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Making Use of Guidelines in Clinical Practice; Implementing Clinical Guidelines: A Practical Guide

BMJ 1999; 319 doi: (Published 16 October 1999) Cite this as: BMJ 1999;319:1078
  1. Andrew Wilson, senior lecturer
  1. Department of General Practice and Primary Health Care, University of Leicester

    Making Use of Guidelines in Clinical Practice

    Ed Allen Hutchinson, Richard Baker

    Radcliffe Medical Press, £18.95, pp 224

    ISBN 1 85775 088 8

    Implementing Clinical Guidelines: A Practical Guide

    Ed Debra Humphris, Peter Littlejohns

    Radcliffe Medical Press, £18.95, pp 200

    ISBN 1 85775 293 7

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    “When examining a patient with gastrointestinal symptoms, if you don't put your finger up [the rectum] you put your foot in it” was the first clinical guideline I was taught as a student in the 1970s.

    Since then, I have continued to receive guidelines at an increasing rate Most of these have been sent “cold” and have been variously binned, filed, or acted on. With so much emphasis put on the need for a strong evidence base in guidelines, it is ironic that the commonest method of implementation (unsupported dissemination), according to a recent review by …

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