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Journal of Korean Society Quality Assurance Health Care 2000;7(1): 46.
Published online May 30, 2000.
임상진료지침 개발과정의 장애요인 - 심폐소생술을 중심으로 -
박성희
인하대병원 적정진료관리실
Barriers on Development of Clinical Practice Guidelines for Cardiopulmonary Resuscitation
Seong-Hi Park
Office of Q.I. Inha University Hospital
Abstract
Background
Despite favorable effects of guidelines on patient care, guidelines often fail to achieve their objectives. Poorly implemented medical practice guidelines can produce only weak effects on the process of health care delivery. Therefore, we performed this study to investigate barriers related development of clinical practice guidelines.
Methods
Cardiopulmonary resuscitation was selected as a target problem. Self questionnaires about management of cardiopulmonary resuscitation were developed by a researcher with advisory 8 experts. The questionnaires were designed as a unstructured methods. The data were collected from March 1 to May 31, 1999. A total 50 death case admitted inpatient to Inha University Hospital were subjected to evaluate the development and application of clinical practice guidelines for cardiopulmonary resuscitation. The data were examined by frequency, t-test with SPSS.
Result
The article reviewed several common barriers that might limit successful implementation of guidelines in clinical practice, as illustrated by evaluating recommendations for cardiopulmonary resuscitation clinical practice guidelines. Some major problems with guidelines were characterized as follows (1) ethical problem : euthanasia, (2) occurrence on various emergency event and setting, (3) non-medical problems (4) unreliable of medical record etc.
Conclusion
Careful analysis of guideline attributes, anticipated effect on medical care, and organizational factors revealed several barriers to successful guideline implementation that should be addressed in the design of future guideline-based interventions.
Key words Cardiopulmonary resuscitation;Practice guidelines;


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