Review
Health Care Sciences & Services
Devon K. Check, Leah L. Zullig, Melinda M. Davis, Louise Davies, David Chambers, Linda Fleisher, Samantha J. Kaplan, Enola Proctor, Shoba Ramanadhan, Florian R. Schroeck, Angela M. Stover, Bogda Koczwara
Summary: Efforts to improve cancer care come from improvement science and implementation science, which although developed independently, share similarities in purpose, scope, and methods. Studies show potential for synergy between the two fields, suggesting alignment can enhance care significantly through harmonizing language and methods.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Health Care Sciences & Services
T. M. Damush, E. J. Miech, N. A. Rattray, B. Homoya, Lauren S. Penney, A. Cheatham, S. Baird, J. Myers, C. Austin, L. J. Myers, A. J. Perkins, Y. Zhang, B. Giacherio, M. Kumar, L. D. Murphy, J. J. Sico, D. M. Bravata
Summary: The PREVENT program aimed to provide timely care for patients with TIA by addressing systemic barriers. The implementation bundle successfully promoted local adaptation and adoption of quality improvement interventions.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Surgery
Elena Pallari, Zarnie Khadjesari, David Aceituno, Catherine Anyango Odhiambo, Ross Warner, Christopher Bastianpillai, James S. A. Green, Nick Sevdalis
Summary: Teaching quality improvement (QI) skills to surgeons and surgical residents typically involves a combination of QI techniques such as QI models, process mapping, and lean principles, paired with didactic teaching and practical project delivery. However, there is poor reporting on the implementation of QI training, methodological weaknesses, and lack of clarity on underlying frameworks, environmental descriptions, content, and conclusions. Conducting larger-scale educational QI studies across multiple institutions can help advance the field and clarify the true impact of QI training.
Article
Infectious Diseases
Joseph F. Golob, Heather L. Evans, Laura A. Kreiner, Jeffrey A. Claridge
Summary: Implementation science aims to reduce the time it takes to apply medical innovations to patients, focusing on key concepts such as information diffusion, dissemination, implementation, adoption, and sustainability. Clinicians should prepare for implementation by asking the right questions, and implementation science provides proven tools and strategies for successful implementation.
SURGICAL INFECTIONS
(2021)
Article
Health Care Sciences & Services
Laura J. Damschroder, Nicholas R. Yankey, Claire H. Robinson, Michelle B. Freitag, Jennifer A. Burns, Susan D. Raffa, Julie C. Lowery
Summary: Integrating evidence-based innovations into sustained use is challenging in health systems, but increasing frontline teams' QI capability through programs like LEAP can improve implementation readiness. Despite improvements in QI skills and high satisfaction with LEAP components, participating teams still struggled to complete assignments due to competing clinical priorities.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Health Care Sciences & Services
Omonyele L. Adjognon, Marlena H. Shin, Melissa J. A. Steffen, Jennifer Moye, Samantha Solimeo, Jennifer L. Sullivan
Summary: The study identified key factors affecting GeriPACT implementation, including model structure, design quality, resource availability, leadership support, and team communication. Older patients with multiple chronic conditions require high levels of care management and coordination.
HEALTH SERVICES RESEARCH
(2021)
Article
Health Care Sciences & Services
Sarah Schechter, Sravya Jaladanki, Jonathan Rodean, Brittany Jennings, Marquita Genies, Michael D. Cabana, Sunitha Vemula Kaiser
Summary: The study evaluated changes in care quality in community hospitals in the USA after the end of a national quality improvement (QI) collaborative for paediatric asthma care. Findings indicated concerning declines in guideline adherence, particularly in early bronchodilator administration and referral rates to smoking cessation resources, after the collaborative ended.
BMJ QUALITY & SAFETY
(2021)
Article
Pediatrics
Elizabeth L. Cope, Margaret Johnson, Marya Khan, Heather C. Kaplan, Anne Sales, Kamila B. Mistry
Summary: The study highlighted that professional interactions, incentives and resources, and capacity for organizational change were the key influential factors in pediatric quality improvement projects. While social, political, and legal factors were less commonly referenced, the policies of payers or funders were found to be one of the most influential factors. Future quality improvement efforts should focus on supporting infrastructure development and providing resources for program implementation.
