Extended thromboprophylaxis

Healthcare Improvement Scotland has assessed this shared decision aid against the following quality criteria. The quality criteria are based on national and international standards for shared decision aids.

Criterion	Assessment	More information
Process
1. Has information available about the updating policy.	Met	The patient decision aid will be updated in an ongoing fashion by authors based on changes in studies published and feedback provided by users.
2. Provides an indication that the shared decision aid is underpinned by evidence.	Met	references for benefits and harms section
3. Provides information about the levels of uncertainty around event or outcome probabilities, e.g. by giving a range or by using phases such as ‘our best estimate is.	Partially Met
4. An equality impact assessment has been carried out to identify impact on inequalities groups.	No Info
Content
1. Provides a production or publication date.	Met	Feb 2022
2. Provides information about country of publication.	Met	Canada
3. Describes the health condition or issue for which the decision is required.	Met	what is a blood clot - what is a blood thinner
4. States the decision that needs to be considered.	Met	what are your options section
5. Provides clear information about the potential consequences, benefits and harms of each option.	Met
6. Displays and frames options in a consistent, balanced and impartial way - for example, using the same sized font and neutral language.	Partially met	Suggest the term 'decline' is not neutral language - some questions seem biased towards intervention eg How important is it to you to avoid major bleeding that could result in death?
7. Uses everyday language that is widely understood, or simpler language where necessary.	Not met (reading age over 14 for aid to be explained by HCP)	Your direct input has an average reading ease of about 56.2 of 100. It should be easily understood by 17 to 18 year olds.Readability level 8.7 Flesch-KIncaid
8. Shows that effort has been made to present quantitative information about risks, benefits, chance and uncertainty in a way that is understandable to people with low levels of numeracy.	Not met	Not well explained eg , ~0.28 more will avoid dying from a blood clot
9. Is presented in a digital format that complies with accessibility standards.	Not met