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What are hospitals doing about clinical guidelines?

E B Renvoize1, S M Hampshaw, J M Pinder

  • 1General Infirmary at Leeds, Leeds, UK.

Quality in Health Care : QHC
|November 3, 1997
PubMed
Summary

Senior hospital staff favor clinical guidelines for improving healthcare efficiency and patient outcomes. However, many hospitals lack systematic strategies for guideline development, implementation, and evaluation, hindering their full potential.

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Area of Science:

  • Health Services Research
  • Clinical Governance
  • Evidence-Based Medicine

Background:

  • Clinical guidelines are crucial for standardizing care and improving healthcare efficiency.
  • Understanding senior staff attitudes and current practices regarding clinical guidelines is essential for effective implementation.

Purpose of the Study:

  • Assess senior hospital staff attitudes towards clinical guidelines.
  • Evaluate the extent, benefits, and strategies for local guideline use in UK acute hospitals.
  • Identify essential elements and methods for developing, disseminating, implementing, and evaluating local guidelines.

Main Methods:

  • A cross-sectional survey was conducted among senior staff in 270 UK acute hospitals.
  • The survey achieved a response rate of 75% (202 out of 270 hospitals).

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Main Results:

  • 99% of respondents viewed clinical guidelines favorably, with 90% aware of guideline activities in their hospitals.
  • Key benefits identified include improved healthcare efficiency, treatment consistency, and team building.
  • Only 19% had a formal strategy for clinical guidelines, though 45% planned to develop one; many strategies lacked detail on development, validation, and evaluation methods.

Conclusions:

  • While senior staff support clinical guidelines, systematic hospital-wide strategies for their development and implementation are rare.
  • Current local validation methods are often inadequate, suggesting a need for improvement.
  • National development of evidence-based guidelines, with local adaptation and implementation, is recommended to maximize benefits for clinical care and patient outcomes.