Keaney M, Lorimer A R
Glasgow Caledonian University, Scotland, UK.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 1999;12(6-7):314-7. doi: 10.1108/09526869910297331.
Clinical practice guidelines are increasingly being recognised as integral to the clinical effectiveness agenda. According to the recent Scottish White Paper, Scotland "leads the way in clinical effectiveness". The Scottish Intercollegiate Guidelines Network (SIGN), established in 1993, has produced over 20 clinical practice guidelines, and plans to produce at least as many more, while reviewing existing guidelines at a minimum of every two years. This represents a substantial investment of NHS resources. This paper investigates whether this investment is being recouped in Scottish NHS acute trusts via the implementation of SIGN guidelines, and whether their implementation is being audited properly. It is argued that without clinical audit, guideline implementation is unlikely to succeed. This has important ramifications for the implementation of clinical governance.
临床实践指南日益被视为临床有效性议程不可或缺的一部分。根据最近的苏格兰白皮书，苏格兰“在临床有效性方面处于领先地位”。成立于1993年的苏格兰校际指南网络（SIGN）已经制定了20多项临床实践指南，并计划再制定至少同样数量的指南，同时至少每两年对现有指南进行一次审查。这意味着对国民保健制度资源的大量投入。本文调查了通过实施SIGN指南，这项投入在苏格兰国民保健制度急性病信托机构中是否得到回报，以及这些指南的实施是否得到妥善审计。有人认为，没有临床审计，指南的实施不太可能成功。这对临床治理的实施具有重要影响。
