The State Of Quality Improvement And Implementation Research
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Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation
Author : Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation Publisher : National Academies Press Page : 108 pages File Size : 54,6 Mb Release : 2007-11-01 Category : Medical ISBN : 9780309110716
The State of Quality Improvement and Implementation Research by Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation Pdf
The Institute of Medicine (IOM) workshop "The Conduct of Health Care Quality Improvement and Implementation Research" was held on May 24-25, 2007, in Irvine, CA. The purpose of this workshop was to gain a better understanding of what is known and not known about quality improvement and implementation research. Experts were asked to identify current methods and best practices as well as areas where future efforts should be concentrated to propel the field. As with its previous workshop, the Forum on the Science of Health Care Quality Improvement and Implementation invited speakers from other disciplines to share their experiences in their respective fields. Although many disciplines are relevant to this topic, not all views could be incorporated because of workshop time constraints, but will be incorporated in the forum's future activities. The State of Quality Improvement and Implementation Research: Expert Views, Workshop Summary describes and summarizes workshop presentations and discussions.
Institute of Medicine,Committee on Quality of Health Care in America
Author : Institute of Medicine,Committee on Quality of Health Care in America Publisher : National Academies Press Page : 360 pages File Size : 55,8 Mb Release : 2001-08-19 Category : Medical ISBN : 9780309072809
Crossing the Quality Chasm by Institute of Medicine,Committee on Quality of Health Care in America Pdf
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation
Author : Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation Publisher : National Academies Press Page : 60 pages File Size : 50,9 Mb Release : 2007-06-29 Category : Medical ISBN : 9780309179829
Advancing Quality Improvement Research by Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation Pdf
The Institute of Medicine's Forum on the Science of Health Care Quality Improvement and Implementation held a workshop on January 16, 2007, in Washington, DC. The workshop had its roots in an earlier forum meeting when forum members discussed what is meant by the terms "quality improvement" and "implementation science" and became convinced that they mean different things to different people. At the time, the members also discussed the need to identify barriers to quality improvement research and to implementation science. Thus the purpose of this workshop was to bring people together from various arenas to discuss what quality improvement is, and what barriers exist in the health care industry to quality improvement and also to research about quality improvement. The summary that ensues is thus limited to the presentations and discussions during the workshop itself. We realize that there is a broader scope of issues pertaining to this subject area but are unable to address them in this summary document. The workshop's first session was devoted to experiences that various institutions have had with quality improvement. Recognizing the wealth of experiences available outside of health care services, the workshop included presenters from outside the health care service industry as well as from inside. This includes discussions from a variety of perspectives: non-health care services, health plans, hospitals, and nursing. Advancing Quality Improvement Research: Challenges and opportunities - Workshop Summary describes the events of the workshop.
Author : Ronda Hughes Publisher : Department of Health and Human Services Page : 592 pages File Size : 40,6 Mb Release : 2008 Category : Medical ISBN : IOWA:31858055672798
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation
Author : Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation Publisher : National Academies Press Page : 70 pages File Size : 44,9 Mb Release : 2008-05-04 Category : Medical ISBN : 9780309116527
Creating a Business Case for Quality Improvement Research by Institute of Medicine,Board on Health Care Services,Forum on the Science of Health Care Quality Improvement and Implementation Pdf
Creating a Business Case for Quality Improvement Research focuses on issues related to improving the science supporting health care quality and eliminating communication barriers that prevent advances in the field. In 2007, the Institute of Medicine convened a workshop designed to identify the economic and business disciplines that encourage sustained efforts to improve the quality of health care. Workshop presenters and participants included representatives from academia, government and industry. A business case for quality improvement depends heavily on the progress made in the following areas: systems change and leadership, data transparency, funding, enhanced training programs and ongoing dialogue between industry officials, patients and their families. They identified a major barrier to these efforts as the nationwide institutional reluctance to invest in quality improvement and documentation of outcomes, due largely to limited resources and competing priorities as to how these resources are spent in the industry. Too often priorities are placed on creating highly-visible technology-driven programs, with less emphasis in meeting the needs and expectations of the patients. In Creating a Business Case for Quality Improvement Research, a diverse group of stakeholders identifies and assesses these and other challenges to attain a better understanding of how to create a high-value health care system for the general population.
