Background: There is strong level I evidence that in most patients, mechanical bowel preparation (MBP) is not required. Despite this, physician behaviour has been slow to change in favour of omitting preoperative MBP.
Methods: A knowledge translation strategy including: guideline development, consensus, education by opinion leaders, audit and feedback and reminder cards, was used in this study.
Results: Overall, 81.1% of patients in the “before” arm and 88.4% in the “after” arm received MBP in compliance with the guideline (p=0.038). Normal diet use was compliant with the guideline in 45.6% of the patients in the “before” arm and 55.8% in the “after” arm (p=0.080). The use of enemas was compliant with the guideline in 88.5% of “before” patients and 94.2% of “after” patients (p<0.001).
Conclusions: The results of this study reveal that a tailored, multi-faceted knowledge translation strategy can be used to change surgeon behavior in this clinical scenario.
| Identifer | oai:union.ndltd.org:TORONTO/oai:tspace.library.utoronto.ca:1807/18290 |
| Date | 15 January 2010 |
| Creators | Eskicioglu, Cagla |
| Contributors | McLeod, Robin |
| Source Sets | University of Toronto |
| Language | en_ca |
| Detected Language | English |
| Type | Thesis |
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