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Published on: February 16, 2011
Better guidelines for better care: enhancing the implementability of clinical practice guidelines
Monika Kastner1, Elizabeth Estey, Onil Bhattacharyya
1Keenan Research Centre in the Li Ka Shing Knowledge Institute of St Michael's Hospital, University of Toronto, 209 Victoria Street, 6th floor, Toronto, Ontario, Canada.
Expert Review of Pharmacoeconomics & Outcomes Research
|June 16, 2011
Summary
Improving clinical practice guidelines by focusing on implementability can enhance evidence-based care. A new tool aids guideline developers in creating more usable guidelines for better patient outcomes.
Area of Science:
- Health Services Research
- Evidence-Based Medicine
- Knowledge Translation
Background:
- Clinical practice guidelines (CPGs) aim to promote evidence-based care but often face challenges in consistent implementation.
- The perceived characteristics influencing guideline use, termed implementability, are crucial for effective adoption in clinical practice.
Purpose of the Study:
- To outline how modifying CPGs for enhanced implementability can be a cost-effective strategy to improve healthcare.
- To demonstrate the application of Graham's knowledge-to-action framework in developing a guideline implementability tool.
Main Methods:
- Utilized a planned action model based on Graham's knowledge-to-action framework.
- Described the process encompassing knowledge synthesis, barrier analysis, intervention development, and evaluation.
- Developed a guideline implementability tool targeting guideline developers.
Main Results:
- The study outlines a systematic approach to enhance guideline implementability.
- A tool was conceptualized to facilitate the integration of implementability considerations into guideline development.
- This process aims to improve the uptake of guidelines in clinical practice.
Conclusions:
- Enhancing guideline implementability offers a promising and inexpensive method to improve the quality of clinical care.
- The developed tool and framework can assist guideline developers in creating more practical and usable guidelines.
- Ultimately, this initiative seeks to bridge the gap between guideline recommendations and actual clinical practice for better patient outcomes.
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