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How can we learn to adopt green clinical practice

Achieving change in complex settings (like hospitals) is difficult, and is often as much about sociology and psychology as about the evidence. Much of what we understand about how to achieve change comes from the research on quality improvement, which focuses on increasing the reliability of implementation of evidence-based best practice by focusing on how healthcare is delivered. But the same principles can be applied to other areas of practice—in this case, persuading doctors (who often control budgets and clinical pathways) to change practice so as to improve sustainability of care without compromising other aspects of quality, such as safety or effectiveness. In both instances, we already know what we want to achieve; it's a question of how to achieve it.