One of the steps in creating a clinical practice guideline is to

• A. Review evidence-based studies
• B. Identify what has always been done in the facility
• C. Discuss what is the easiest process to meet the goal
• D. Send out a survey about what is currently being practiced

Answer: (D)

Understanding how care is actually delivered in real-world practice is essential when developing a clinical practice guideline. You need a clear picture of current practices, variations, and barriers to change so the guideline can address real gaps and be feasible to implement. Sending out a survey about what is currently being practiced directly gathers that baseline information from clinicians and settings, revealing how care is commonly done, where it varies, and what obstacles stand in the way of aligning with evidence. This baseline informs the scope and specific recommendations the guideline will include.

Reviewing evidence-based studies is also important, but it complements rather than replaces this initial step, helping shape recommendations once the current practice landscape is known. Relying on what has always been done can perpetuate outdated or ineffective care, and choosing the easiest process ignores patient safety and quality considerations.