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

PubWeight™: 38.49‹?› | Rank: Top 0.01% | All-Time Top 10000

🔗 View Article (PMID 7901634)

Published in Lancet on November 27, 1993


J M Grimshaw1, I T Russell

Author Affiliations

1: Department of General Practice, University of Aberdeen, Foresterhill Health Centre, UK.

Articles citing this

(truncated to the top 100)

Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane Effective Practice and Organization of Care Review Group. BMJ (1998) 19.37

Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ (1999) 14.34

Implementing findings of research. BMJ (1994) 12.85

Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc (2003) 11.87

Translating guidelines into practice. A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. CMAJ (1997) 10.22

Has general practitioner computing made a difference to patient care? A systematic review of published reports. BMJ (1995) 8.64

Attributes of clinical guidelines that influence use of guidelines in general practice: observational study. BMJ (1998) 8.34

Guidelines in general practice: the new Tower of Babel? BMJ (1998) 7.53

Canadian Asthma Consensus Report, 1999. Canadian Asthma Consensus Group. CMAJ (1999) 7.05

Implementing guidelines and innovations in general practice: which interventions are effective? Br J Gen Pract (1998) 6.99

Interventions used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports. BMJ (2002) 6.98

Developing and implementing clinical practice guidelines. Qual Health Care (1995) 6.52

BTS guidelines for the management of spontaneous pneumothorax. Thorax (2003) 6.38

Development and evaluation of complex interventions in health services research: case study of the Southampton heart integrated care project (SHIP). The SHIP Collaborative Group. BMJ (1999) 6.24

Provision of preventive care to unannounced standardized patients. CMAJ (1998) 5.78

Achieving health gain through clinical guidelines II: Ensuring guidelines change medical practice. Qual Health Care (1994) 5.50

PRODIGY: implementing clinical guidance using computers. Br J Gen Pract (1998) 5.48

North of England evidence based guidelines development project: methods of guideline development. BMJ (1996) 5.12

Assessment of chronic illness care (ACIC): a practical tool to measure quality improvement. Health Serv Res (2002) 5.10

Legal considerations of clinical guidelines: will NICE make a difference? J R Soc Med (2003) 5.04

Does continuing medical education in general practice make a difference? BMJ (1999) 4.40

Reducing antibiotics for respiratory tract symptoms in primary care: consolidating 'why' and considering 'how'. Br J Gen Pract (1998) 4.34

How to ensure that guidelines are effective. BMJ (1995) 4.31

Research methods used in developing and applying quality indicators in primary care. Qual Saf Health Care (2002) 3.87

Computer-based guideline implementation systems: a systematic review of functionality and effectiveness. J Am Med Inform Assoc (1999) 3.84

Research methods used in developing and applying quality indicators in primary care. BMJ (2003) 3.83

General practitioners' management of acute back pain: a survey of reported practice compared with clinical guidelines. BMJ (1996) 3.72

The concept of essential medicines: lessons for rich countries. BMJ (2004) 3.41

Evaluation of computer based clinical decision support system and risk chart for management of hypertension in primary care: randomised controlled trial. BMJ (2000) 3.37

Development of review criteria for assessing the quality of management of stable angina, adult asthma, and non-insulin dependent diabetes mellitus in general practice. Qual Health Care (1999) 3.37

A study of general practitioners' reasons for changing their prescribing behaviour. BMJ (1996) 3.36

What is the quality of drug therapy clinical practice guidelines in Canada? CMAJ (2001) 3.15

Same information, different decisions: the influence of evidence on the management of hypertension in the elderly. Br J Gen Pract (1996) 3.15

North of England evidence based guidelines development project: methods of developing guidelines for efficient drug use in primary care. BMJ (1998) 3.14

Systematic review and meta-analysis of practice facilitation within primary care settings. Ann Fam Med (2012) 3.10

The new contract: renaissance or requiem for general practice? Br J Gen Pract (2002) 3.01

Using intermediate states to improve the ability of the Arden Syntax to implement care plans and reuse knowledge. Proc Annu Symp Comput Appl Med Care (1995) 2.95

Promoting rational prescribing: an international perspective. Br J Clin Pharmacol (1995) 2.88

Evidence to action: a tailored multifaceted approach to changing family physician practice patterns and improving preventive care. CMAJ (2001) 2.67

