Building Bridges to Quality

Investigating antenatal corticosteroid clinical guideline practice at an organisational level

“…Despite the majority of guidelines being published within the last five years, this did not correlate with hospitals having recommendations on the use of ACS for specific indications, where sufficient evidence could feasibly allow recommendations to be made . This could be due to the significant variation in the methodology used to synthesise the evidence and formulate the recommendations, which has been a recognised criticism of many published clinical practice guidelines …”

Deciding without data: clinical decision-making in pediatric orthopedic surgery

“…A lack of available clinical evidence cannot be solely blamed for the low utilization of evidence demonstrated in this study. Thousands of new randomized trials are published in online databases every year and it has been calculated that physicians would need to read 20 articles every day to maintain present knowledge [21,22]. Therefore, despite the large volume of literature, physicians are in need of decision aid tools to help synthesize scientific evidence.…”

The effect of professional-led guideline workshops on clinical practice for the management of patent ductus arteriosus in preterm neonates in Japan: a controlled before-and-after study

“…This is especially important in Japan where preterm neonates are frequently monitored by functional echocardiography before receiving tailored care. Additionally, augmenting new evidence and a daily recommended uptake [ 39 ] might be challenging for clinicians [ 40 ]. Guideline translation could also be challenging due to its content and dissemination strategy [ 19 ].…”