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Implications for practice
■ Use of reminders in chart-based documentation aids adherence to guidelines.
■ Use of electronic health records technologies enables guideline implementation and evaluation.
■ Sustainable guidelines' implementation requires individual and system changes.
Implications for research
■ Development and evaluation of strategies to support evidence-informed practice are required.
Higuchi and colleagues set out the results from a 3-year follow-up study of a set of clinical practice guidelines implemented within two community diabetes education and care sites in Canada. The specific aim was to determine the sustainability of the guidelines' implementation over time. The guidelines under investigation related to two chronic conditions: asthma and diabetes. More specifically, the diabetes guideline looked at reducing risks for foot complications. The …
Competing interests None.