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\begin{document}

\title{Designing, refining and reflecting on 3 years of daily evidence
surveillance for Australia's living national COVID-19 guidelines}



\author[1]{Steve McDonald}%
\author[2]{Tari Turner}%
\affil[1]{Monash University School of Public Health and Preventive Medicine}%
\affil[2]{Monash University}%


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  \date{May 26, 2024}


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\begin{abstract}
Australia's national living guidelines for COVID-19 were launched in
April 2020 and include over 200 recommendations to guide the clinical
care of patients with COVID-19. Until the guidelines were retired in
August 2023, new evidence was continually monitored through daily
surveillance. This paper describes how evidence surveillance was
established (at a time when efforts to collate information on the novel
coronavirus were in their infancy and often duplicative) and how it
evolved throughout the pandemic. Among the wide range of sources
monitored, the collections of COVID-19 research from leading medical
journals, medRxiv preprints and PubMed auto alerts proved the most
enduring in identifying time-critical and impactful evidence. The paper
also explores how evidence was tracked and surveillance integrated into
the overall evidence workflow by using messaging apps and communication
platforms. Several factors contributed to the feasibility of daily
surveillance, including the clearly defined scope of the guidelines;
focusing efforts on maximum impact; minimising duplication by partnering
with others; setting up simple but effective processes for managing
evidence; and the value of continuous involvement of personnel from the
outset. The example of Australia's living COVID-19 guidelines has
demonstrated the feasibility and essential role of daily evidence
surveillance in maintaining COVID-19 living guidelines for over 3 years.%
\end{abstract}%



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