To date, little is known about deviation from T2T recommendations and the reasons for these deviations [ 8, 9].
We identified 19 context factors that could potentially explain the deviation from generic recommendations on communication skills.
We then interviewed the patients as well as the general practitioners regarding factors affecting deviation from guideline recommendations.
When failures occur, medical facilities often face considerable uncertainty in assessing the actual risks of disease transmission associated with a particular deviation from standard recommendations.
Despite these limitations, the study addressed important issues concerning the extent of deviation from T2T recommendations, reasons for deviations, whether deviations are justifiable or not and baseline factors affecting deviation.
Logistic regression models were used to test whether compliance or deviation from NICE recommendations about the type of treatment that should be offered had an effect on patients' likelihood for reliable recovery.
This present report takes a more detailed look at the year one IAPT data in order to identify predictors of variability in outcome at the patient level, at service level and as a function of compliance or deviation from NICE recommendations about the type of treatment that should be offered for a particular problem.
A first evaluation of the adherence to PET/CT guidelines has revealed surprisingly large deviations from guideline recommendations [53], which are related to deviations among guideline recommendations themselves and the lack of interest and knowledge in adopting standardised imaging protocols.
In conclusion, our study is the first to demonstrate at the national level the large variability in the management of GN and to quantify physician deviation from guideline-based recommendations.
In any case, the process is to be documented, and deviations from the recommendations are to be justified.
The survey included questions on effective glycaemic control, treatment of varying degrees of hypoglycaemia, and deviations from protocols' recommendations.
