Effect of Published Scientific Evidence on Glycemic Control in Adult Intensive Care Units

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Abstract
Implementing best practices into bedside clinical care improves the quality and value of health care. This change includes adopting clinical practices with evidence of effectiveness and deadopting practices with evidence of ineffectiveness or harm. However, research shows that health care systems routinely fail to make effective use of evidence.1 The Institute of Medicine cites a period of approximately 17 years for scientific evidence from randomized clinical trials to be implemented into routine care.2 This estimate refers to the time required to adopt a new intervention; it is unclear if a similar time is required to deadopt ineffective or harmful clinical practices.

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