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Table 2 Implementation activities

From: “More bang for the buck”: exploring optimal approaches for guideline implementation through interviews with international developers

Type of activity

Activity

Exemplary quotes

Making guidelines available for users to acquire them

Journals

· Not only in our journal but we’ll try to get it into up to six other professional journals depending on the discipline (06)

· All of the guidelines are streamlined for peer review publication (12)

· We produce articles in medical journals (15)

· We will get it published in a peer reviewed journal as a supplement or summary of the guideline (21)

 

Web site

· We post guidelines on our web site (08)

· The main strategy is our web site (24)

· We make them available on the Guidelines International Network web site (01)

· We also submit our guidelines to the Guideline Clearinghouse and the Guidelines International Network (21)

Alerts

Communicated to members

· The bi-annual newsletter includes a page on guidelines (08)

· We’ve got a newsletter that we circulate quarterly (20)

 

Communicated via media

· We do media launches at medical conference (20)

· Media releases to the medical press (21)

· Mass media campaign (22)

Distributing guidelines or guideline alerts

Regular mail

· We make about 20,000 copies of our documents and they’re distributed nationally (10)

· Mailings whenever they’re revised (11)

· A paper based format is sent out (17)

Electronic mail

· We send email to our membership (05)

· We will disseminate an electronic version as widely as possible using extensive email networks (21)

Active promotion and support of guideline use

Educational meetings

· Case-based workshops at our annual meeting (06)

· We do a lot of workshops (09)

· Rounds are telecast across the region (13)

· We host an annual implementation conference where people talk about what they have done and share good ideas and practices (15)

· Regional and national presentations (26)

Educational courses

· We set up an online course where clinicians can compare their practice to the guidelines (07)

· Our web modules include text, videos, and self audit questions (24)

· We offer short learning courses online that introduce a topic along with multiple choice questions (25)

Individualized instruction

· Academic detailing (05)

· Staff meet with care providers to educate them about guidelines (13)

Champions or mentors

· We have champions in the community (10)

· We identify champions in each area (15)

· We have a network of physician champions (17)

Partnerships for advocacy or accountability

· We worked with hospitals to become an accredited centres of excellence (01)

· There’s an advocacy side working with government (10)

· We have expanded programs through the Ministry of Health (17)

· We work with professional colleges (25)