Implementing Improvements: Opportunities to Integrate Quality Improvement and Implementation Science.
Journal
Hospital pediatrics
ISSN: 2154-1671
Titre abrégé: Hosp Pediatr
Pays: United States
ID NLM: 101585349
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
pubmed:
30
4
2021
medline:
30
10
2021
entrez:
29
4
2021
Statut:
ppublish
Résumé
In hospitals, improvers and implementers use quality improvement science (QIS) and less frequently implementation research (IR) to improve health care and health outcomes. Narrowly defined quality improvement (QI) guided by QIS focuses on transforming systems of care to improve health care quality and delivery and IR focuses on developing approaches to close the gap between what is known (research findings) and what is practiced (by clinicians). However, QI regularly involves implementing evidence and IR consistently addresses organizational and setting-level factors. The disciplines share a common end goal, namely, to improve health outcomes, and work to understand and change the same actors in the same settings often encountering and addressing the same challenges. QIS has its origins in industry and IR in behavioral science and health services research. Despite overlap in purpose, the 2 sciences have evolved separately. Thought leaders in QIS and IR have argued the need for improved collaboration between the disciplines. The Veterans Health Administration's Quality Enhancement Research Initiative has successfully employed QIS methods to implement evidence-based practices more rapidly into clinical practice, but similar formal collaborations between QIS and IR are not widespread in other health care systems. Acute care teams are well positioned to improve care delivery and implement the latest evidence. We provide an overview of QIS and IR; examine the key characteristics of QIS and IR, including strengths and limitations of each discipline; and present specific recommendations for integration and collaboration between the 2 approaches to improve the impact of QI and implementation efforts in the hospital setting.
Identifiants
pubmed: 33910971
pii: hpeds.2020-002246
doi: 10.1542/hpeds.2020-002246
pmc: PMC8074111
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
536-545Subventions
Organisme : AHRQ HHS
ID : K08 HS026512
Pays : United States
Informations de copyright
Copyright © 2021 by the American Academy of Pediatrics.
Déclaration de conflit d'intérêts
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
Références
Implement Sci. 2012 Mar 14;7:17
pubmed: 22417162
Implement Sci. 2015 Apr 21;10:53
pubmed: 25895742
BMJ Qual Saf. 2011 Apr;20 Suppl 1:i92-6
pubmed: 21450782
Implement Sci. 2017 Jun 23;12(1):78
pubmed: 28645319
Qual Manag Health Care. 2013 Jul-Sep;22(3):170-86
pubmed: 23807130
BMC Psychol. 2015 Sep 16;3:32
pubmed: 26376626
Front Public Health. 2019 Nov 08;7:325
pubmed: 31781528
Implement Sci. 2015 Mar 10;10:31
pubmed: 25889831
Health Aff (Millwood). 2005 Jan-Feb;24(1):138-50
pubmed: 15647225
Front Public Health. 2020 May 12;8:134
pubmed: 32478025
Health Aff (Millwood). 2007 Mar-Apr;26(2):w107-18
pubmed: 17259191
AACN Adv Crit Care. 2018 Summer;29(2):208-212
pubmed: 29875118
Implement Sci. 2009 Jul 14;4:38
pubmed: 19594942
Am J Med Qual. 2020 Jul/Aug;35(4):330-340
pubmed: 31581794
Implement Sci. 2008 May 29;3:30
pubmed: 18510750
Med Care. 2017 Jul;55 Suppl 7 Suppl 1:S4-S12
pubmed: 27997456
JAMA. 2008 Mar 12;299(10):1182-4
pubmed: 18334694
Qual Saf Health Care. 2003 Dec;12(6):458-64
pubmed: 14645763
Prev Chronic Dis. 2018 Jan 04;15:E02
pubmed: 29300695
Jt Comm J Qual Patient Saf. 2008 Apr;34(4):228-43
pubmed: 18468362
J Oncol Pract. 2018 Jun;14(6):335-340
pubmed: 29750579
Health Serv Res. 2018 Dec;53(6):4789-4807
pubmed: 29862494
J Clin Epidemiol. 2018 Aug;100:92-102
pubmed: 29660481
Implement Sci. 2013 Oct 02;8:117
pubmed: 24088228
BMC Health Serv Res. 2019 Mar 25;19(1):189
pubmed: 30909897
Front Public Health. 2020 May 27;8:194
pubmed: 32528921
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
Adm Policy Ment Health. 2011 Jan;38(1):4-23
pubmed: 21197565
Implement Sci. 2019 Jun 6;14(1):58
pubmed: 31171014
Implement Sci. 2017 Sep 2;12(1):110
pubmed: 28865479
Med Care. 2012 Mar;50(3):217-26
pubmed: 22310560
Transl Behav Med. 2019 Nov 25;9(6):1002-1011
pubmed: 31170296
J Gen Intern Med. 2019 Jun;34(6):1032-1038
pubmed: 30623387
Am J Prev Med. 2016 Oct;51(4 Suppl 2):S124-31
pubmed: 27371105
J Oncol Pract. 2017 Aug;13(8):523-529
pubmed: 28692331
Am J Public Health. 1999 Sep;89(9):1322-7
pubmed: 10474547
Adm Policy Ment Health. 2011 Mar;38(2):65-76
pubmed: 20957426
Implement Sci. 2008 May 29;3:29
pubmed: 18510749
Front Public Health. 2019 Mar 29;7:64
pubmed: 30984733
Int J Qual Health Care. 2018 Apr 20;30(suppl_1):20-23
pubmed: 29878138
Pediatr Clin North Am. 2009 Aug;56(4):831-41
pubmed: 19660630