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1.  Clinical guidelines online: do they improve compliance? 
Postgraduate Medical Journal  2004;80(945):415-419.
Background: The introduction of intranet services in a district general hospital provided an opportunity to put evidence based national guidelines online to facilitate access and promote application of best practice in acute medical care. This study evaluated the effectiveness of this approach.
Method: Local guidelines were made available online at ward terminals after they had been distributed in paper form. An interrupted time series design was used to evaluate the impact on compliance with three preselected guidelines, which addressed the management of suspected deep vein thrombosis, upper gastrointestinal bleeding, and stroke. This was supplemented by a qualitative assessment of the views of medical staff.
Results: There was a significant increase in the adherence to the guidelines for stroke when they were made available online, but this was not demonstrable for deep vein thrombosis or upper gastrointestinal bleeding.
Qualitative interviews with junior medical staff and consultants after the study was completed revealed that there was confusion regarding the application of the guidelines for deep vein thrombosis and little active support from the gastroenterologists for the guidelines for upper gastrointestinal bleeding. The stroke guidelines were actively promoted by their author and widely supported.
Conclusion: Making guidelines available online will not be effective unless they are actively promoted and represent a consensus view.
PMCID: PMC1743042  PMID: 15254307
2.  Thyrotoxicosis of a rare aetiology 
Postgraduate Medical Journal  2000;76(902):799-800.
PMCID: PMC1741831  PMID: 11085778
3.  A rare cause of right-sided abdominal pain in a young woman 
Postgraduate Medical Journal  2000;76(891):43-44.
PMCID: PMC1741458  PMID: 10622784
4.  An elderly man with diarrhoea and cellulitis 
Postgraduate Medical Journal  1999;75(889):685-686.
PMCID: PMC1741399  PMID: 10621885
5.  Recurrent dehydration in a young girl. 
Postgraduate Medical Journal  1997;73(860):367-369.
PMCID: PMC2431327  PMID: 9246346
6.  A Case of Non-Familial Degenerative Chorea 
Postgraduate Medical Journal  1965;41(471):23-25.
PMCID: PMC2483168  PMID: 14253731

Results 1-6 (6)