The most frequently cited barriers to their implementation were provider concerns that guidelines were "checklists" to replace clinical judgment, limited facility resources, conflict with family representatives and facility policies that conflict with guidelines' recommendations.
New federal guidelines require New York City to replace all-caps street signs with signs in Clearview font, a combination of upper and lower case letters.
The Australasian Diabetes in Pregnancy Society (ADIPS) has posted new guidelines (www.adips.org) to replace those used since 1991 (3).
It may be that the complexity of acute stroke care cannot be adequately described within a clinical pathway and that simple guidelines cannot hope to replace experienced, knowledgeable staff who can think flexibly.
Under the 2006 guidelines, councils were required to replace area child protection committees with statutory local safeguarding children boards, comprising representatives of different services.
The intent is not to replace guidelines but to complement their recommendations incorporating the latest research and therapies.
The proposed reporting guideline for EBP educational interventions is planned to be used in conjunction with, rather than to replace reporting guidelines appropriate for the specific research design (CONSORT, STROBE, TREND etc).
Mr. Oldar added that sometimes cities lost perspective and focused too much on the preservation of individual trees instead of developing broader guidelines for conservation and replanting, to replace trees that cannot live forever.
Although I am satisfied that we adhere to the strictest Home Office guidelines and do our utmost to ?replace, reduce, and refine?
Relevant cost items pertain to the running of the Pesticide Technical Advisory Committee, creating guidelines for use of pesticides to replace the class II pesticides, implementation, campaigning and the enforcement of the new policy.
