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Updated: Oct 23, 2025

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Trends in guideline implementation: an updated scoping review protocol.

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  • 1Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada.

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Summary

This review assesses guideline implementation trends, interventions, and their impact. It updates a 2015 review to see if current practices align with best implementation strategies for improved patient outcomes.

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Area of Science:

  • Healthcare Implementation Science
  • Clinical Practice Guidelines

Background:

  • Active implementation is crucial for guideline use and positive outcomes.
  • A 2015 review highlighted inconsistent impacts due to limited implementation planning.
  • This study updates the previous review and broadens its scope to assess current guideline implementation practices.

Purpose of the Study:

  • To assess trends in guideline implementation interventions.
  • To examine the rationale behind intervention selection and tailoring.
  • To evaluate the impact of guideline implementation on patients and healthcare professionals.

Main Methods:

  • Systematic literature search across multiple databases (MEDLINE, Embase, etc.) from 2014 to present.
  • Inclusion of studies on any clinical topic across all care levels.
  • Data extraction and analysis using summary statistics, tables, and narrative synthesis.

Main Results:

  • Characterization of study designs and guideline implementation interventions.
  • Analysis of the rationale for intervention selection and tailoring (barriers, preferences, theory).
  • Assessment of the impact on knowledge, behavior, and patient outcomes.

Conclusions:

  • Identify effective strategies for guideline implementation.
  • Inform future research and practice for optimizing guideline impact.
  • Determine if recent implementation efforts are guided by best practices.