Driving evidence to practice for management of migraine in the emergency department: A systematic approach to guideline implementation.
The article focuses on the challenges and strategies for implementing the 2025 American Headache Society (AHS) consensus guidelines for acute migraine treatment in emergency departments (EDs). Despite evidence-based recommendations such as intravenous prochlorperazine and occipital nerve blocks bein...
| Publicado en: | Headache: The Journal of Head & Face Pain Vol. 66; no. 7; pp. 1650 - 1654 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195037814&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195037814 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00178748 4AP jtl: Headache: The Journal of Head & Face Pain issn: 00178748 maglogo: Y pubinfo: dt: Jul2026 vid: 66 iid: 7 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 195037814 193856695 10.1111/head.70138 195037814 ppf: 1650 ppct: 4 formats: tig: atl: Driving evidence to practice for management of migraine in the emergency department: A systematic approach to guideline implementation. aug: au: Robblee, Jennifer Birnie, Kathryn A. Cortel‐LeBlanc, Miguel A. Orr, Serena L. affil: Lewis Headache Clinic, Department of Neurology, Barrow Neurological Institute, Dignity Health, Phoenix Arizona,, USA sug: subj: Migraine Therapy Emergency Service Standards Practice Guidelines Utilization Professional Practice, Evidence-Based Implementation Science Quality Improvement Decision Support Systems, Clinical Utilization Staff Development Employee Orientation Organizational Change Program Implementation Needs Assessment Audit Patient Participation Prochlorperazine Therapeutic Use Nerve Block ab: The article focuses on the challenges and strategies for implementing the 2025 American Headache Society (AHS) consensus guidelines for acute migraine treatment in emergency departments (EDs). Despite evidence-based recommendations such as intravenous prochlorperazine and occipital nerve blocks being designated as Level A–Must offer interventions, their uptake in ED practice remains inconsistent due to multifaceted barriers beyond lack of knowledge. The article advocates for the use of implementation science, specifically the Expert Recommendations for Implementing Change (ERIC) taxonomy, which offers a structured, phased approach involving stakeholder engagement, local adaptation, and systemic changes to bridge the gap between guidelines and real-world practice. It emphasizes that successful implementation requires multimodal strategies tailored to local contexts, including education, clinical decision support tools, patient involvement, and policy-level support to sustain evidence-based migraine care in emergency settings. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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