Objective: To outline plans of the RANZCP Quality Improvement Committee (QIC) for the implementation of the Clinical Practice Guidelines (CPG) into clinical practice in Australia and New Zealand, and provide views of the QIC on the role of CPG as a quality improvement tool.
Conclusions: Clinical Practice Guidelines are of limited utility unless there is clinician buy-in and they are used as a tool to measure variance as part of a continuous quality improvement cycle. The QIC actively encourages debate regarding the content and development process of the CPG as well as methods for their use in routine clinical practice.
LeapeL L. Error in medicine. Journal of the American Medical Association1994; 272: 1851–1857
2.
BarracloughB. Safety and quality in Australian healthcare: making progress. Medical Journal of Australia2001; 174: 616–617
3.
GrimshawJ MRussellI T. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet1993; 342: 1317–1322
4.
ThomasLCullumNMcCollE, . Guidelines in professions allied to medicine [Cochrane Review]. The Cochrane Library. Update Software, Oxford2002, Issue 2, 2002
5.
WoolfS. Practice guidelines: a new reality in medicine II. Methods of developing guidelines. Archives of Internal Medicine1992; 152: 946–952
6.
FarquharC MKofaE WSlutskyJ R. Clinicians' attitudes to clinical practice guidelines: a systematic review. Medical Journal of Australia2002; 177: 502–506
7.
A Guide to Treatments That Work, NathanP EGormanJ M. Oxford University Press, New York1998
8.
DavenportT AHickieI BNaismithS LHadzi-PavlovicDScottE M. Variability and predictors of mental disorder rates and medical practitioner responses across Australian general practices. Medical Journal of Australia2001; 175: S37–S41
9.
LarkinsR GLongPPattersonC G. The Clinical Support Systems Program concept: what is it and where did it come from?. Internal Medicine Journal2001; 31: 416–417
10.
Royal Australasian College of Physicians. Towards a Safer Culture (TASC). A Clinical Systems Support Project. Royal Australasian College of Physicians, Sydney2002
