In addition to fully using the experience of the doctor administering a treatment, the choice of treatment needs to be based on the best available evidence from the literature;, , and the patient's preferences also need to be taken into consideration., , Clearly, patients are different from each other in terms of age, gender, previous medical history and many other factors which have an impact on the effectiveness of a treatment., , This takes time and requires staff to develop critical appraisal skills;, , However, because the clinical guidelines are tailored to a specific situation by the staff who need to implement them, the evidence indicates they are more likely to be used effectively., .

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