From Best Evidence to Best Practice¶
Grol, R., & Grimshaw, J. (2003). From Best Evidence to Best Practice: Effective Implementation of Change in Patients' Care. The Lancet, 362(9391), 1225-1230.
Cited by¶
2 citations across 2 artifacts.
Each citation links to the sentence it supports in the citing article.
Primes¶
- Configuration Drift
- The asymmetry is acute: adopting a better bedside practice is immediate and spreads by word of mouth, while amending the formal protocol requires reconvening a committee, so the record is updated rarely and the practice drifts ahead of it.
This sourceDocuments the gap between written clinical guidelines and routine bedside practice and why changing practice (and updating guidance) is slow and effortful — the asymmetric-update-cost driver of protocol/practice drift.
- The asymmetry is acute: adopting a better bedside practice is immediate and spreads by word of mouth, while amending the formal protocol requires reconvening a committee, so the record is updated rarely and the practice drifts ahead of it.
- Knowledge-Action Gap
- Medical practice: the evidence-practice gap — clinical guidelines practitioners believe are correct yet do not follow in the operational moment, the reason implementation science exists as a field.
This sourceDocuments the evidence–practice gap motivating implementation science in clinical medicine.
- Medical practice: the evidence-practice gap — clinical guidelines practitioners believe are correct yet do not follow in the operational moment, the reason implementation science exists as a field.
Verification¶
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