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Implementing clinical guidelines -the European experiences

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(1)

Center for clinical guidelines –

a Danish national clearinghouse for nursing

MINISTERIO DE CIENCIA E INNOVACIÓN

Implementing clinical guidelines -

the European experiences

The Danish Centre for Clinical Guidelines

(2)

Definition

• A clearinghouse is an organisation to which nurses send their own developed clinical guidelines for approval. Once approved the guideline can be used anywhere – the guideline is cleared

• To clear a clinical guideline means that the ”house”

ensures the quality of the guideline on the basis of

scientific evidence, consistence and relevance – in

Denmark using the AGREE instrument.

(3)

Documentation and quality development begin and end in

clinical practice

(4)

What is the right way?

How will I know it’s the right way?

What should I recommend my patient?

We have always done so and so,

but do we know if it has an effect for the patients?

Etc., etc. ……..

(5)

Has a guideline been made or is there an

ongoing process?

WEBSIDE

(6)

(Nutrition)

(7)

Local competencies

Courses in the centre

Use the hotline Visit the centre

to get advice Use the competencies

in the students or the nursing teacher

Maybe read the handbook, we are going to write just now

Has a guideline been made or is there an ongoing process?

WEBSIDE

She sent a form to

¨the centre:

I would like to develop

a guideline about…….

(8)

Clearing house

Approval

No Yes

New revision Peer

review N

Peer review

Publication at the homepage Clinical

Guideline

Yes

Has a guideline been made

or is there an

ongoing process?

Public hearing

on the website

(9)

A clinical guideline or a plan is

worthless unless used in the nursing

and treatment of

the individual

(10)

Publication at the homepage

IMPLEMENTATION/

TRANSLATION

into practice

(11)

• Studies from the US and The

Netherlands show that 30-40%

of patients do not receive

treatment based on evidence.

• 20-25% of the treatments were

(12)

Ownership – two perspectives demanding local strategy initiatives

Develop- ment

Implementation

Developed by others

Implementation

(13)

Thank you for your

attention

Referencer

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