Determining the common medical presenting problems to an accident and emergency department. Arch Dis Child (2001) 2.67

Clinical guidelines: their implementation in general practice. Br J Gen Pract (1995) 2.67

A virtual medical record for guideline-based decision support. Proc AMIA Symp (2001) 2.64

Guidelines, enthusiasms, uncertainty, and the limits to purchasing. BMJ (1995) 2.59

Implementation of the Canadian C-Spine Rule: prospective 12 centre cluster randomised trial. BMJ (2009) 2.58

The implementation of evidence-based medicine in general practice prescribing. Br J Gen Pract (1998) 2.56

Do clinicians use online evidence to support patient care? A study of 55,000 clinicians. J Am Med Inform Assoc (2003) 2.49

Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners. Implement Sci (2009) 2.48

A framework for effective management of change in clinical practice: dissemination and implementation of clinical practice guidelines. Qual Health Care (1999) 2.46

Improving preventive service delivery at adult complete health check-ups: the Preventive health Evidence-based Recommendation Form (PERFORM) cluster randomized controlled trial. BMC Fam Pract (2006) 2.35

Representation of clinical practice guidelines in conventional and augmented decision tables. J Am Med Inform Assoc (1997) 2.34

Comparison of survival outcomes among cancer patients treated in and out of clinical trials. J Natl Cancer Inst (2014) 2.30

Developing and introducing evidence based clinical practice guidelines for serious illness in Kenya. Arch Dis Child (2008) 2.26

Contemporary practice patterns in the management of newly diagnosed hypertension. CMAJ (1997) 2.23

Training practitioners to deliver opportunistic multiple behaviour change counselling in primary care: a cluster randomised trial. BMJ (2013) 2.22

Development of review criteria: linking guidelines and assessment of quality. BMJ (1995) 2.22

Practice guidelines for clinical prevention: do patients, physicians and experts share common ground? CMAJ (1999) 2.18

A description and functional taxonomy of rule-based decision support content at a large integrated delivery network. J Am Med Inform Assoc (2007) 2.17

Implementing findings of medical research: the Cochrane Collaboration on Effective Professional Practice. Qual Health Care (1995) 2.10

Multicentre criterion based audit of the management of induced abortion in Scotland. BMJ (1994) 2.09

Implications of applying widely accepted cholesterol screening and management guidelines to a British adult population: cross sectional study of cardiovascular disease and risk factors. BMJ (1998) 2.07

Clinical guidelines in 1994. BMJ (1994) 2.05

The Vermont Diabetes Information System (VDIS): study design and subject recruitment for a cluster randomized trial of a decision support system in a regional sample of primary care practices. Clin Trials (2004) 2.05

Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Crit Care (2005) 2.03

Interventions to improve the delivery of preventive services in primary care. Am J Public Health (1999) 1.96

Randomised controlled trial of educational package on management of menorrhagia in primary care: the Anglia menorrhagia education study. BMJ (1999) 1.96

Suspected myocardial infarction and the GP. BMJ (1994) 1.94

Clinical guidelines in primary care: a survey of general practitioners' attitudes and behaviour. Br J Gen Pract (1995) 1.89

Randomized controlled trial of an informatics-based intervention to increase statin prescription for secondary prevention of coronary disease. J Gen Intern Med (2006) 1.89

Clinical practice guidelines and the translation of knowledge: the science of continuing medical education. CMAJ (2000) 1.86

An industrial process view of information delivery to support clinical decision making: implications for systems design and process measures. J Am Med Inform Assoc (1997) 1.86

Do clinical trials improve quality of care? A comparison of clinical processes and outcomes in patients in a clinical trial and similar patients outside a trial where both groups are managed according to a strict protocol. Qual Saf Health Care (2005) 1.85

Guidance for evidence-informed policies about health systems: rationale for and challenges of guidance development. PLoS Med (2012) 1.81

Indicators of the quality of general practice care of patients with chronic illness: a step towards the real involvement of patients in the assessment of the quality of care. Qual Health Care (1996) 1.79

An evaluation of the impact of NICE guidance on GP prescribing. Br J Gen Pract (2004) 1.73

Strategies for promoting judicious use of antibiotics by doctors and patients. BMJ (1998) 1.72

