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Clinical practice guidelines (CPGs) are ‘systematically developed statements to assist practitioner and patient decisions about appropriate healthcare for specific circumstances’. 1 The implementation of guidelines can help optimise resource utilisation, reduce variations in clinical practice and identify and apply evidence-based recommendations safely and effectively.2 In China, the number of guidelines is increasing annually, while low adherence remains a significant challenge. Low adherence not only wastes healthcare resources but also allows preventable deaths to occur. Addressing the poor implementation of guidelines in China is urgent.