David H. Peters,Nhan T. Tran,Taghreed Adam,World Health Organization
Author : David H. Peters,Nhan T. Tran,Taghreed Adam,World Health Organization Publisher : World Health Organization Page : 69 pages File Size : 44,9 Mb Release : 2013 Category : Medical ISBN : 9789241506212
Implementation Research in Health by David H. Peters,Nhan T. Tran,Taghreed Adam,World Health Organization Pdf
Interest in implementation research is growing, largely in recognition of the contribution it can make to maximizing the beneficial impact of health interventions. As a relatively new and, until recently, rather neglected field within the health sector, implementation research is something of an unknown quantity for many. There is therefore a need for greater clarity about what exactly implementation research is, and what it can offer. This Guide is designed to provide that clarity. Intended to support those conducting implementation research, those with responsibility for implementing programs, and those who have an interest in both, the Guide provides an introduction to basic implementation research concepts and language, briefly outlines what it involves, and describes the many opportunities that it presents. The main aim of the Guide is to boost implementation research capacity as well as demand for implementation research that is aligned with need, and that is of particular relevance to health systems in low- and middle-income countries (LMICs). Research on implementation requires the engagement of diverse stakeholders and multiple disciplines in order to address the complex implementation challenges they face. For this reason, the Guide is intended for a variety of actors who contribute to and/or are impacted by implementation research. This includes the decision-makers responsible for designing policies and managing programs whose decisions shape implementation and scale-up processes, as well as the practitioners and front-line workers who ultimately implement these decisions along with researchers from different disciplines who bring expertise in systematically collecting and analyzing information to inform implementation questions. The opening chapters (1-4) make the case for why implementation research is important to decision-making. They offer a workable definition of implementation research and illustrate the relevance of research to problems that are often considered to be simply administrative and provide examples of how such problems can be framed as implementation research questions. The early chapters also deal with the conduct of implementation research, emphasizing the importance of collaboration and discussing the role of implementers in the planning and designing of studies, the collection and analysis of data, as well as in the dissemination and use of results. The second half of the Guide (5-7) detail the various methods and study designs that can be used to carry out implementation research, and, using examples, illustrates the application of quantitative, qualitative, and mixed-method designs to answer complex questions related to implementation and scale-up. It offers guidance on conceptualizing an implementation research study from the identification of the problem, development of research questions, identification of implementation outcomes and variables, as well as the selection of the study design and methods while also addressing important questions of rigor.
James L. Harris,Linda A. Roussel,Patricia L. Thomas
Author : James L. Harris,Linda A. Roussel,Patricia L. Thomas Publisher : Jones & Bartlett Learning Page : 461 pages File Size : 54,9 Mb Release : 2021-08-04 Category : Medical ISBN : 9781284227277
Clinical Nurse Leaders Beyond the Microsystem by James L. Harris,Linda A. Roussel,Patricia L. Thomas Pdf
Clinical Nurse Leaders Beyond the Microsystem: A Practical Guide, Fourth Edition is a core resource for CNLs which imparts the competencies necessary to lead improvement teams, analyze data, and ensure delivery of quality, safety, and value-based care in any healthcare setting.
Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by OECD,World Health Organization Pdf
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Intervention Research and Evidence-Based Quality Improvement, Second Edition by Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN,Dianne Morrison-Beedy, PhD, RN, WHNP, FNAP, FAANP, FAAN Pdf
First Edition received 2012 First Place AJN Book of the Year Award in Nursing Research! “This is a resource for success and should be a part of any researcher's library." --Doody's Medical Reviews (Praise for the First Edition) Written for researchers, clinicians and doctoral students, the newly revised edition of this comprehensive reference continues to deliver the essentials of intervention research with added content on evidence-based quality improvement, a must for improving healthcare quality, safety and population health outcomes. Although typically it takes years for research-based interventions to make their way to real world clinical settings, this “prolonged time for translation” frustrates researchers and their interprofessional teams. This second edition now delves even deeper into key strategies for rapidly moving research-based interventions into real world settings in the form of evidence-based quality improvement as well as the challenges of working in an increasingly diverse professional research environment. Intervention Research and Evidence-Based Quality Improvement, Second Edition begins at the pilot study phase for intervention research and highlights every step of the way through to full-scale randomized controlled trials. Written in user-friendly format, content covers designing, conducting, analyzing, and funding intervention studies that improve healthcare quality and people’s health outcomes. Chapters cover writing grant applications and show examples of actual applications that have been funded by NIH and other organizations. These real-life samples are available online, alongside additional progress reports and final reports. Real-world examples of evidence-based quality improvement projects that have improved outcomes also are highlighted in this second edition. New to the Second Edition: Describes evidence-based quality improvement and specific steps in conducting EBQI projects, which are essential for enhancing healthcare quality, safety and costs along with enhancing population health outcomes. Emphasizes the importance of interprofessional teams Focuses on using research-based interventions in real-world settings Six new chapters o Generating Versus Using Evidence to Guide Best Practice o Setting the Stage for Intervention Research and Evidence-based Quality Improvement o Evidence-based Quality Improvement o Translational Research: Why and How o Factors Influencing Successful Uptake of Evidence-Based Interventions in Clinical Practice o Using Social Media to Enhance Uptake of Research-Based Interventions into Real World Clinical Settings Key Features: Provides a practical, comprehensive resource for designing, conducting, analyzing, and funding intervention studies Outlines the specific steps in designing, conducting and evaluating outcomes of evidence-based quality improvement projects Includes examples of funding research grants, progress reports, and final reports Serves as a core text for students in doctoral nursing and other health sciences programs
David A. Chambers,Cynthia A. Vinson,Wynne E. Norton
Author : David A. Chambers,Cynthia A. Vinson,Wynne E. Norton Publisher : Oxford University Press Page : 400 pages File Size : 51,8 Mb Release : 2018-10-03 Category : Medical ISBN : 9780190647445
Advancing the Science of Implementation across the Cancer Continuum by David A. Chambers,Cynthia A. Vinson,Wynne E. Norton Pdf
While many effective interventions have been developed with the potential to significantly reduce morbidity and mortality from cancer, they are of no benefit to the health of populations if they cannot be delivered. In response to this challenge, Advancing the Science of Implementation across the Cancer Continuum provides an overview of research that can improve the delivery of evidence-based interventions in cancer prevention, early detection, treatment, and survivorship. Chapters explore the field of implementation science and its application to practice, a broad synthesis of relevant research and case studies illustrating each cancer-focused topic area, and emerging issues at the intersection of research and practice in cancer. Both comprehensive and accessible, this book is an ideal resource for researchers, clinical and public health practitioners, medical and public health students, and health policymakers.
Research for Advanced Practice Nurses by Magdalena A Mateo, PhD, RN, FAAN,Dr. Karin T Kirchhoff, PhD, RN Pdf
Designated a Doody's Core Title! "This book should provide graduate nursing students with the knowledge to evaluate research evidence and use it in practice. With the increasing focus on EBP, this book should serve as a useful resource." Score: 100, 5 stars --Doody's Achieve competency in evidence-based practice now! This book provides practical ways for nurses to develop competency in evidence-based practice (EBP) by effectively using and appraising clinical studies. In this single, introductory volume, Mateo and Kirchoff present everything that advanced practice nurses and graduate students need to know to translate clinical research into practice. With this book, readers will learn the essential methods that are used to achieve EBP, such as how to find and evaluate research articles, design questionnaires and data collection forms, analyze quantitative data, and much more. Key features: Includes guidelines on how to evaluate the strengths and failures of research articles Presents data collection methods for physiological and psychosocial data Explains how to evaluate the ethical aspects of a study Provides guidelines on how to present and publish research findings Contains appendices with examples of evidence-based practice activities and protocols as well as a resource list of relevant websites By knowing how to appraise the available evidence and its implications for clinical care, readers will learn to seamlessly translate evidence into practice.