A design model for computer-based guideline implementation based on information management services. J Am Med Inform Assoc (1999) 1.70

Management of lung cancer. Thorax (1996) 1.68

Can small group education and peer review improve care for patients with asthma/chronic obstructive pulmonary disease? Qual Health Care (1999) 1.66

Characteristics of effective clinical guidelines for general practice. Br J Gen Pract (2003) 1.65

Strategies for reducing regional variation in the use of surgery: a systematic review. Ann Surg (2014) 1.63

The gap between practice and guidelines in the choice of first-line disease modifying antirheumatic drug in early rheumatoid arthritis: results from the ESPOIR cohort. J Rheumatol (2009) 1.59

Effect of clinical guidelines in nursing, midwifery, and the therapies: a systematic review of evaluations. Qual Health Care (1998) 1.59

Managing women with epilepsy. Guideline producers now need to pay attention to implementation. BMJ (2000) 1.59

Future prospects for evidence-based child health. Arch Dis Child (1996) 1.57

UK Back pain Exercise And Manipulation (UK BEAM) trial--national randomised trial of physical treatments for back pain in primary care: objectives, design and interventions [ISRCTN32683578]. BMC Health Serv Res (2003) 1.57

Representation of clinical practice guidelines through an interactive World-Wide-Web interface. Proc Annu Symp Comput Appl Med Care (1995) 1.56

An intention-based language for representing clinical guidelines. Proc AMIA Annu Fall Symp (1996) 1.54

Perceived barriers to guideline adherence: a survey among general practitioners. BMC Fam Pract (2011) 1.53

Computer-generated informational messages directed to physicians: effect on length of hospital stay. J Am Med Inform Assoc (1995) 1.52

Paradox, process and perception: the role of organizations in clinical practice guidelines development. CMAJ (1995) 1.52

Towards effective implementation of a pediatric asthma guideline: integration of decision support and clinical workflow support. Proc Annu Symp Comput Appl Med Care (1994) 1.51

Guidelines for anticoagulation. BMJ (1994) 1.50

A worldwide collaboration to harmonize guidelines for the long-term follow-up of childhood and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group. Pediatr Blood Cancer (2012) 1.49

Electronically distributed, computer-generated, individualized feedback enhances the use of a computerized practice guideline. Proc AMIA Annu Fall Symp (1996) 1.46

Clinical guidelines: development, implementation, and effectiveness. Postgrad Med J (1995) 1.43

Developing a computer delivered, theory based intervention for guideline implementation in general practice. BMC Fam Pract (2010) 1.43

Adherence to guidelines on cervical cancer screening in general practice: programme elements of successful implementation. Br J Gen Pract (2001) 1.42

Changing preventive practice: a controlled trial on the effects of outreach visits to organise prevention of cardiovascular disease. Qual Health Care (1997) 1.42

Integrating "best of care" protocols into clinicians' workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarction. J Am Med Inform Assoc (2005) 1.40

The art versus the science of medicine. Are clinical practice guidelines the answer? Ann Rheum Dis (1998) 1.40

Articles by these authors

The SF36 health survey questionnaire: an outcome measure suitable for routine use within the NHS? BMJ (1993) 10.92

Factors that limit the quality, number and progress of randomised controlled trials. Health Technol Assess (1999) 7.00

Randomised trial of hysterectomy, endometrial laser ablation, and transcervical endometrial resection for dysfunctional uterine bleeding. BMJ (1994) 5.76

Achieving health gain through clinical guidelines II: Ensuring guidelines change medical practice. Qual Health Care (1994) 5.50

Day-case surgery for hernias and haemorrhoids. A clinical, social, and economic evaluation. Lancet (1977) 4.01

Laparoscopic versus minilaparotomy cholecystectomy: a randomised trial. Lancet (1994) 3.29

A new approach to the measurement of quality of life. The Patient-Generated Index. Med Care (1994) 3.14

Open access follow up for inflammatory bowel disease: pragmatic randomised trial and cost effectiveness study. BMJ (2000) 3.12

Towards measurement of outcome for patients with varicose veins. Qual Health Care (1993) 3.02

General practitioner obstetrics in the Northern region in 1983. Br Med J (Clin Res Ed) (1985) 2.98

Reducing hospital admission through computer supported education for asthma patients. Grampian Asthma Study of Integrated Care (GRASSIC). BMJ (1994) 2.63

