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Some studies have assessed the effectiveness of AD in the implementation of guidelines in obstetrics [ 13], with mixed effects [ 13] and favorable results [ 14].
Four departments decided to participate in the study, two in the implementation of guidelines for depression and two for the guidelines for suicidal behaviours.
It would not be unreasonable to infer from our findings that HCPs might benefit from training opportunities to foster competence in the implementation of guidelines, promotion and management of physical activity.
As suggested in the Interim Policy on Genomics, the U.S. EPA should be proactive in the implementation of guidelines for the use of genetic information (U.S. EPA 2002c, 2004b).
In the implementation of guidelines in health care, large barriers to change exist [ 33], and so all parties of interest must be involved and motivated in order to effect changes in the daily treatment routine [ 34].
This paper reviews the evidence on whether care pathways may ameliorate weaknesses in the implementation of guidelines and protocols by more specifically engaging with the clinical team at each stage of pathway development.
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Large gaps exist in the implementation of guideline recommendations for cardiovascular disease (CVD) risk management.
These potential barriers need to be considered in the implementation of guideline interventions.
In developed countries the implementation of guidelines has been notably enhanced by the use of HIT and computer systems [ 33- 35].
In our experience, the implementation of guidelines for management of essential hypertension and cardiovascular risk factors facilitates the achievement of similar BP and LDL cholesterol goals, in patients with and without metabolic syndrome.
These hospitals are taking part in a study evaluating the implementation of guidelines intended to improve paediatric care [ 17, 18].
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