What's the evidence that NICE guidance has been implemented? Results from a national evaluation using time series analysis, audit of patients' notes, and interviews.

ABSTRACT:

Objectives

To assess the extent and pattern of implementation of guidance issued by the National Institute for Clinical Excellence (NICE).

Design

Interrupted time series analysis, review of case notes, survey, and interviews.

Setting

Acute and primary care trusts in England and Wales.

Participants

All primary care prescribing, hospital pharmacies; a random sample of 20 acute trusts, 17 mental health trusts, and 21 primary care trusts; and senior clinicians and managers from five acute trusts.

Main outcome measures

Rates of prescribing and use of procedures and medical devices relative to evidence based guidance.

Results

6308 usable patient audit forms were returned. Implementation of NICE guidance varied by trust and by topic. Prescribing of some

SUBMITTER: Sheldon TA 

PROVIDER: S-EPMC524545 | biostudies-literature | 2004 Oct

REPOSITORIES: biostudies-literature