Implementing Evidence-Based Practice in Healthcare by Gill Harvey,Alison Kitson Pdf
The successful implementation of evidence into practice is dependent on aligning the available evidence to the particular context through the active ingredient of facilitation. Designed to support the widely recognised PARIHS framework, which works as a guide to plan, action and evaluate the implementation of evidence into practice, this book provides a very practical ‘how-to’ guide for facilitating the whole process. This text discusses: undertaking an initial diagnosis of the context and reaching a consensus on the evidence to be implemented; how to link the research evidence with clinical and patients’ experience and local information in the form of audit data or patient and staff feedback; the range of diagnostic, consensus building and stakeholder consultation methods that can be helpful; a description of facilitator roles and facilitation methods, tools and techniques; some of theories that underpin the PARIHS framework and how these have been integrated to inform a revised version of PARIHS Including internationally-sourced case study examples to illustrate how the facilitation role and facilitation skills have been applied in a range of different health care settings, this is the ideal text for those interested in leading or facilitating evidence based implementation projects, from the planning stage through to evaluation.
Research for Advanced Practice Nurses, Second Edition by Magdalena A. Mateo, PhD, RN, FAAN,Dr. Marquis D. Foreman, PhD, RN, FAAN Pdf
"This book should provide graduate nursing students with the knowledge to evaluate research evidence and use it in practice. With the increasing focus on EBP, this book should serve as a useful resource." Score: 100, 5 stars.--Doody's "This book would be useful for both graduate nursing students and practicing nurses."--Doody's Medical Reviews The second edition of this award-winning reference on formulating, achieving, and sustaining evidence-based practice (EBP) through clinical research updates all prior content and includes two new chapters on establishing and sustaining an evidence-based practice and environment, and how a research question drives the selection of research design, measurement, and analysis. Also featured are cutting-edge discussions of translational science and interprofessional research plus the contributions of several new authors. Designed for use by graduate students, clinical administrators, and managers and in DNP programs and in-service education, the text offers practical methods to translate evidence into practice by effectively using and appraising clinical studies. It presents research concepts in a clear, conversational tone and addresses the most current knowledge about how nurses can learn to formulate and achieve EBP as clinicians. From a single study to a meta-analysis, EBP concepts related to patient care are integrated throughout. Clinically relevant examples present ways students and staff can apply knowledge to daily clinical practice through the development, implementation, and evaluation of clinical protocols. Text boxes and web references reinforce information. Taken together, the content of the Second Edition will help the nursing profession in its move toward the forefront of institutional management, research, policy decisions, and ethical considerationsóall to enhance safe patient care and health. The book also includes interactive PDF with fill-in, reusable templates, and is available in enhanced eBook format that includes audio/video Q & A. New to the Second Edition: Presents new content on translational science and inter-professional research. Updates all content from the first edition. Includes two new chapters on establishing and sustaining EBT and how a research question drives the selection of a research design, measurement and analysis. Presents the contributions of several new authors. Features psychosocial and physical data collection and analysis methods. Includes guidelines on evaluating research articles, including ethical components. Suggests strategies for establishing and sustaining an organizational evidence-based practice. Presents primary ways of evaluating cost as a dimension of evidence-based practice. Offers appendices with evidence-based practice activities and protocols, and a resource list of relevant websites. Features interactive PDF with fill-in, reusable templates. Available as enhanced eBook that includes audio/video Q & A
Essentials of Clinical Research by Stephen P. Glasser Pdf
In its extensively revised and updated Second Edition, this book provides a solid foundation for readers interested in clinical research. Discussion encompasses genetic, pharmacoepidemiologic and implementation research. All chapters have been updated with new information and many new tables have been added to elucidate key points. The book now offers discussion on how to handle missing data when analyzing results, and coverage of Adaptive Designs and Effectiveness Designs and new sections on Comparative Effectiveness Research and Pragmatic Trials. Chapter 6 includes new material on Phase 0 Trials, expanded coverage of Futility Trials, a discussion of Medical Device approval, Off Label Drug use and the role of the FDA in regulating advertising. Additional new information includes the role of pill color and shape in association with the placebo effect and an examination of issues surrounding minority recruitment. The final chapter offers a new section on manuscript preparation along with a discussion of various guidelines being adopted by journals: CONSORT, STROBE, PRISMA, MOOSE and others; and coverage of Conflicts of Interest, Authorship, Coercive Citation, and Disclosures in Industry-Related Associations. Building on the strengths of its predecessor in its comprehensive approach and authoritative advice, the new edition offers more of what has made this book a popular, trusted resource for students and working researchers alike.