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International Journal for Quality in Health Care 14:173-174 (2002)
© 2002 International Society for Quality in Health Care


Editorial

Changing clinical practice—and perceptions

Charles D. Shaw

We know that clinical guidelines are not self-executing. But the Leeds University Maternity Audit Project [1] has thrown new light on the complexity of change—light that deserves to shine not just on maternity or on the UK; the messages could apply equally in many specialities and in many settings.

The project identified four accessible markers of compliance with available evidence-based guidelines and applied them to existing records in 20 maternity units in 1988 (before the evidence was widely published) and again in 1996 to show how practice had changed. Staff interviews collected further background on attitudes and access to guidelines . . . [Full Text of this Article]

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