Facilitating implementation of evidence-based guidelines in hospital settings: learning from trauma centers Facilitating implementation of evidence-based guidelines in hospital settings: learning from trauma centers

Collection: Health Policy and Services Research Contributor(s): March, Artemis. Commonwealth Fund. Publication: [New York, N.Y.] : Commonwealth Fund, [2006] Language(s): English Format: Text Subject(s): Evidence-Based Medicine Guideline Adherence Practice Guidelines as Topic -- standards Trauma Centers -- standards United States Genre(s): Technical Report Abstract: This study examines issues contributing to slow and partial compliance with evidence-based clinical guidelines. It focuses on guidelines for management of severe traumatic brain injury (TBI). Because severe head trauma enlists so many providers and often involves injury to multiple body systems, it maximizes the challenges of delivering timely, consistent, and coordinated care. Management of TBI thus offers a valuable perspective on the structural problems that impede the delivery of care and the implementation of clinical guidelines. The study identifies barriers to compliance with TBI guidelines, describes how three trauma centers lowered or overcame such barriers, and identifies common threads in their approaches. Based on this analysis, the study presents a model for implementing clinical guidelines to achieve consistency, continuity, and coordination of patient care. Copyright: Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information) NLM Unique ID: 101285525 (See catalog record) Permanent Link: http://resource.nlm.nih.gov/101285525