidence.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given. The reference
from page no. 28 is taken and analyse there is a high degree of explicit level of link
between the key supporting evidence and the recommendation given to the
targeted population. This helps in better attainment of the key goals and objectives
associated with the study.

Domain 3: RIGOUR OF DEVELOPMENT
13. The guideline has been externally reviewed by experts prior to its
publication.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given because the
guideline associated with the emergency surgery has been critically reviewed by
the key professional experts in order to attain the best possible results and ensure
the key attainment of the goals and objectives.
Domain 3: RIGOUR OF DEVELOPMENT
14. A procedure for updating the guideline is provided.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given. The reference
from page no. 32 is taken. The key procedures associated with the specific
speciality has been provided. Non- surgical procedures, handover procedures,
emergency procedures, surgical procedures and Gynaecology procedures are of key
relevance importance. This helps in better attainment of the key goals and
objectives associated with the study.
Domain 4: CLARITY OF PRESENTATION
15. The recommendations are specific and unambiguous.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given. There is a
complete specific degree of clarity while writing presentation. The recommendation
section are unambiguous and are also very specific. The details to the specification
has been given and valid data has been extracted. The recommendation section of
the study is very clear and precise. There is no unambiguous sentence or evidence
which hampers the quality of the study. It is useful in gaining valid conclusive

results and attain best answers to the questions and attain objectives of the study.
The data collected is well presented and helps in effectively synthesizing the key
relevant information to attain better outcomes related with the subject matter.
Domain 4: CLARITY OF PRESENTATION
16. The different options for management of the condition or health issue are
clearly presented.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 4 will be given because varied set
of options has been effectively presented within the guideline. There are various
degree of health issues which can be effectively presented. The significant level of
benefits related with the management has been realized at the high rate of
emergency which helps in managing the health issue of the patient. Moreover, little
degree of attention has been concentrated on the resource and the management
requirement associated with the emergency surgery. Appropriate degree of the
service management related with the reduction within after hour process of surgery,
improved utilization of the emergency theatres, reduction in the cancellation of
surgery, reduction within the length of stay and reduction in the delay of ED.
Domain 4: CLARITY OF PRESENTATION

17. Key recommendations are easily identifiable.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given. The reference
from page no. 5 is taken. The recommendation for the body of evidence has been
effectively identified. The data has been bifurcated on an effective basis which
helps in improving the health outcomes. This study is considered to be useful in
providing the best possible recommendation for the better improvement and leads
to greater efficiency. The data has been properly structured and helps in finding the
relevant set of data. This helps in better attainment of the key goals and objectives
associated with the study.
Domain 5: APPLICABILITY
18. The guideline describes facilitators and barriers to its application.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 5 will be given. The reference
from page no. 8, 19, 37 and 38 is taken. The key guidelines linked with the barriers
and the facilitators has been effectively taken into consideration. The guidelines are
considered to be significant in evaluating the barriers and helps in improving the
results and outcomes associated with the study. There seems to be likely barriers and
facilitators associated with the implementation, strategies in order to improve the uptake,
and lead to resource implications in order to apply towards guideline.
Domain 5: APPLICABILITY
19. The guideline provides advice and/or tools on
how the recommendations can be put into practice.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 5 will be given. The guideline
does not tend to provide any specific set of tool according to which the

recommendation can be effectively put into practice. The national institute of the
care and health excellence and the public health agency both provides effective
degree of tools upon which the recommendation can be significantly put within the
practice. This helps in better attainment of the key goals and objectives associated
with the study.
Domain 5: APPLICABILITY
20. The potential resource implications of applying the recommendations
have been considered.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given. The reference
from page no. 3, 6 and 10 is taken. There seems to be potential degree of
implications to effectively apply the appropriate degree of recommendation has
been considered significantly. Recommendations associated with the research
study is useful because it indicates various specific measures associated with the
study.
Domain 5: APPLICABILITY

21. The guideline presents monitoring and/or auditing criteria.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given. The reference
from page no. 14, 15 and 23 is taken. The guidance associated with the study in
turn tends to mainly focus on effectively monitoring the safety and quality measures
associated with the emergency surgery. This helps in better attainment of the key
goals and objectives associated with the study. Proper procedure for carrying out
the emergency surgery has been effectively planned, monitored and supported.
Domain 6: EDITORIAL INDEPENDENCE
22. The views of the funding body have not influenced the content of the
guideline.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 6 will be given. The reference
from page no. 4 is taken. The views associated with the funding body in turn has
not been effectively influenced by the content related with the emergency surgery
guidelines. The content is highly authentic and completely reliable. The content of
the guideline has effectively led to the greater positive aspect. This helps in better
attainment of the key goals and objectives associated with the study. The data has
not been significantly manipulated by any other measure and leads to better
attainment of the quality results. The data collected is not biased and helps in
improving the overall quality assessment related with the guideline.
Domain 6: EDITORIAL INDEPENDENCE
23. Competing interests of guideline development group members
have been recorded and addressed.
1
Strongl
y
Disagre
e
2 3 4 5 6 7
Strongly
Agree
COMMENTS: From the scale of 1 to 7, the score 7 will be given. The reference
from page no. 5 is taken. The key competing interest related with the development

of the group members has been effectively addressed and completely analysed.
This helps in better attainment of the key goals and objectives associated with the
study. The consultants has been directly assessing the technical competence related with
the registrars and reporting of these observations to subject training meetings of the
colleagues. However, surgeons who tends to retain and effectively develop the core
competency within the emergency surgery must be effectively rewarded and recognised
within the health system. Competing interests of guideline development group members
have been recorded and addressed.
OVERALL GUIDELINE ASSESSMENT
1. Rate the overall quality of this guideline.
1
Lowest
possible
quality
2 3 4 5 6 7
Highest
possible
quality
2. I would recommend this guideline for use (highlight your choice).
Yes
Yes, with modifications

No
NOTES:
 The key objective associated with Emergency Surgery Guidelines is to
effectively provide the key principles which has been applied to the
emergency surgery reform and also specifying the significant steps which are
required for the redesign.
 The content of the guideline has effectively led to the greater positive aspect.
 The national institute of the care and health excellence and the public health
agency both provides effective degree of tools upon which the
recommendation can be significantly put within the practice.
 The resources has been effectively utilized for the improved availability of the
HDU and ICU and it also leads to improved use of pathology and radiology
investigation associated with the health issue.
 The strength associated with the body of evidence is that it tends to effectively
reflect the true information and all the data has been kept highly confidential.