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We developed the GuideLine Implementability Appraisal to facilitate guideline implementation.
Results: Guideline implementation occurred rapidly.
We observed differential effects of screening vs. further guideline implementation.
This relatively low daily volume may reduce the perceived need for guideline implementation.
Finally, environmental characteristics may influence guideline implementation.
Guideline implementation has been addressed by many recent studies.
Several suggestions to improve guideline implementation were made.
The barriers to guideline implementation are known [ 2].
This methodology may be useful for other guideline implementation.
Practical tools, such as quality indicators, could facilitate guideline implementation.
They also expressed confusion about responsibility for guideline implementation.
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