Table 17.

Dimensions of implementability for guideline recommendations

Dimension	Definition
1. Decidability	Precisely under what circumstances to do something
2. Executability	Exactly what to do under the circumstances defined
3. Effect on process of care	The degree to which the recommendation impacts upon the usual workflow in a typical care setting
4. Presentation and formatting	The degree to which the recommendation is easily recognizable and succinct
5. Measurable outcomes	The degree to which the guideline identifies markers or endpoints to track the effects of implementation of this recommendation
Apparent validity	The degree to which the recommendation reflects the intent of the developer and the strength of the evidence
Novelty and innovation	The degree to which the recommendation proposes behaviors considered unconventional by clinicians or patients
Flexibility	The degree to which a recommendation permits interpretation and allows for alternatives in its execution

Adapted from Shiffman et al.⁴⁶