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Journal ArticleDOI

From best evidence to best practice: effective implementation of change in patients' care

Richard Grol, +1 more
- 11 Oct 2003 - 
- Vol. 362, Iss: 9391, pp 1225-1230
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TLDR
In this article, the authors provide an overview of present knowledge about initiatives to changing medical practice and suggest that to change behaviour is possible, but this change generally requires comprehensive approaches at different levels (doctor, team practice, hospital, wider environment), tailored to specific settings and target groups.
About
This article is published in The Lancet.The article was published on 2003-10-11. It has received 4007 citations till now. The article focuses on the topics: Guideline & Best practice.

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Citations
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Validation of the theoretical domains framework for use in behaviour change and implementation research

TL;DR: The refined Theoretical Domains Framework has a strengthened empirical base and provides a method for theoretically assessing implementation problems, as well as professional and other health-related behaviours as a basis for intervention development.
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Scottish Intercollegiate Guidelines Network

TL;DR: This guideline has been assessed for its likely impact on the six equality groups defined by age, disability, gender, race, religion/belief, and sexual orientation.
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A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project.

TL;DR: The ERIC study aimed to refine a published compilation of implementation strategy terms and definitions by systematically gathering input from a wide range of stakeholders with expertise in implementation science and clinical practice to generate consensus on implementation strategies and definitions.
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Knowledge translation of research findings

TL;DR: There is a substantial (if incomplete) evidence base to guide choice of knowledge translation activities targeting healthcare professionals and consumers and there are a profusion of innovative approaches that warrant further evaluation.
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The answer is 17 years, what is the question: understanding time lags in translational research:

TL;DR: This paper reviewed the literature describing and quantifying time lags in the health research translation process and concluded that the current state of knowledge of time lag is of limited use to those responsible for R&D and knowledge transfer who face difficulties in knowing what they should or can do to reduce time lag.
References
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Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement

TL;DR: A differential diagnosis for why physicians do not follow practice guidelines is offered, as well as a rational approach toward improving guideline adherence and a framework for future research are offered.
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The Handbook of Research Synthesis.

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Changing Physician Performance: A Systematic Review of the Effect of Continuing Medical Education Strategies

TL;DR: Widely used CME delivery methods such as conferences have little direct impact on improving professional practice, and more effective methodssuch as systematic practice-based interventions and outreach visits are seldom used by CME providers.
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Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations

TL;DR: It is concluded that explicit guidelines do improve clinical practice, when introduced in the context of rigorous evaluations, however, the size of the improvements in performance varied considerably.
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Effectiveness of a hospital-wide programme to improve compliance with hand hygiene

TL;DR: The campaign produced a sustained improvement in compliance with hand hygiene, coinciding with a reduction of nosocomial infections and MRSA transmission, and the promotion of bedside, antiseptic handrubs largely contributed to the increase in compliance.
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