How to Detect and Exploit Non-Adherence to Guidelines?

and Objective Healthcare organizations enforce guidelines or standards in order to improve the quality of care and to reduce costs. Yet, deviations from guidelines always occur, but concepts pertaining to these deviations are not yet well understood. The panel, which includes renowned speakers, aims to increase the awareness and further our understanding of these underlying concepts. In particular, the panel will address the following issues from a multidisciplinary perspective: 1. How to detect non-adherence to guidelines? 2. How to detect structural changes in guideline adherence (with or without decision support) over time? 3. Why do patients and providers deviate from guidelines? 4. How can deviations inform us about opportunities for guideline improvement and customization? and 5. How should organizational and social barriers to guideline improvement be managed? The panel members are international, representing four different countries. These discussions are likely not only to generate common or general issues related to barriers to guideline development and use, but also bring to the table issues specific to each organization or the country.