01076nas a2200157 4500000000100000008004100001100001400042700001300056700001700069245010700086250001500193300001100208490000700219520064600226020004600872 2010 d1 aCass Alan1 aCraig J.1 aGallagher M.00aApplying evidence into routine clinical care at a unit level: the exemplar of renal anaemia management a2010/07/09 a429-330 v153 a

Variability in implementing research evidence into clinical practice is widespread, including in the management of patients with kidney disease. There are numerous well-known barriers and facilitators to evidence implementation identified in other clinical settings and a few chronic kidney disease studies. The necessary changes to health systems that support evidence implementation take time to design, apply and to have a measurable effect. Measurement against an agreed standard is fundamental to this process. We use the example of renal anaemia management across a dialysis unit to illustrate an approach to these issues.

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