Clinical practice variation

Peter J Kennedy, Colleen M Leathley and Clifford F Hughes
Med J Aust 2010; 193 (8 Suppl): S97.
  • Peter J Kennedy1
  • Colleen M Leathley2
  • Clifford F Hughes3

  • Clinical Excellence Commission, Sydney, NSW.

Competing interests:

None identified.

  • 1. National Institute of Clinical Studies. Evidence–practice gaps report. Vol 1. Melbourne: NICS, 2003.
  • 2. Buchan H. Gaps between best evidence and practice: causes for concern. Med J Aust 2004; 180 (6 Suppl): S48-S49. <MJA full text>
  • 3. Buchan H, Sewell JR, Sweet M. Translating evidence into practice. Med J Aust 2004; 180: S43. <MJA full text>
  • 4. Grol R, Buchan H. Clinical guidelines: what can we do to increase their use? Med J Aust 2006; 185: 301-302. <MJA full text>
  • 5. Davis DA, Taylor-Vaisey A. Translating guidelines into practice: a systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. CMAJ 1997; 157: 408-416.
  • 6. Evensen AE, Sanson-Fisher R, E’Este C, et al. Trends in publications regarding evidence-practice gaps: a literature review. Implement Sci 2010; 5: 11.
  • 7. Wennberg JE. Unwarranted variations in healthcare delivery: implications for academic medical centres. BMJ 2002; 325: 961-964.
  • 8. McGlynn EA, Asch SM, Adams J, et al. Quality of health care delivered to adults in the United States. N Engl J Med 2003; 348: 2635-2645.
  • 9. Fisher ES, Bynum JP, Skinner JS. Slowing the growth of health care costs — lessons from regional variation. N Engl J Med 2009; 360: 849-852.
  • 10. Chalkidou K, Tunis S, Lopert R, et al. Comparative effectiveness research and evidence-based health policy: experience from four countries. Milbank Q 2009; 87: 339-367.
  • 11. Weinstein MC, Skinner JA. Comparative effectiveness and health care spending — implications for reform. N Engl J Med 2010; 362: 460-465.
  • 12. National Health and Medical Research Council. Guidelines for the development and implementation of clinical practice guidelines. Canberra: NHMRC, 1995.
  • 13. National Institute of Clinical Studies. Evidence–practice gaps report. Vol 2. Melbourne: NICS, 2003.
  • 14. National Institute of Clinical Studies. Evidence–practice gaps report. Vol 1: a review of developments: 2004–2007. Melbourne: NICS, 2003.
  • 15. Garling P. Final report of the Special Commission of Inquiry: acute care services in NSW public hospitals. Sydney: NSW Government, 27 Nov 2008.
  • 16. Clinical Excellence Commission [website]. (accessed Aug 2010).
  • 17. Clinical Excellence Commission. Chartbook. Quality of healthcare in NSW. 2008. Sydney: CEC, 2010. (accessed Aug 2010).
  • 18. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet 2003; 362: 1225-1230.
  • 19. Fisher ES, Berwick DM, Davis K. Achieving health care reform — how physicians can help. N Engl J Med 2009; 360: 2495-2497.
  • 20. Hains IM, Fuller JM, Ward RL, Pearson SA. Standardizing care in medical oncology. Cancer 2009; 115: 5579-5588.
  • 21. National Institute of Clinical Studies. Identifying barriers to evidence uptake. Melbourne: NICS, 2006.
  • 22. Clinical Excellence Commission. Understanding and influencing blood prescription. A market research report prepared by Eureka Strategic Research for the Clinical Excellence Commission and the National Blood Authority. December 2007. Sydney: CEC, 2007.
  • 23. National Institute of Clinical Studies. Do guidelines make a difference to health care outcomes? (accessed Aug 2010).
  • 24. Yonek J, Hines S, Joshi MA. A guide to achieving high performance in multi-hospital health systems. March 2010. Chicago: Health Research and Educational Trust, 2010.
  • 25. Australian Satellite of the Cochrane EPOC Group [website]. (accessed Aug 2010).
  • 26. National Institute of Clinical Studies. Clinical Practice Guidelines Portal [website]. (accessed Aug 2010).
  • 27. Krahn M, Naglie G. The next step in guideline development: incorporating patient preferences. JAMA 2008; 300: 436-438.
  • 28. Sepucha KR, Fowler FJ, Mulley AG. Policy support for patient-centred care: the need for measurable improvements in decision quality. Health Aff [web exclusive] 2004; 7 Oct: VAR-55. (accessed Aug 2010).
  • 29. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections. N Engl J Med 2006; 355: 2725-2734.
  • 30. The Health Foundation. Patient safety update. London: Health Foundation; 2009. (accessed Aug 2010).


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Responses are now closed for this article.