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Related Experiment Videos

Development and implementation of evidence-based guidelines: a multisite demonstration project

C W Bowers1

  • 1Cedars-Sinai Medical Center, Los Angeles, USA.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
|October 29, 1998
PubMed
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Healthcare organizations are developing new patient care delivery systems to reduce costs and improve quality. This study shares experiences implementing evidence-based clinical guidelines and pathways across seven US acute care facilities.

Area of Science:

  • Healthcare Management
  • Clinical Informatics
  • Evidence-Based Practice

Background:

  • Healthcare systems are exploring alternative patient care delivery models.
  • Techniques like clinical pathways, guidelines, care maps, and algorithms aim to decrease costs and ensure quality.
  • These developments involve various stakeholders including providers, managed care corporations, insurance companies, and government bodies.

Purpose of the Study:

  • To review the implementation experience of a program designed to transfer clinical guidelines and pathways.
  • To assess the practical application of evidence-based scientific knowledge in acute care settings.

Main Methods:

  • The study involved transporting clinical guidelines and pathways.
  • The program was implemented across 7 acute care facilities in the United States.

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  • The focus was on utilizing evidence-based scientific knowledge for guideline development.
  • Main Results:

    • The article details the practical experience of implementing these systems.
    • The review covers the process of transferring knowledge to multiple facilities.
    • Specific results regarding cost reduction and quality assurance are discussed in the context of the implementation.

    Conclusions:

    • Implementing evidence-based clinical guidelines and pathways is a key strategy for healthcare system improvement.
    • The successful transport of these tools to acute care facilities demonstrates a viable approach to enhancing patient care delivery.
    • This initiative highlights the importance of structured programs for disseminating best practices in healthcare.