临床实践指南的传播及一种新的方法：使用 Haddon 矩阵作为循证实施策略的概念框架。
Clinical practice guideline dissemination and a new approach using Haddon matrix as a conceptual framework of evidence-based implementation strategies.
机构信息
Founding Chairman of EBMSubcommittee, Hong Kong College of Emergency Medicine, Hong Kong, China.
出版信息
World J Emerg Med. 2010;1(1):6-11.
Abstract
To err is human. Clinical practice guidelines (CPGs) are often not followed and lead to adverse outcomes. The issue on implementation of CPG is complex. A review of CPG implementation is done to identify the barriers and enablers. For the first time, a fishbone diagram is used to delineate the root-causes. And Haddon matrix is applied to help understand the complexity of evidence-based implementation (EBI) strategies.
摘要
人非圣贤，孰能无过。临床实践指南（CPGs）经常不被遵循，导致不良后果。CPG 的实施问题很复杂。对 CPG 的实施进行审查，以确定障碍和促进因素。这是第一次使用鱼骨图来划定根本原因。并应用 Haddon 矩阵来帮助理解基于证据的实施（EBI）策略的复杂性。
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