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The authors report a qualitative study conducted at a major US teaching hospital which sought to discover the reasons why an evidence-based anticoagulation guideline appeared to be applied irregularly, with problematic results. Using a theoretical framework derived from Rogers\u2019 work on the diffusion of innovation, this article describes the ways in which a group of residents evaluated and applied evidence in the context of caring for their patients. Future work in evidence-based practice can benefit from a greater emphasis on studies that use multi-method, qualitative designs to explore the complex ways in which people interact with information and the changes that ensue from its use.<\/jats:p>","DOI":"10.1177\/1460458210377469","type":"journal-article","created":{"date-parts":[[2010,10,1]],"date-time":"2010-10-01T12:59:24Z","timestamp":1285937964000},"page":"177-188","source":"Crossref","is-referenced-by-count":8,"title":["Applying evidence in practice: A qualitative case study of the factors affecting residents\u2019 decisions"],"prefix":"10.1177","volume":"16","author":[{"given":"Prudence W.","family":"Dalrymple","sequence":"first","affiliation":[{"name":"Drexel University, Philadelphia, USA,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harold P.","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine, Baltimore, 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