Clinical practice guideline for the diagnosis, treatment and rehabilitation of the acute ischemic stroke episode in older than 18 years: from recomendations to its implementation

Abstract

In order to improve the quality, efficiency, equity, security and economic sustainability in the care of patients with stroke, a clinical practice guideline was developed in Colombia, with evidence based recommendations. However, the formulation of these recommendations does not ensure the expected clinical outcomes. It is necessary to design strategies of adherence, implementation, monitoring and adjustment of the recommendations in the daily clinical practice, with the aim to overcome the barriers and enable the expectedimpact. The Clinical Practice Guideline for the Diagnosis, Treatment and Rehabilitation of acute episode of ischemic stroke in population over 18 was developed under a management model, identifying the key recommendations, and including the participation, review and socialization processes as the cornerstone for implementation.