AGREE II: lo strumento di
valutazione delle Linee Guida
15 gennaio 2018 Michela Cinquini
IRCCS Istituto di Ricerche Farmacologiche Mario Negri
In Italia
• Law number 24/6 -8 march 2017 (Gelli)
• cornerstone between patients safety and personal responsibility
• «.. If the event happened because of incompetence/lack of skills (imperizia) the subject is NONPUNISHABLE if “approved” GL were respected.
• Guilty verdict remains for negligence or imprudence derived damages
What ”Approved” means?
• The ISS (Istituto Superiore di Sanità) should drive the process to produce or collect “high quality guidelines”
• In this scenario Medical Associations have responsibility
• GL produced by Medical Association will evaluated with tools as AGREE II
• GRADE will be appreciated
AIOM
• 37 Groups
• Multidisciplinary Panels
• More than 500 clinicians involved in panels
• Oncologist, surgeon, radiotherapist, radiologist, consumer etc.
• Hundreds of recommendations
• Not all recommendation developed by GRADE but we are moving in this direction
