Variability in implementing research evidence into clinical practice is widespread, including in the management of patients with kidney disease. There are numerous well-known barriers and facilitators to evidence implementation identified in other clinical settings and a few chronic kidney disease studies. The necessary changes to health systems that support evidence implementation take time to design, apply and to have a measurable effect. Measurement against an agreed standard is fundamental to this process. We use the example of renal anaemia management across a dialysis unit to illustrate an approach to these issues.
AD - The George Institute for International Health, Renal Division, PO Box 201, Missenden Road, Camperdown, NSW 2050, Australia. mgallagher@george.org.au AN - 20609094 BT - Nephrology (Carlton) ET - 2010/07/09 LA - eng M1 - 4 N1 - Gallagher, Martin PCass, AlanCraig, Jonathan CReviewAustraliaNephrology (Carlton, Vic.)Nephrology (Carlton). 2010 Jun;15(4):429-33. N2 -Variability in implementing research evidence into clinical practice is widespread, including in the management of patients with kidney disease. There are numerous well-known barriers and facilitators to evidence implementation identified in other clinical settings and a few chronic kidney disease studies. The necessary changes to health systems that support evidence implementation take time to design, apply and to have a measurable effect. Measurement against an agreed standard is fundamental to this process. We use the example of renal anaemia management across a dialysis unit to illustrate an approach to these issues.
PY - 2010 SN - 1440-1797 (Electronic)1320-5358 (Linking) SP - 429 EP - 33 T2 - Nephrology (Carlton) TI - Applying evidence into routine clinical care at a unit level: the exemplar of renal anaemia management VL - 15 ER -