PharmacoEconomics & Outcomes News 345 - 12 Jan 2002

■ Quality improvement in clinical practice requiresorganisational changes that are both strategic andsystematic, and must be based on sound researchmethodology, say researchers from Australia. Anevidence-based approach can assist in theimplementation of evidence-based medicine using aframework for changing practice which includes thefollowing steps: development of a concrete proposal,identification of obstacles, linking interventions toobstacles, development and implementation of a plan,and evaluation of progress. Strategies that have provedto be effective for quality improvement in practiceinclude reminders, as well as small-group, interactive,problem-based educational sessions. A partnershipbetween physicians and administrators is essential forimproved provider behaviour, the researchersconclude.Campbell D, et al. Improving clinical practice: what works and what doesn’t?Internal Medicine Journal 31: 536-540, Dec 2001 800876313

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PharmacoEconomics & Outcomes News 12 Jan 2002 No. 3451173-5503/10/0345-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved