Rapid creation and dissemination of trustworthy recommendations at the point of care using a collaborative network approach

Professional organisations face major hurdles in developing, disseminating, and updating systematic reviews and guidelines. The rapid recommendations project was established to drastically reduce the time it takes to synthesize and disseminate critical practice-changing evidence in order to reach healthcare providers and patients.

Rapid recommendations is a collaborative process including all key stakeholders — healthcare providers, methodologists, and patients, in partnership with medical journals — to rapidly produce evidence summaries, trustworthy clinical practice recommendations, and decision aids. Such collaborative networks can do this work far more efficiently, representing a potentially disruptive innovation necessary to provide users with recommendations based on the best current evidence. The target is to have synopses and decision support tools available within 90 days of publication of potentially practice-changing evidence.

Rapid recommendations are published as user-friendly synopses in medical journals, and online (open-access) on MAGICapp, to facilitate dissemination and shared decision-making at the point of care.

The BMJ Rapid Recommendations

The BMJ Rapid Recommendations (RapidRecs) project is within the larger WikiRecs initiative. We have an exciting partnership with The BMJ, one of the world’s leading medical journals (figure 1). Four BMJ RapidRecs have been published, with several others being developed.

You can see all of our BMJ RapidRecs publications (practice guidelines, infographics, decision aids, linked systematic reviews) on the BMJ website.

Figure 1: Video introduction to The BMJ Rapid Recommendations.

The BMJ RapidRecs package of publications provide users with updated systematic reviews, the guideline and an infographic, and a link to MAGICapp for access to evidence summaries, recommendations, and consultation decision aids. Figure 2 shows the new publication format in The BMJ. New BMJ-RapidRecs will emerge, with continuous improvements in methods, processes and tools through affiliated streams of research.

Figure 2: BMJ RapidRecs on transcatheter or surgical aortic valve replacement for patients with aortic stenosis.