Closing the clinical gap: Translating best practice knowledge to performance with guidelines implementation

Research output: Contribution to journalReview article


Unsustainable health care costs coupled with opportunity for improvement in health care outcomes in the United States are stimulating meaningful transformation in the way we deliver care. One approach in this transformation focuses on minimizing unnecessary variation in physician practices, instead focusing on evidence-based medicine in a more uniform manner. Clinical practice guidelines contain evidence-based recommendations, articulate goals of care, and can help to reduce unnecessary variation. While thousands of clinical practice guidelines are in existence, a clinical gap exists between knowledge and clinical performance. With thoughtful guidelines implementation strategies in place, organizations can begin to close the gap and translate best practice knowledge into care. Health systems that have done this effectively have seen improved clinical outcomes, improved patient satisfaction, and lower cost per patient.

Original languageEnglish (US)
Pages (from-to)898-901
Number of pages4
JournalOtolaryngology - Head and Neck Surgery (United States)
Issue number6
StatePublished - Jun 1 2013



  • Evidence-based practice
  • Guidelines
  • Implementation strategies

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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