1. Uptake and Utilization of Practice Guidelines in Hospitals in the United States: the Case of Routine Episiotomy 
Katy B. Kozhimannil, PhD, MPA, Pinar Karaca-Mandic, PhD, Cori J. Blauer-Peterson, MPH, Neel T. Shah, MD, MPP, Jonathan M. Snowden, PhD 
Joint Commission Journal on Quality and Patient Safety 
Volume 43, Issue 1, Pages (January 2017)
DOI: /j.jcjq
Copyright © 2016 The Joint Commission Terms and Conditions

2. Figure 1
This figure shows that episiotomy rates decline steadily over time, with differences across hospital types. A vertical line indicates the year 2006, when the American College of Obstetricians and Gynecologists Practice Guideline was issued.
Joint Commission Journal on Quality and Patient Safety  , 41-48DOI: ( /j.jcjq )
Copyright © 2016 The Joint Commission Terms and Conditions