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Getting More Out of Guidelines

the guidelines selected for the study carried good supporting evidence, were relevant to renal units, cost-effective, and their success was easily measured.

However, the group found that uptake of the iron management guidelines was varied and depended on individual hospital protocol and whether or not staff were available to help bring about changes.

Ms Irving recommends that to successfully implement new guidelines, it is necessary to understand the local setting and the group being targeted, and how the guidelines differ from current processes.

“Successful implementation…. is not achieved by forcing physicians to obey ‘rules’, but rather by creating an environment in which they are given the skills, knowledge, attitudes and support systems to help them provide their patients with the best possible care, based on the best possible evidence,” she says.



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