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"Implementation science"

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https://www.readbyqxmd.com/read/27896264/improving-fidelity-of-translation-of-the-stepping-on-falls-prevention-program-through-root-cause-analysis
#1
Jane E Mahoney, Vicki L Gobel, Terry Shea, Jodi Janczewski, Sandy Cech, Lindy Clemson
BACKGROUND: Fidelity monitoring is essential with implementation of complex health interventions, but there is little description of how to use results of fidelity monitoring to improve the draft program package prior to widespread dissemination. Root cause analysis (RCA) provides a systematic approach to identifying underlying causes and devising solutions to prevent errors in complex processes. Its use has not been described in implementation science. METHODS: Stepping On (SO) is a small group, community-based intervention that has been shown to reduce falls by 31%...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27884311/understanding-kidney-care-needs-and-implementation-strategies-in-low-and-middle-income-countries-conclusions-from-a-kidney-disease-improving-global-outcomes-kdigo-controversies-conference
#2
Vivekanand Jha, Mustafa Arici, Allan J Collins, Guillermo Garcia-Garcia, Brenda R Hemmelgarn, Tazeen H Jafar, Roberto Pecoits-Filho, Laura Sola, Charles R Swanepoel, Irma Tchokhonelidze, Angela Yee Moon Wang, Bertram L Kasiske, David C Wheeler, Goce Spasovski
Evidence-based cinical practice guidelines improve delivery of uniform care to patients with and at risk of developing kidney disease, thereby reducing disease burden and improving outcomes. These guidelines are not well-integrated into care delivery systems in most low- and middle-income countries (LMICs). The KDIGO Controversies Conference on Implementation Strategies in LMIC reviewed the current state of knowledge in order to define a road map to improve the implementation of guideline-based kidney care in LMICs...
December 2016: Kidney International
https://www.readbyqxmd.com/read/27848049/cancer-research-in-low-and-middle-income-countries-consortiums-implementation-science-and-healthcare-delivery
#3
EDITORIAL
Benjamin O Anderson
No abstract text is available yet for this article.
November 15, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27847032/defining-issues-in-the-study-of-process-or-quality-improvement-versus-implementation-science
#4
EDITORIAL
Jennifer Yu, Graham A Colditz
No abstract text is available yet for this article.
December 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27846928/the-role-of-implementation-science-training-in-global-health-from-the-perspective-of-graduates-of-the-field-s-first-dedicated-doctoral-program
#5
Arianna R Means, David E Phillips, Grégoire Lurton, Anne Njoroge, Sabine M Furere, Rong Liu, Wisal M Hassan, Xiaochen Dai, Orvalho Augusto, Peter Cherutich, Gloria Ikilezi, Caroline Soi, Dong Xu, Christopher G Kemp
Bridging the 'know-do gap' is an enormous challenge for global health practitioners. They must be able to understand local health dynamics within the operational and social contexts that engender them, test and adjust approaches to implementation in collaboration with communities and stakeholders, interpret data to inform policy decisions, and design adaptive and resilient health systems at scale. These skills and methods have been formalized within the nascent field of Implementation Science (IS). As graduates of the world's first PhD program dedicated explicitly to IS, we have a unique perspective on the value of IS and the training, knowledge, and skills essential to bridging the 'know-do gap'...
2016: Global Health Action
https://www.readbyqxmd.com/read/27830246/the-unintended-consequences-of-health-information-technology-revisited
#6
E Coiera, J Ash, M Berg
INTRODUCTION: The introduction of health information technology into clinical settings is associated with unintended negative consequences, some with the potential to lead to error and patient harm. As adoption rates soar, the impact of these hazards will increase. OBJECTIVE: Over the last decade, unintended consequences have received great attention in the medical informatics literature, and this paper seeks to identify the major themes that have emerged. RESULTS: Rich typologies of the causes of unintended consequences have been developed, along with a number of explanatory frameworks based on socio-technical systems theory...
November 10, 2016: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/27830235/unintended-consequences-new-problems-new-solutions-contributions-from-2015
#7
R Koppel, Y Chen
OBJECTIVE: To select the best of the 2015 published papers on unintended consequences of healthcare information technology (HIT). METHOD: Literature searches in several areas of scholarship, including IT, human factors, evaluation studies, medical errors, medical informatics, and implementation science. Also, because the specific terms "unintended consequences" were not often included in abstracts and titles, a more nuanced search algorithm was developed. RESULTS: We identified 754 papers that had some empirical research on unintended consequences of HIT...
