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Barriers and Strategies in Guideline Implementation-A Scoping Review

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TLDR
The scoping review revealed the following aspects as central elements of successful strategies for guideline implementation: dissemination, education and training, social interaction, decision support systems and standing orders.
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This article is published in Healthcare.The article was published on 2016-06-29 and is currently open access. It has received 533 citations till now.

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The opioid epidemic and national guidelines for opioid therapy for chronic noncancer pain: a perspective from different continents.

TL;DR: Implementation of opioid prescribing guidelines should ensure that physicians prescribe opioids only for appropriate indications in limited doses for selected patients and advice patients on their safe use to contribute to reduce prescription opioid misuse/abuse and deaths.
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Improving Healthcare Quality in Europe : Characteristics, Effectiveness and Implementation of Different Strategies

TL;DR: It will be necessary to address persisting challenges with regard to accuracy, completeness and comparability of the data collected in electronic records to enable reliable measurement of quality of care on the basis of this data (Chan et al., 2010).
References
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Journal ArticleDOI

Guidelines on uncomplicated urinary tract infections are difficult to follow: perceived barriers and suggested interventions

TL;DR: Despite sufficient knowledge of the recommendations on UTI, attitudinal and external barriers made it difficult to follow them in practice and care concerning UTI could be optimized if these barriers are adequately addressed in implementation strategies.
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Perceived barriers to the implementation of diabetes guidelines in hospitals in The Netherlands

TL;DR: A number of preconditions for structured diabetes care, like the presence of a diabetes team and a specialised diabetes nurse, were in place, but large differences between the hospitals in the organisation of diabetes care and the availability of staff showed that there are still many opportunities for improvements.
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Effectiveness of strategies to disseminate and implement clinical guidelines for the management of impacted and unerupted third molars in primary dental care, a cluster randomised controlled trial.

TL;DR: In an environment in which pre-intervention compliance was unexpectedly high, neither CAL nor A and F increased the dentists' compliance with the SIGN guideline compared with mailing of the guideline and the opportunity to attend a postgraduate course.
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The role of clinical practice guidelines in enhancing quality and reducing racial/ethnic disparities in paediatrics

TL;DR: In this paper, a multi-step process of physician adherence to clinical practice guidelines (CPGs) can be viewed as a multi step process with potential barriers at each step, such as lack of awareness, familiarity, agreement, selfefficacy, outcome expectancy regarding a given CPG and inability to overcome the inertia of current practice.
Journal ArticleDOI

Clinical guidelines and their implementation

TL;DR: Some of the practical issues encountered in developing and implementing guidelines are outlined, based on experiences within Liverpool, to encourage the ethos amongst healthcare professionals of expecting to have to constantly update knowledge and practice.
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