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Thursday, 17 July 2008

NLH Document of the Week: Design of guideline implementation strategies did influence adherence to guidelines

Paper looking at whether ease of use, incentives or education would increase guideline implementation.

The authors of this paper looked at the best methods for ensuring that physicians apply guidelines. They found that "guideline implementation strategies that were designed to reduce physician time pressure and task complexity were the only ones that improved performance." Incentives had little effect, and education was not sufficient for increasing implementation of guidelines.

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Citation: An observational study of the effectiveness of practice guideline implementation strategies examined according to physicians' cognitive stylesLA Green, L Wyszewianski, JC Lowery, CP Kowalski, SL KreinImplementation Science, 2007, 2(41)