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Guideline implementation fails to improve thrombolytic administration


Kinsman, L and Tori, K and Endacott, R and Sharp, M, Guideline implementation fails to improve thrombolytic administration, Accident and Emergency Nursing, 15, (1) pp. 27-33. ISSN 0965-2302 (2007) [Refereed Article]

Copyright Statement

Copyright 2006 Elsevier Ltd.

DOI: doi:10.1016/j.aaen.2006.11.004


Background: International randomised controlled trials conducted over the last two decades have consistently demonstrated improved mortality and morbidity resulting from thrombolytic therapy for patients with acute myocardial infarction (AMI). Subsequently, evidence-based guidelines have been designed and implemented to optimize thrombolytic delivery. The effect of evidence-based clinical guidelines on clinical practice is heavily influenced by strategies used to develop, disseminate and implement those guidelines. Aims: This study evaluated the impact of a collaborative, multifaceted implementation strategy for AMI management guidelines on thrombolytic usage in the Loddon Mallee Region, Victoria, Australia. Intervention: The multi-faceted implementation strategy included an interdisciplinary team representing all treating venues contributing to the content of the ‘‘Guidelines for the Early Management of Acute Myocardial Infarction’’ followed by education sessions that coincided with the dissemination of the guidelines.

Item Details

Item Type:Refereed Article
Keywords:acute myocardial infarction; thrombolytic therapy; guideline implementation
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health care administration
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Kinsman, L (Professor Leigh Kinsman)
UTAS Author:Tori, K (Associate Professor Kathleen Tori)
ID Code:97763
Year Published:2007
Deposited By:Health Sciences B
Deposited On:2015-01-13
Last Modified:2019-07-16

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