TY - JOUR T1 - Quality Lines JF - Quality and Safety in Health Care JO - Qual Saf Health Care SP - 305 LP - 305 VL - 15 IS - 5 AU - David P Stevens Y1 - 2006/10/01 UR - http://qualitysafety.bmj.com/content/15/5/305.abstract N2 - Effective translation of scientific evidence into clinical practice is central to improving the quality and safety of patient care. In this issue, Bradley and her colleagues provide a valuable case study of what facilitated and what impeded diffusion of an evidence-based programme to reduce delirium in hospitalised older patients. Perhaps it is not surprising that senior leadership and adequate financial support were two strong drivers for the successful spread of this care strategy. Even when these drivers were present, however, fidelity to the programme was variable. Clearly, effective implementation of evidence-based clinical strategies remains a most daunting challenge to healthcare systems
 See p 328 The consequences of wrong-site surgery can be severe. Guidance from both the USA … ER -