Quality Lines
WHAT FACILITATES SPREAD OF EVIDENCE-BASED CARE?
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
SURGEONS’ VIEWS OF WRONG-SITE SURGERY AND SURGICAL MARKING PRACTICES IN THE UK
The consequences of wrong-site surgery can be severe. Guidance from both the USA …