Statistical assessment of the learning curves of health technologies. Health Technol Assess (2001) 2.60

Respiratory illness in children: what makes parents decide to consult? Br J Gen Pract (1990) 2.49

Birthweight and perinatal mortality: I. On the frequency distribution of birthweight. Int J Epidemiol (1983) 2.47

Postnatal maternal morbidity: extent, causes, prevention and treatment. Br J Obstet Gynaecol (1995) 2.32

Birthweight and perinatal mortality: III. Towards a new method of analysis. Int J Epidemiol (1986) 2.29

Gastroenterology services in the UK. The burden of disease, and the organisation and delivery of services for gastrointestinal and liver disorders: a review of the evidence. Gut (2007) 2.28

Spina bifida--and the parents. Dev Med Child Neurol (1971) 2.28

Recruitment methods for screening programmes: trial of a new method within a regional osteoporosis study. BMJ (1992) 2.27

Patient preferences in randomised trials: threat or opportunity? J Health Serv Res Policy (1996) 2.26

General practitioner participation in intranatal care in the northern region in 1983. Br Med J (Clin Res Ed) (1985) 2.08

Is paediatrics safe in general practitioners' hands? A study in the north of England. J R Coll Gen Pract (1989) 2.08

Antenatal screening for carriers of cystic fibrosis: randomised trial of stepwise v couple screening. BMJ (1995) 2.06

Randomised trial comparing hysterectomy with endometrial ablation for dysfunctional uterine bleeding: psychiatric and psychosocial aspects. BMJ (1996) 2.00

A systematic review of comparisons of effect sizes derived from randomised and non-randomised studies. Health Technol Assess (2000) 1.96

Randomised comparison of percutaneous angioplasty vs continued medical therapy for hypertensive patients with atheromatous renal artery stenosis. Scottish and Newcastle Renal Artery Stenosis Collaborative Group. J Hum Hypertens (1998) 1.96

SF 36 health survey questionnaire: II. Responsiveness to changes in health status in four common clinical conditions. Qual Health Care (1994) 1.92

The UK IBDQ-a British version of the inflammatory bowel disease questionnaire. development and validation. J Clin Epidemiol (2000) 1.91

Comparison of medical abortion with surgical vacuum aspiration: women's preferences and acceptability of treatment. BMJ (1993) 1.90

Patient centred assessment of quality of life for patients with four common conditions. Qual Health Care (1999) 1.82

Short-stay surgery for inguinal hernia. Clinical outcome of the Shouldice operation. Lancet (1977) 1.79

Medical abortion. BMJ (1992) 1.75

Variations in avoidable mortality and variations in health care resources. Lancet (1987) 1.74

Peer review in ambulatory care: use of explicit criteria and implicit judgments. Med Care (1979) 1.65

Birthweight and perinatal mortality: II. On weight-specific mortality. Int J Epidemiol (1983) 1.63

Perinatal mortality: standardizing for birthweight is biased. Am J Epidemiol (1983) 1.59

Needle-stick injuries in primary care in Wales. J Public Health (Oxf) (2007) 1.58

Assessment of the learning curve in health technologies. A systematic review. Int J Technol Assess Health Care (2000) 1.56

Predicting patient attitudes to asthma medication. Thorax (1993) 1.56

Can randomised trials rely on existing electronic data? A feasibility study to explore the value of routine data in health technology assessment. Health Technol Assess (2003) 1.56

Developing a valid and reliable measure of health outcome for patients with low back pain. Spine (Phila Pa 1976) (1994) 1.54

Generalized method for adaptive randomization in clinical trials. Stat Med (2011) 1.51

Recruitment methods for screening programmes: trial of an improved method within a regional osteoporosis study. BMJ (1993) 1.49

Hormone replacement therapy: compliance and cost after screening for osteoporosis. Eur J Obstet Gynecol Reprod Biol (1995) 1.45

Symptomatic outcome 1 year after laparoscopic and minilaparotomy cholecystectomy: a randomized trial. Br J Surg (1995) 1.44

Laparoscopic and minilaparotomy cholecystectomy: a randomized trial comparing postoperative pain and pulmonary function. Surgery (1994) 1.38

HIV infection and Scottish general practice: knowledge and attitudes. J R Coll Gen Pract (1989) 1.28

