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Review
. 2010;1(1):6-11.

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

Peter Pang  1
Affiliations
Review

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

Peter Pang. World J Emerg Med. 2010.

Abstract

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.

Keywords: Barriers; Clinical practice guideline; Enablers; Implementation.

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Conflict of interest statement

Competing interest: No conflicts of interest are related to this article.

Figures

Figure
Figure
Fishbone diagram for RCA of Chest Pain Evaluation CPG implementation barriers.
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References

    1. Graham ID, Stiell IG, Laupacis A, McAuley L, Howell M, Clancy M, et al. Awareness and use of the Ottawa ankle and knee rules in 5 countries: can publication alone be enough to change practice? Ann Emerg Med. 2001;37:259–266. - PubMed
    1. Sager HB, Linsel-Nitschke P, Mayer B, Lieb W, Franzel B, Elsasser U, et al. Physicians’ perception of guideline-recommended low-density lipoprotein target values: characteristics of misclassified patients. Eur Heart J. 2010;31:1266–73. - PubMed
    1. Porter A, Iakobishvili Z, Dictiar R, Behar S, Hod H, Gottlieb S, et al. The implementation of guidelines and prognosis among patients with acute coronary syndromes is influenced by physicians’ perception of antecedent physical and cognitive status. Cardiology. 2007;107:422–428. - PubMed
    1. Ko FW, Chan AM, Chan HS, Kong AY, Leung RC, Mok TY, et al. Are Hong Kong doctors following the global initiative for asthma guidelines: a questionnaire “Survey on asthma management”? Hong Kong Med J. 2010;16:86–93. - PubMed
    1. Martin M. Commentary on “The need for an overall strategy” by Pawson et al. J Health Services Research & Policy. 2005 - PubMed

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