The draft clauses of a proposed parliamentary bill implementing the findings of the cross-party Smith commission on the devolution of further powers to Scotland were launched by Prime Minister David Cameron in Edinburgh last week.
Mr Brown was implementing the findings of the review into public sector efficiency led by Peter Gershon which pointed at using information technology, better procurement and civil service practice to produce substantial savings.
According to Spradlin, the answer is "time and managed expectations". Coordinating, collecting, and analyzing huge amounts of data and implementing the findings could be years down the road.
A meeting of the Magpie Trial collaborators in March 2002 to discuss the trial findings prior to publication provided an opportunity to explore the perceptions of this group, with a strong interest in developing the evidence based for obstetric care, regarding the barriers and facilitators to implementing the findings of their study.
Among its many activities, the CCE operates an Evidence Centre that accepts clinical questions posed by members of Southern Health, identifies the best available evidence using a standardised protocol, provides a summary of the results, and assists staff in implementing the findings in clinical practice [ 9, 10].
Conducting a trial in a single centre removes between-centre heterogeneity, but when such trials (for example, those of early goal-directed therapy for severe sepsis [ 2] and of tight glycaemic control in critically ill patients [ 3]) find treatment effects, physicians can be reluctant to implement the findings if they suspect they were unique to the study institution [ 4, 5].
Reviews of research show that the predominant barriers are related to organizational factors such as lack of time to find research and to implement this and lack of authority to implement the findings.
During hearings last month, Australia was castigated for its routine refusals to implement the findings of the committee.