HIV infection and Scottish general practice: workload and current practice. J R Coll Gen Pract (1989) 1.24

Factors associated with onset of menopause in women aged 45-49. Maturitas (1994) 1.18

Improving the selection of patients for upper gastrointestinal endoscopy. Gut (1993) 1.17

Assessment of patients with menorrhagia: how valid is a structured clinical history as a measure of health status? Qual Life Res (1995) 1.10

SF 36 health survey questionnaire: I. Reliability in two patient based studies. Qual Health Care (1994) 1.08

Adaptation of the Manchester-Minneapolis Quality of Life instrument for use in the UK population. Arch Dis Child (2007) 1.04

Population screening for low bone mineral density: do non-attenders have a lower risk of osteoporosis? Osteoporos Int (1994) 1.04

Percutaneous transluminal angioplasty for atheromatous renal artery stenosis--blood pressure response and discriminant analysis of outcome predictors. Q J Med (1990) 1.04

Responsiveness of the SF-36 and a condition-specific measure of health for patients with varicose veins. Qual Life Res (1996) 0.96

The use of a computer-assisted telephone interview technique in a general practice research study. Fam Pract (1993) 0.95

Survival on renal replacement therapy in Europe: is there a 'centre effect'? Nephrol Dial Transplant (1996) 0.93

Estimating the point accuracy of population registers using capture-recapture methods in Scotland. J Epidemiol Community Health (1996) 0.93

Extending the Aberdeen Back Pain Scale to include the whole spine: a set of outcome measures for the neck, upper and lower back. Pain (2001) 0.91

REMCARE: reminiscence groups for people with dementia and their family caregivers - effectiveness and cost-effectiveness pragmatic multicentre randomised trial. Health Technol Assess (2012) 0.88

What do health visitors contribute to the care of children? A study in the north of England. J R Coll Gen Pract (1989) 0.87

Signal versus noise in the evidence base for medicine: an alternative to hierarchies of evidence? Fam Pract (1998) 0.86

Medical abortion or vacuum aspiration? Two year follow up of a patient preference trial. Br J Obstet Gynaecol (1997) 0.86

Rural-urban differences in the effects on mental well-being of caring for people with stroke or dementia. Aging Ment Health (2007) 0.85

Short report: encouraging GPs to complete postal questionnaires--one big prize or many small prizes? A randomized controlled trial. Fam Pract (2004) 0.84

Design of trials with dying patients: a feasibility study of cluster randomisation versus randomised consent. Palliat Med (2006) 0.82

Clinical guidelines online: do they improve compliance? Postgrad Med J (2004) 0.82

Shared care in gastroenterology: GPs' views of open access to out-patient follow-up for patients with inflammatory bowel disease. Fam Pract (2002) 0.82

Integrated care for asthma: matching care to the patient. Eur Respir J (1996) 0.81

A comparison of medical abortion (using mifepristone and gemeprost) with surgical vacuum aspiration: efficacy and early medical sequelae. Hum Reprod (1994) 0.78

Laparoscopic cholecystectomy. Lancet (1993) 0.77

Laparoscopic versus open cholecystectomy and the need for a randomized trial: a survey of surgeons and ethical committees in the British Isles. J Laparoendosc Surg (1992) 0.76

The development of a new site-specific measure of quality of life for breast problems: the Cardiff breast scales. Qual Life Res (2002) 0.76

Clarifications: open access follow up for inflammatory bowel disease. BMJ (2002) 0.75

Letter: The distribution of episodes of illness. J R Coll Gen Pract (1976) 0.75

A criterion for low birthweight. Int J Epidemiol (1991) 0.75

Identifying asthmatic patients in the community: a new method. Br J Gen Pract (1993) 0.75

Proceedings: Cost benefit analysis in the Health Service--a case study of elective herniorrhaphy. Br J Prev Soc Med (1974) 0.75

Respiratory illness in children: do deprived children have worse coughs? Acta Paediatr Scand (1991) 0.75

An answer to the surgical waiting-list? Lancet (1972) 0.75

Estimating the marginal value of 'better' research output: 'designed' versus 'routine' data in randomised controlled trials. Health Econ (2003) 0.75

Recruitment methods for screening programmes: the price of high compliance. Health Econ (1993) 0.75