title: Reflecting on use of the GRADE process for development of the 2013 PAD Guidelines.
abstract: This article evaluates the methodology used to develop the updated American College of Critical Care Medicine/Society of Critical Care Medicine Pain Agitation and Delirium (PAD) Guidelines in terms of (1) evaluating the role of a medical librarian in the guidelines development process; (2) summarizing the impressions of the guideline task force members on the use of Grades of Recommendation, Assessment, Development, and Evaluation and anonymous voting to develop guideline questions, statements, and recommendations; and (3) analyzing the impact of this approach to developing clinical practice guidelines on interrater reliability in evaluating evidence, statements, and recommendations.
authors.affiliation: Research Integration and Management, Scripps Clinical Research Center, Scripps Health, La Jolla, California 92037, USA. Judy.davidsondnp@gmail.com
authors.forename: Judy E
authors.initials: JE
authors.lastname: Davidson
authors.forename: Avery
authors.initials: A
authors.lastname: Tung
authors.forename: Charles P
authors.initials: CP
authors.lastname: Kishman
authors.forename: Juliana
authors.initials: J
authors.lastname: Barr
mesh_terms: D003422:Critical Care / Q000379:methods; D003693:Delirium / Q000209:etiology / Q000628:therapy*; D019317:Evidence-Based Medicine; D006801:Humans; D007362:Intensive Care Units; D016245:Librarians; D015588:Observer Variation; D059408:Pain Management / Q000379:methods*; D017410:Practice Guidelines as Topic; D011595:Psychomotor Agitation / Q000209:etiology / Q000628:therapy*; D015203:Reproducibility of Results; D014481:United States