Cited by 4,531Health Policy Implementation ScienceClinical practice guidelines implementationHealth Sciences Research and Education

The DOI matches its Crossref record; 96 of the 99 references it cites were found in a registry or an index.

From best evidence to best practice: effective implementation of change in patients' care

Grol, Richard, Grimshaw, Jeremy·2003·The Lancet

Abstract

Major difficulties arise when introducing evidence and clinical guidelines into routine daily practice. Data show that many patients do not receive appropriate care, or receive unnecessary or harmful care. Many approaches claim to offer solutions to this problem; which ones are as yet the most effective and efficient is unclear. We aim to provide an overview of present knowledge about initiatives to changing medical practice. Substantial evidence suggests that to change behaviour is possible, but this change generally requires comprehensive approaches at different levels (doctor, team practice, hospital, wider environment), tailored to specific settings and target groups. Plans for change should be based on characteristics of the evidence or guideline itself and barriers and facilitators to change. In general, evidence shows that none of the approaches for transferring evidence to practice is superior to all changes in all situations.

Overview

Integrity signals

Registry

Crossref · 10.1016/s0140-6736(03)14546-1

Cites

96 of 96 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 99 references

Research works printed but not linked: 12

  1. Van Weel, 2003, De bijdrage van klinisch wetenschappelijk onderzoek aan een betere patiëntenzorg, Ned Tijdschr Geneesk, 147, 229
  2. Pratt, 2001, The EPIC project: developing national evidence-based guidelines for preventing healthcare associated interventions, J Hosp Infect, 47, 82
  3. 1999, Handwashing: a modern measure with big effects, BMJ, 318, 686
  4. Freemantle, 1998, Printed educational materials to improve the behaviour of health care professionals and patient outcomes (Cochrane Review)
  5. Grilli, 2000, Impact of mass media on health services utilisation (Cochrane Review)
  6. Giuffrida, 1999, Target payments in primary care: effects on professional practice and health care outcomes (Cochrane Review)
  7. Lancaster, 1998, The effectiveness of training health professionals to provide smoking cessation interventions: systematic review of randomised controlled trials (Cochrane Review)
  8. Thomson, 1997, Audit and feedback to improve health professional practice and health care outcomes (Cochrane Review)
  9. Thomson, 1997, Audit and feedback to improve health professional practice and health care outcomes (Cochrane Review)
  10. Thomson, 1997, Local opinion leaders to improve health professional practice and health care outcomes (Cochrane Review)
  11. Thomson, 1997, Outreach visits to improve health professional practice and health care outcomes (Cochrane Review)
  12. Zwarenstein, 1997, Interventions to change collaboration between nurses and doctors (Cochrane Review)

Cited by

Sorted by citations

See all 4,531

Metadata

Authors
Grol, R., & Grimshaw, J.
Affiliations
Radboud University Nijmegen (NL)
Corresponding author
Grol, Richard
Venue
The Lancet
Publisher
Elsevier BV
Published
2003-10
Volume
362
Issue
9391
Pages
1225-1230
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W2143981995
Cited by
4,531
References
99
Citations by year
2026: 118 · 2025: 112 · 2024: 177 · 2023: 156 · 2022: 153 · 2021: 205 · 2020: 248 · 2019: 217 · 2018: 228 · 2017: 228 · 2016: 267 · 2015: 288 · 2014: 305 · 2013: 307 · 2012: 268
FWCI
22.33
Type
journal article
Language
en
Open access
closed
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Keywords
evidence-based practice, clinical guidelines, change implementation, behavior change, barriers and facilitators, quality of care, inappropriate care, organizational change
MeSH terms
Patient Care, Humans, Professional Practice, Quality Assurance, Health Care, Quality of Health Care, Practice Guidelines as Topic, Evidence-Based Medicine, Guideline Adherence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review