Clinical practice guideline dissemination and a new approach using Haddon matrix as a conceptual framework of evidence-based implementation strategies

• 来源期刊: 世界急诊医学杂志(英文)
• 学科: 教育
• 关键词: Clinical practice guideline Implementation Barriers Enablers
• 年，卷（期）: 2010,（1）
• 页码范围: 6-11
• 页数: 6页
• 分类号: G43
• 语种: 中文

摘要

To err is human. Clinical practice guidelines (CPGs) are often not followed and lead to adverse outcomes. The issue on implementation of CPG is complex. A review of CPG implementation is done to identify the barriers and enablers. For the first time, a fishbone diagram is used to delineate the root-causes. And Haddon matrix is applied to help understand the complexity of evidence-based implementation (EBI) strategies.