Use of Soft Systems Methodology for ImplementingClinical Practice Guidelines in a General Hospital

Background: it is challenging to implement evidence-based care and update and improve healthcare policy. adhering to evidence-based clinical practice guidelines (cpgs) serves as a guidefor making decisions based on the best evidence and making an attempt to improve the qualityof patient care and outcomes. despite the need for implementing cpgs in iranian hospitals,the concept and implementation method of cpgs are not clear yet. this action research aimsto propose the soft systems methodology (ssm) to facilitate the implementation of cpgs in ageneral hospital in iran.methods: we employed the ssm to conceptualize the situation for the implementation of cpgs.semi-structured in-depth interviews and group discussions with different stakeholders were usedto define the purposeful activity model. the ssm tools and techniques were used to identify themain areas of change and select necessary measures to facilitate the implementation of cpgs.flexible qualitative methods for data collection and analysis were utilized throughout the study.results: applying ssm for implementing cpgs could generate knowledge by recognizinghyper-complexity in healthcare setting, adopting an attitude of inquiry, and fostering dynamicchanges in diverse and numerous worldviews of professionals in the accommodation process.this knowledge can provide a model for the successful implementation of cpgs at a macrosystemlevel and facilitate the persuasion process for its implementation at the mesosystem level.more importantly, adopting ssm can create iterative learning loops over time and, thus, help theclinical microsystems face future healthcare complexities.conclusion: the application of systems thinking approaches, especially ssm isrecommended for implementing cpgs and addressing complex issues in healthcare settingsand other system levels.