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Evidence-based clinical guidelines--implementation plans in Scotland.

A Millard1

  • 1Scottish Clinical Audit Resource Centre, Department of Postgraduate Medicine and Public Health, Glasgow, UK.

International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services
|December 8, 1996
PubMed
Summary

This study examined the planning of Scottish Intercollegiate Guidelines Network (SIGN) guideline implementation in Scottish Health Service Trusts. Local consensus heavily influenced priority setting for guideline adoption and evaluation.

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Area of Science:

  • Health Services Research
  • Clinical Guideline Implementation
  • Healthcare Management

Background:

  • The Scottish Intercollegiate Guidelines Network (SIGN) provides evidence-based clinical guidelines.
  • Effective implementation of these guidelines into clinical practice is crucial for improving patient outcomes.
  • Understanding the planning stages of guideline implementation is essential for successful adoption.

Purpose of the Study:

  • To describe the planning activities for implementing SIGN guidelines in Scottish Health Service Trusts in 1996.
  • To establish a baseline for future evaluation of guideline implementation efforts.

Main Methods:

  • A postal questionnaire survey was administered to Clinical Audit leads in 46 Scottish Health Service Trusts.
  • Response rates varied between 60-72% across different Trust categories after two reminders.

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  • The survey collected data on plans for guideline implementation, adaptation, professional involvement, timelines, dissemination, and evaluation.

    • Main Results:

    • Local consensus emerged as the primary driver for prioritizing guideline implementation.
    • A majority of Trusts desired the development of localized guideline versions.
    • Collaborative evaluation of implementation and review of baseline practice prior to implementation were commonly anticipated.

    Conclusions:

    • Planning for SIGN guideline implementation in 1996 was influenced by local factors and a desire for tailored approaches.
    • Trusts anticipated reviewing baseline practice and engaging in collaborative evaluation.
    • The study provides a baseline for assessing the effectiveness of future guideline implementation strategies.