One of the most important aspects of the implementation strategy is planning how to best disseminate information about the guideline.
Dissemination often involves sending information to users.
There are many methods for disseminating information on guidelines. For example:
during training sessions;
developing written information such as posters, leaflets and algorithms;
in presentations as part of staff orientation or clinical meetings;
reminders in clinical notes;
through discussion meetings, such as on unit rounds, etc.;
in patient information leaflets; and
intranet and Internet postings.
These methods are not all equally effective, however. We are constantly learning more about what works and what doesn't.
Intervention
Effect
reminders
educational outreach
patient mediated interventions
interactive educational workshops
multifaceted interventions (i.e. a combination of effective approaches)
largely effective
audit and feedback
local consensus conferences
opinion leaders
variable
dissemination of written materials
didactic education sessions (e.g. lectures)
largely ineffective
The success of disseminating information on guidelines depends not only on using several of the above techniques but presenting them in an attractive, user-friendly format. First you must encourage people to listen to suggestions for improvement, and then convince them to change their practice.
Visit your portfolio and record what you have learned.
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