ACADEMIC PEDIATRICS
(2021)
Article
Health Care Sciences & Services
Joan G. Carpenter, Winifred Josephine Scott, Jennifer Kononowech, Mary Beth Foglia, Leah M. Haverhals, Robert Hogikyan, Ann Kolanowski, Zach Landis-Lewis, Cari Levy, Susan C. Miller, V. J. Periyakoil, Ciaran S. Phibbs, Lucinda Potter, Anne Sales, Mary Ersek
Summary: The study evaluated the effectiveness of feedback reports and feedback reports + external facilitation on the completion of life-sustaining treatment (LST) note templates and medical orders. By comparing the sole implementation strategy at 12 sites with the robust external facilitation at 5 sites, it was found that external facilitation was associated with a significant improvement in outcomes.
HEALTH SERVICES RESEARCH
(2022)
Article
Gastroenterology & Hepatology
Vera Yakovchenko, Timothy R. Morgan, Edward J. Miech, Brittney Neely, Carolyn Lamorte, Sandra Gibson, Lauren A. Beste, Heather McCurdy, Dawn Scott, Rachel Gonzalez, Angela M. Park, Byron J. Powell, Jasmohan S. Bajaj, Jason A. Dominitz, Maggie Chartier, David B. Ross, Matthew J. Chinman, Shari S. Rogal
Summary: This study identified and specified implementation strategies for improving cirrhosis care through surveys, analysis, and qualitative interviews. The findings can be applied to other implementation challenges in hepatology.
Editorial Material
Medicine, General & Internal
Baligh R. Yehia, Stephan D. Fihn
Summary: To respond to declining numbers of veterans and impending budget constraints, the VA health care system can accelerate the transition to value-based care, optimize infrastructure, and strengthen engagement with employees and the public.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Critical Care Medicine
Charlotte Z. Woods-Hill, Heather Wolfe, Sara Malone, Katherine M. Steffen, Asya Agulnik, Brian F. Flaherty, Ryan P. Barbaro, Maya Dewan, Sapna R. Kudchadkar
Summary: Implementation science (IS) is an innovative and increasingly popular approach that can address the issue of PICU patients failing to receive effective diagnostic and therapeutic interventions.
PEDIATRIC CRITICAL CARE MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Joseph Fonseca, Richard Violette, Sherilyn K. D. Houle, Lisa Dolovich, Lisa M. McCarthy, Nancy M. Waite
Summary: Community pharmacists should expand their scope of practice beyond traditional dispensing or compounding to include health promotion or chronic disease management services. Quality Improvement science can help pharmacists lead their teams in embracing optimal scope and making pharmacy services more attractive. The project aims to build community pharmacies' capacity for continuous Quality Improvement and understand the best methods for implementation in this setting.
RESEARCH IN SOCIAL & ADMINISTRATIVE PHARMACY
(2021)
Editorial Material
Anesthesiology
Guy L. Ludbrook, Carol J. Peden
Summary: The IMPROVE study is a large perioperative quality improvement project that highlights the importance of such projects and the challenges in implementing change. Challenges identified include effective training, selection of trial design and relevant quality measures, and how the context of quality improvement initiatives may influence outcomes. Despite the difficulties, quality improvement programs of this nature remain a high priority due to their positive influence on improving clinical practice.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Article
Health Care Sciences & Services
Reena Devi, Graham P. Martin, Jaydip Banerjee, John R. F. Gladman, Tom Dening, Atena Barat, Adam Lee Gordon
Summary: This study explored the sustainability of interventions initiated by quality improvement projects in UK care homes and identified the factors influencing their sustainability through thematic analysis. The findings showed that sustainability can be influenced by factors such as outcome monitoring, access to replacement materials, staff commitment, continuity of staff, communication and awareness, perceived effectiveness, and addressing priorities.
BMJ QUALITY & SAFETY
(2022)