Leveraging Robust Mixed Methodologies to Advance Implementation Research and Practice*

Abstract

OVID-19 has affected nearly half a billion people globally and is responsible for over 5 million deaths, approximately 1 million of whom are in the United States (1). Although vaccination has resulted in reduced mortality rates and severity of disease (2), COVID infections and their consequences for patients will continue. Although COVID-19 is primarily a respiratory disease, neurologic symptoms are frequent (3). Anosmia, ageusia (3), dizziness, headache, myalgias (4), cerebrovascular ischemia, and encephalitis

Meeting the Needs of ICU Survivors: A Gap Requiring Systems Thinking and Shared Vision*

“…The importance of including patient functional assessment in discharge summaries was highlighted in the 2012 consensus conference, but the quality of assessments for ICU survivors and how effectively results are communicated remains relatively understudied (2, 3, 6, 15). Human factors techniques can inform the development of, and response to, these assessments (16)—for example, by ensuring that assessments are structured to identify survivor needs, and by evaluating the process of addressing these needs (e.g., appointment scheduling and coordination of home health support). Incorporating these assessments into handoff tools would be beneficial to ensure a shared understanding of addressed and outstanding needs among clinicians, patients, and their caregivers.…”