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clinmed/2000070008v1 (August 21, 2000)
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Clinical guidelines: A means to too many ends?
Rebecca J Lawton, and Anthony Burton
In this paper we use evidence from other industries to address the question of when, and under what conditions, process controls are useful.
Implementing clinical governance has become synonymous with creating Clinical guidelines.
Guidelines will be a useful tool where there is little patient variation and a strong evidence base.
There are three types of rule each requiring a different strategy for implementation and monitoring.
Alternative forms of control that focus on outcomes are feasible, but successfully implementing these will require a change in culture.