Intended for healthcare professionals

Letters Quality improvement and evidence based medicine

Our failure to put knowledge into practice causes harm

BMJ 2017; 358 doi: (Published 18 July 2017) Cite this as: BMJ 2017;358:j3177
  1. Greg Fell, director of public health
  1. Sheffield Council, Town Hall, Sheffield S1 2HH, UK
  1. greg.fell{at}

Oliver says that quality improvement should have equal status with evidence based medicine.1 The need for parity becomes more important as the evidence matures and we approach the point of diminishing marginal returns; where we have enough knowledge to act, but maybe …

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