Table 5 Study participant ideas for streamlining process

1

Limit guideline scope; reduce number of clinical questions.

2

Reduce duplication by forming collaborative groups.

3

Engage specialists and methodological expertise when needed (e.g., library science, evidence appraisal).

4

Find efficiencies in searching and screening the literature, e.g., limit inclusion to previously reviewed and quality-appraised guidelines.

5

Consult source developers earlier in the process to verify evidence and pending updates.

6

Limit the size, representation and involvement of steering committees and working panels and convene only when strategic decisions or consensus are needed.

7

Prioritize and delegate some of the methodology - not all panel members need to be engaged in every step and activity.

8

Simplify the presentation of evidence and assessments for discussion and consensus management, e.g., distribute summaries vs. raw appraisal data/scores to decision-makers.