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.