Clinical guidelines: what can we do to increase their use?
Evidence-based clinical guidelines are now a key component of health care in many countries across the world, although it is widely recognised that they do not always translate into clinical practice.
Richard Grol, Director of the Centre for Quality of Care Research (WOK) in the Netherlands and Heather Buchan, Chief Executive Officer of the National Institute of Clinical Studies (NICS) discuss strategies for closing this gap between the development and implementation of guidelines in a recent issue of The Medical Journal of Australia.
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Barriers and enablers
Highlights the importance of clearly identifying barriers and enablers
when attempting to implement clinical practice guidelines.
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Deciding which guideline recommendations to tackle first
Summarises the factors to consider when deciding where to focus your
effort in implementing a clinical practice guideline.
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Do guidelines make a difference to health care outcomes?
Outlines the evidence for the influence of clinical practice guidelines
on health outcomes.
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Feedback
Outlines the evidence for the usefulness of using clinician feedback to
change practice.
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Making recommendations actionable
Outlines the evidence for the importance of being specific when
developing clinical practice guideline recommendations.
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Networks to support evidence implementation
Summarises the evidence for networks to support evidence implementation.
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The NICS Barrier Tool
Developed to help health professionals identify the barriers and
enablers to applying evidence and changing practice.
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Resources for reaching general practice
Outlines strategies for communication with general practitioners.
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Selecting strategies
Outlines the evidence for the selection of effective implementation
strategies.
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