The resistance to changing guidelines – what are the challenges and how to meet them

Evidence based medicine: what it is and what it isn't

1996 • 14,837 citations

Why Don't Physicians Follow Clinical Practice Guidelines?

1999 • 6,371 citations

From best evidence to best practice: effective implementation of change in patients' care

2003 • 4,314 citations

Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations

1993 • 2,776 citations

The Cochrane Library

2005 • 2,069 citations

Consensus methods: characteristics and guidelines for use.

1984 • 1,903 citations

No magic bullets: a systematic review of 102 trials of interventions to improve professional practice.

1995 • 1,872 citations

To Err is Human

2001 • 1,425 citations

What drives change? Barriers to and incentives for achieving evidence‐based practice

2004 • 1,262 citations

The Urgent Need to Improve Health Care Quality<SUBTITLE>Institute of Medicine National Roundtable on Health Care Quality</SUBTITLE>

1998 • 1,216 citations

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures

2011 • 1,161 citations

Guidelines for Clinical Practice

1992 • 933 citations

How Good Is the Quality of Health Care in the United States?

1998 • 918 citations

Attributes of clinical guidelines that influence use of guidelines in general practice: observational study

1998 • 856 citations

Personal paper: Beliefs and evidence in changing clinical practice

1997 • 818 citations

The Urgent Need to Improve Health Care Quality

1998 • 662 citations

Insulin resistance: a marker of surgical stress

1999 • 546 citations

Aspiration during anaesthesia: a computer‐aided study of 185 358 anaesthetics

1986 • 525 citations

Getting research findings into practice: Barriers and bridges to evidence based clinical practice

1998 • 521 citations

A Carbohydrate-Rich Drink Reduces Preoperative Discomfort in Elective Surgery Patients

2001 • 504 citations

The philosophical limits of evidence-based medicine

1998 • 372 citations

Assessing Health Quality — The Case for Tracers

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Evidence-Based Disease Management

1997 • 361 citations

Effects of feedback of information on clinical practice: a review.

1991 • 338 citations

Preoperative oral carbohydrate administration reduces postoperative insulin resistance

1998 • 315 citations

Preoperative fasting

2003 • 275 citations

Randomized clinical trial of the effects of oral preoperative carbohydrates on postoperative nausea and vomiting after laparoscopic cholecystectomy

2005 • 264 citations

Clinical guidelines: Legal and political considerations of clinical practice guidelines

1999 • 176 citations

Knowledge resource preferences of family physicians.

1990 • 164 citations

Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views

2005 • 146 citations

Health policy issues and applications for evidence-based medicine and clinical practice guidelines

1998 • 121 citations

Barriers to achieving evidence-based stroke rehabilitation

2000 • 112 citations

Barriers to translating evidence into practice

2003 • 110 citations

Evidence-based Practice in Primary Care

2002 • 95 citations

Fasting guidelines in different countries

1996 • 94 citations

Healthcare rationing---are additional criteria needed for assessing evidence based clinical practice guidelines?

1999 • 88 citations

Translating Practice Guidelines Into Patient Care

2000 • 87 citations

Changing preoperative fasting policies: Impact of a national consensus

1998 • 82 citations

Pr�operative Nahrungskarenz

2003 • 68 citations

Preoperative Fasting Time

1996 • 64 citations

Current practice of preoperative fasting: a nationwide survey in Japanese anesthesia-teaching hospitals

2005 • 54 citations

Raising the standard.

1998 • 53 citations

Toast and Tea Before Elective Surgery? A National Survey on Current Practice

2000 • 52 citations

Preoperative Fasting Time

1996 • 51 citations

How to promote, improve and test adherence to scientific evidence in clinical practice

2005 • 41 citations

Leitlinien in der Medizin - scheitern sie an der praktischen Umsetzung?

2001 • 39 citations

Identifying barriers to the use of research faced by public health physicians in Norway and developing an intervention to reduce them

2002 • 33 citations

Building a framework for getting evidence into critical care education and practice

2000 • 32 citations

Closing the Gap Between Research and Clinical Practice

2004 • 16 citations

A national survey on preoperative fasting policies and practices in Jamaican hospitals.

2004 • 11 citations

Why don't medical textbooks teach? The lack of logic in the differential diagnosis.

2003 • 10 citations

Wie ließe sich die ärztliche Behandlung der Kranken angesichts der jetzigen wirtschaftlichen Notlage der Bevölkerung sparsam und doch sachgemäß gestalten¹)?

1924 • 9 citations

Evidenz-basierte Intensivmedizin

2004 • 7 citations

[Prevention of aspiration--preoperative fasting. Time for reevaluation of old routines?].

1993 • 5 citations

[Preoperative fasting--softening of rigid rules?].

1993 • 2 citations