Clinical practice guidelines often struggle to implement a mandate in the world of real medicine. For this reason, the initiatives born in the professional world that rely on instruments within reach such as persuasion, training and clinical audit are genuinely remarkable.
To illustrate what I mean, I have chosen three projects from the sensitive field of hospital infections. The first is from a team of intensive care specialists in Michigan, the second of a group of Spanish intensivists lead by Mutua de Terrassa and the third of a multidisciplinary group from Sevilla.

