title: Closing the clinical gap: translating best practice knowledge to performance with guidelines implementation.
abstract: Unsustainable health care costs coupled with opportunity for improvement in health care outcomes in the United States are stimulating meaningful transformation in the way we deliver care. One approach in this transformation focuses on minimizing unnecessary variation in physician practices, instead focusing on evidence-based medicine in a more uniform manner. Clinical practice guidelines contain evidence-based recommendations, articulate goals of care, and can help to reduce unnecessary variation. While thousands of clinical practice guidelines are in existence, a clinical gap exists between knowledge and clinical performance. With thoughtful guidelines implementation strategies in place, organizations can begin to close the gap and translate best practice knowledge into care. Health systems that have done this effectively have seen improved clinical outcomes, improved patient satisfaction, and lower cost per patient.
authors: Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland 21287, USA. Learnes2@jhmi.edu
authors: Lisa E
authors: LE
authors: Ishii
mesh_terms: D019317:Evidence-Based Medicine; D006284:Health Plan Implementation / Q000592:standards*; D006801:Humans; D010036:Otolaryngology / Q000592:standards; D010043:Outcome and Process Assessment, Health Care; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D057170:Translational Research, Biomedical / Q000592:standards*; D014481:United States
keywords: evidence-based practice; guidelines; implementation strategies