Quality Lines
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Effective translation of scientific evidence into clinical practice is central to improving the quality and safety of patient care. In this issue, Bradley and her colleagues provide a valuable case study of what facilitated and what impeded diffusion of an evidence-based programme to reduce delirium in hospitalised older patients. Perhaps it is not surprising that senior leadership and adequate financial support were two strong drivers for the successful spread of this care strategy. Even when these drivers were present, however, fidelity to the programme was variable. Clearly, effective implementation of evidence-based clinical strategies remains a most daunting challenge to healthcare systems
See p 328
The consequences of wrong-site surgery can be severe. Guidance from both the USA and more recently the UK has highlighted the importance of preventing error by marking patients prior to surgery. This study involved surgeons in orthopaedics, ophthalmology and urology in the UK and shows that
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