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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