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The American Association for Respiratory Care (AARC) has published clinical practice guidelines (CPGs) crafted by respiratory therapists and our physicians and nursing colleagues in Respiratory Care since 1991. Several editorials have documented the evolution of the AARC CPGs from expert opinion (1991) to referenced-based guidelines (2013); to a university evidenced-based practice center creating CPGs for the AARC (2014); and to 2021 using the patient, intervention, comparison, and outcome (PICO) format.1-4 The respiratory care profession owes great gratitude and appreciation to those who have worked to publish CPGs since 1991. But as history shows, clinical practice continues to change, as does the methodology and our understanding of guideline development.
In 2021, I began my journey to direct the CPG development process for the AARC. My one-day orientation was at the AARC executive office. Throughout the day, Dean Hess filled my mind with terms such as methods; evidence; tools; INGUIDE; data extraction; Grading of Recommendations Assessment, Development, and Evaluation (GRADE); bias; and more. Reflecting on that October …
Correspondence: Lynda T Goodfellow. E-mail: Lynda.Goodfellow{at}aarc.org
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