Beyond Effectiveness: Implementation Science 101 for Clinicians and Clinical Researchers

Ramly, Edmond; Brown, Heidi W.

doi:10.1097/spv.0000000000001322

Cited by 1 publication

(2 citation statements)

References 40 publications

(85 reference statements)

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“…4 Implementation of change in and of itself is a science that project coordinators should be familiar with to facilitate project interventions. 5 Measuring processes and outcomes is essential in identifying whether a change, for better or worse, occurs. There are many tools for investigating data that are beyond the scope of this article to review; they include statistical analyses, brainstorming session design, flow charts, and graphs.…”

Section: Breaking Down Improvement Conceptsmentioning

confidence: 99%

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Improvement Strategies in Surgical Care

Morrill

2023

UROGC

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he complexity of medical systems makes it difficult to implement changes and then to assess the effects of a change. Perioperative care is particularly complex because of such factors as the interaction of different teams, multiple health care provider hand-offs, use of numerous medications used via distinct routes, and performance of procedures that often incorporate various devices that require specialized training for use. A systematic review analyzing studies with at least 1,000 patients found that the largest proportion of adverse events occurred in the operating room (OR; 41.0%). By contrast, only 14.9% of adverse events occurred outside of the hospital, and in the hospital, 3.1% were in the high-risk but focused environment of the intensive care unit. 1 The concepts and design of quality and performance improvement (QI/PI) are not new, but as the authors of the thorough article "Performance improvement in surgery" note, there are some common barriers to utilization of these tools in health care including, "inadequate access to relevant data and analytics, health professionals not trained to think analytically about the delivery of healthcare, and industrial and systems engineers without enough knowledge of the healthcare industry." 2 Because these barriers can generally be attributed to the responsibility of health care organizations, physicians, and device or pharmaceutical manufacturers, respectively, it behooves stakeholders to be proficient with the tools of QI/PI.

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Section: Breaking Down Improvement Conceptsmentioning

confidence: 99%

“…The next step is to analyze if the desired affect is achieved and, in cases where it is, to ensure that the intervention is maintained 4 . Implementation of change in and of itself is a science that project coordinators should be familiar with to facilitate project interventions 5 …”

Section: Breaking Down Improvement Conceptsmentioning

confidence: 99%

Improvement Strategies in Surgical Care

Morrill

2023

UROGC

View full text Add to dashboard Cite

show abstract

Beyond Effectiveness: Implementation Science 101 for Clinicians and Clinical Researchers

Cited by 1 publication

References 40 publications

Improvement Strategies in Surgical Care

Improvement Strategies in Surgical Care

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