Fortnightly Review: How to ensure that guidelines are effective

BMJ 1995;311:237-242 (22 July)

Education and debate

Fortnightly Review: How to ensure that guidelines are effective

Richard Thomson, senior lecturer in public health medicine,^a Michael Lavender, senior registrar in public health medicine,^b Rajan Madhok, director of public health ^c

^a Department of Epidemiology and Public Health, School of Health Care Sciences, Medical School, Newcastle University, Newcastle upon Tyne NE2 4HH, ^b North Tyne Health, Newcastle upon Tyne, ^c South of Tyne Health Commission, South Shields, Tyne and Wear

Correspondence to: Dr Thomson.

Summary points

Guidelines are a way to support effective clinical practice
There is a growing body of literature on the factors that influence the effectiveness of guidelines
Reference to these factors will enhance the likelihood of achieving the objectives of guidelines
The use of this series of reflective questions rooted in this literature will support the effective development, dissemination, implementation, and review of guidelines

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Ensuring that guidelines are effective: Charlotte Williamson
BMJ 1995 311: 1023. [Extract] [Full Text]

Pilot of patient held guidelines is under way: Jammi N Rao, P Myers, B S Smith, and B A Andreou
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