Table 2 The processes for developing Choosing Wisely recommendations in Finland
Process A. Based on a published guideline | Process B. Integrated with guideline production or update | Process C. Independent recommendation | |
|---|---|---|---|
Step 1. Topic proposal | An editor reviews the guideline for possible recommendations | A proposal from a guideline development group member, discussed in the group | A proposal from a medical specialty society, other organization or individual |
Step 2. Recommendation draft with justification | The editor based on the guideline and evidence summaries | Group member based on literature search and critical appraisal | An editor based on literature search and critical appraisal |
Step 3. Review and revision | Revisions based on comments from the chair and relevant guideline development group members. Final approval by the Editor-in-Chief (documented). Informing the group and possible comments. | Comments from the group. External review (of the guideline draft). Possible revisions. Final approval by the Editor-in-Chief (documented). | Comments from 1 to 2 topic experts, possible revisions. External review (of the recommendation): e-questionnaire, quality criteria assessed with a Likert scale from 1 to 5. Possible revisions. Final approval by the Editor-in-Chief (documented). |
Step 4. Publishing | Incorporating the recommendations into the guideline. Technical editing and publishing. | Incorporating the recommendations into the guideline. Technical editing and publishing. | Technical editing and publishing. |