McMaster University

Michael G. DeGroote
National Pain Centre

Scope of Search

Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain

9. Implementation to Practice

From its inception, NOUGG viewed developing the guideline as only the first step, and articulated an additional goal:

  • Develop and implement a knowledge transfer strategy that ensures the guideline moves into practice as a useful decision-making tool for physicians treating patients with chronic non-cancer pain.

An effective implementation plan would ensure that clinicians can easily apply the recommendations in demanding day-to-day practice environments. NOUGG created the National Faculty to guide and assist with moving the recommendations to practice. Individuals were selected from across the country, based on matching one or more of the following criteria:

  • Involvement in physician, inter-professional or patient education
  • Focus/interest in the topic of chronic pain and opioid use for CNCP
  • Contribution of relevant materials, teaching resources, or expertise (e.g., continuing professional development, knowledge transfer, guideline implementation)
  • Connection to some knowledge-to-practice infrastructure
  • Canadian Guideline "ambassador" potential.

At the June 2009 inaugural meeting1, participants (representing 9 provinces, 1 territory, and 8 national associations) agreed on a set of goals:

  • Define targeted outcomes for implementation to promote safe and effective use of opioids for CNCP
  • Develop an implementation strategy considering multiple audiences
  • Contribute to creating a funding plan for implementing to practice
  • Define strategies to evaluate impact of the Canadian Guideline

The Michael G. DeGroote National Pain Centre (along with ongoing responsibility for the Canadian Guideline) will coordinate continuing activities initiated by the National Faculty to ensure the Canadian Guideline improves practice and patient outcomes.

1 Sponsored by Canadian Institute of Health Research (CIHR).