Barriers and Facilitators of Intensivists’ Adherence to Hyperinsulinemia-Euglycemia Therapy in the Treatment of Calcium Channel Blocker Poisoning

Brassard, Eric; Archambault, Patrick; Lacombe, Guillaume; St‐Onge, Maude

doi:10.1007/s13181-018-0676-2

Cited by 4 publications

(1 citation statement)

References 43 publications

(57 reference statements)

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“…Among the existing studies, lack of time required to use clinical guidelines and lack of knowledge and understanding about them have been introduced as the most common obstacles in the implementation of clinical guidelines (14)(15)(16)(17).…”

Section: Systematic Review Registration: Crd42020201350mentioning

confidence: 99%

The Factors Influencing the Implementation of Clinical Guidelines in the World; a Systematic Review Protocol

Babaei

Hajebrahimi

Jannati

et al. 2021

Preprint

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Background: Clinical guidelines are a systematic collection of the latest and most authoritative scientific evidence that describes thediagnostic steps and methods of clinical treatment of a patient in a categorized manner, taking into account priorities, effectiveness, and cost-effectiveness. It is necessary to explore and categorize influencing factors in the implementation of clinical guidelines worldwide to pave the way for their implementation in medical centers.Methods: In this systematic review we will search Scopus, PubMed, Web of sciences, clinical key, Google Scholar (Search Engine as well as Iranian data bases including: Magiran, SID, Irandoc, Iranmedex. We will include all related original studies that generally cover all relevant outcomes to determine the factors influencing the success of the implementation of clinical guidelines and to identify barriers and facilitators as well.The quality of the included studies will be assessed by appropriate Joanna Briggs Institute (JBI) Checklists according to the type of studies. The selection and appraisal process will be performed by two members of the research team; and in case of disagreement between the two researchers, the third person will review the articles.Discussion: Identifying the facilitators and factors affecting the implementation of clinical guidelines as well as the related obstacles is expected to pave the way for helping managers, policymakers and health planners in implementing them correctly.Systematic review registration: CRD42020201350

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Section: Systematic Review Registration: Crd42020201350mentioning

confidence: 99%

The Factors Influencing the Implementation of Clinical Guidelines in the World; a Systematic Review Protocol

Babaei

Hajebrahimi

Jannati

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

To call or not to call: behavioral determinants influencing the decision of intensivists to consult poison centers for calcium channel blocker poisoning

Brassard

Archambault

Lacombe

et al. 2019

Clinical Toxicology

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A systematic review using the Theoretical Domains Framework to identify barriers and facilitators to the adoption of prescribing guidelines

Paksaite

Watson

Crosskey

et al. 2020

International Journal of Pharmacy Practice

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Objectives Evidence-based guidelines have the potential to reduce variation and increase prescribing quality. Identifying the key determinants to their uptake, using a theory-based approach, may assist in the design of successful interventions to increase their adoption into practice. This systematic review investigated barriers and facilitators identified using the Theoretical Domains Framework (TDF) to the implementation of prescribing guidelines. Methods Electronic databases (EMBASE, PubMed) were searched. Studies were included if they used the TDF to identify key determinants of guideline implementation. Only studies published in English were included. Key findings Of the 407 studies identified, 15 were included. A range of patient populations and therapeutic categories were represented. Multiple determinants were identified that affected guideline implementation, with similarities and differences identified across studies. Barriers to guideline adoption included time restriction, lack of awareness, guideline complexity, lack of clinical evidence, social influences and disagreement. Facilitators included peer influence, guideline simplicity, confidence and belief about the positive consequences derived from guideline adoption, for examples improved care and patient outcomes. Conclusions Multiple behavioural factors affect the adoption of prescribing guidelines. The results aided the understanding of factors that may be targeted to increase guideline compliance. However, barriers and facilitators can vary significantly in different environments; therefore, research that targets particular healthcare settings and patient populations may provide further evidence to increase the specificity and credibility of intervention strategies.

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Barriers and Facilitators of Intensivists’ Adherence to Hyperinsulinemia-Euglycemia Therapy in the Treatment of Calcium Channel Blocker Poisoning

Abstract: This qualitative study identified potential behavioral targets for future implementation strategies to address to improve adherence to HIET.

Cited by 4 publications

References 43 publications

The Factors Influencing the Implementation of Clinical Guidelines in the World; a Systematic Review Protocol

The Factors Influencing the Implementation of Clinical Guidelines in the World; a Systematic Review Protocol

To call or not to call: behavioral determinants influencing the decision of intensivists to consult poison centers for calcium channel blocker poisoning

A systematic review using the Theoretical Domains Framework to identify barriers and facilitators to the adoption of prescribing guidelines

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