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Clinical practice guidelines: the need for improved implementation strategies.

G Randall1, D W Taylor

  • 1College of Respiratory Therapists of Ontario.

Healthcare Management Forum
|August 18, 2000
PubMed
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Clinical practice guidelines (CPGs) require effective implementation strategies to impact healthcare behavior. This review highlights reasons for poor CPG uptake and recommends key ingredients for successful implementation.

Area of Science:

  • Healthcare Management
  • Clinical Practice Improvement
  • Evidence-Based Medicine

Background:

  • Significant investment is made in developing clinical practice guidelines (CPGs).
  • However, the effectiveness of CPG implementation remains largely unevaluated.
  • Without effective implementation, CPGs have minimal impact on clinical behaviors.

Purpose of the Study:

  • To critically review the literature on the implementation of clinical practice guidelines.
  • To identify reasons for the lack of successful CPG implementation.
  • To recommend strategies for improving CPG impact.

Main Methods:

  • Literature review of studies evaluating CPG implementation.
  • Analysis of factors contributing to implementation success and failure.

Related Experiment Videos

  • Synthesis of findings to propose effective implementation strategies.
  • Main Results:

    • Numerous reasons exist for the limited success in implementing CPGs.
    • Current implementation strategies are often insufficient to drive behavioral change.
    • Aggressive and positive implementation approaches are necessary.

    Conclusions:

    • Successful implementation is crucial for CPGs to influence clinical practice.
    • More robust and proactive implementation strategies are indicated.
    • Five key elements for successful implementation of quality CPGs are identified and recommended.