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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/18290

Title: A Tailored Knowledge Translation Strategy to Increase Compliance with Guideline Recommendations for Preoperative bowel Preparation
Authors: Eskicioglu, Cagla
Advisor: McLeod, Robin
Department: Health Policy, Management and Evaluation
Keywords: guidelines
knowledge translation
Issue Date: 15-Jan-2010
Abstract: Background: There is strong level I evidence that in most patients, mechanical bowel preparation (MBP) is not required. Despite this, physician behaviour has been slow to change in favour of omitting preoperative MBP. Methods: A knowledge translation strategy including: guideline development, consensus, education by opinion leaders, audit and feedback and reminder cards, was used in this study. Results: Overall, 81.1% of patients in the “before” arm and 88.4% in the “after” arm received MBP in compliance with the guideline (p=0.038). Normal diet use was compliant with the guideline in 45.6% of the patients in the “before” arm and 55.8% in the “after” arm (p=0.080). The use of enemas was compliant with the guideline in 88.5% of “before” patients and 94.2% of “after” patients (p<0.001). Conclusions: The results of this study reveal that a tailored, multi-faceted knowledge translation strategy can be used to change surgeon behavior in this clinical scenario.
URI: http://hdl.handle.net/1807/18290
Appears in Collections:Master
The Institute of Health Policy, Management and Evaluation - Master theses

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