November 10, 2016: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/27825538/-implementing-evidence-and-implementation-research-two-different-and-prime-realities
#8
José María Rumbo Prieto, Ángel Alfredo Martínez Ques, María Sobrido Prieto, Camilo Daniel Raña Lama, Miriam Vázquez Campo, Beatriz Braña Marcos
Scientific research can contribute to more efficient health care, enhance care quality and safety of persons. In order for this to happen, the knowledge gained must be put into practice. Implementation is known as the introduction of a change or innovation to daily practice, which requires effective communication and the elimination of barriers that hinder this process. Best practice implementation experiences are being used increasingly in the field of nursing. The difficulty in identifying the factors that indicate the success or failure of implementation has led to increased studies to build a body of differentiated knowledge, recognized as implementation science or implementation research...
November 4, 2016: Enfermería Clínica
https://www.readbyqxmd.com/read/27821146/psychometric-properties-of-implementation-measures-for-public-health-and-community-settings-and-mapping-of-constructs-against-the-consolidated-framework-for-implementation-research-a-systematic-review
#9
REVIEW
Tara Clinton-McHarg, Sze Lin Yoong, Flora Tzelepis, Tim Regan, Alison Fielding, Eliza Skelton, Melanie Kingsland, Jia Ying Ooi, Luke Wolfenden
BACKGROUND: Recent reviews have synthesised the psychometric properties of measures developed to examine implementation science constructs in healthcare and mental health settings. However, no reviews have focussed primarily on the properties of measures developed to assess innovations in public health and community settings. This review identified quantitative measures developed in public health and community settings, examined their psychometric properties, and described how the domains of each measure align with the five domains and 37 constructs of the Consolidated Framework for Implementation Research (CFIR)...
November 8, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27811544/interprofessional-health-team-communication-about-hospital-discharge-an-implementation-science-evaluation-study
#10
Sarah J Bahr, Danielle M Siclovan, Kristi Opper, Joseph Beiler, Kathleen L Bobay, Marianne E Weiss
The Consolidated Framework for Implementation Research guided formative evaluation of the implementation of a redesigned interprofessional team rounding process. The purpose of the redesigned process was to improve health team communication about hospital discharge. Themes emerging from interviews of patients, nurses, and providers revealed the inherent value and positive characteristics of the new process, but also workflow, team hierarchy, and process challenges to successful implementation. The evaluation identified actionable recommendations for modifying the implementation process...
November 1, 2016: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/27798038/evaluating-a-community-based-exercise-intervention-with-adults-living-with-hiv-protocol-for-an-interrupted-time-series-study
#11
Kelly K O'Brien, Ahmed M Bayoumi, Patricia Solomon, Ada Tang, Kate Murzin, Soo Chan Carusone, Mehdi Zobeiry, Ayesha Nayar, Aileen M Davis
INTRODUCTION: Our aim was to evaluate a community-based exercise (CBE) intervention with the goal of reducing disability and enhancing health for community-dwelling people living with HIV (PLWH). METHODS AND ANALYSIS: We will use a mixed-methods implementation science study design, including a prospective longitudinal interrupted time series study, to evaluate a CBE intervention with PLWH in Toronto, Canada. We will recruit PLWH who consider themselves medically stable and safe to participate in exercise...
October 20, 2016: BMJ Open
https://www.readbyqxmd.com/read/27796914/implementation-science-and-employer-disability-practices-embedding-implementation-factors-in-research-designs
#12
Chris J Main, Michael K Nicholas, William S Shaw, Lois E Tetrick, Mark G Ehrhart, Glenn Pransky
Purpose For work disability research to have an impact on employer policies and practices it is important for such research to acknowledge and incorporate relevant aspects of the workplace. The goal of this article is to summarize recent theoretical and methodological advances in the field of Implementation Science, relate these to research of employer disability management practices, and recommend future research priorities. Methods The authors participated in a year-long collaboration culminating in an invited 3-day conference, "Improving Research of Employer Practices to Prevent Disability", held October 14-16, 2015, in Hopkinton, MA, USA...
December 2016: Journal of Occupational Rehabilitation
https://www.readbyqxmd.com/read/27788557/iterative-management-of-heat-early-warning-systems-in-a-changing-climate
#13
Jeremy J Hess, Kristie L Ebi
Extreme heat is a leading weather-related cause of morbidity and mortality, with heat exposure becoming more widespread, frequent, and intense as climates change. The use of heat early warning and response systems (HEWSs) that integrate weather forecasts with risk assessment, communication, and reduction activities is increasingly widespread. HEWSs are frequently touted as an adaptation to climate change, but little attention has been paid to the question of how best to ensure effectiveness of HEWSs as climates change further...
October 2016: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/27783865/implementation-and-sustainability-of-child-parent-psychotherapy-the-role-of-reflective-consultation-in-the-learning-collaborative-model
#14
Carmen Rosa Noroña, Michelle L Acker
Recent implementation science in mental health has focused on identifying the most effective strategies to disseminate and implement evidence-based treatments (EBTs) into real-world practice settings. The learning collaborative training methodology and its use of expert trainers/consultants have become increasingly popular as one of these approaches. Moreover, there is preliminary evidence that ongoing expert consultation may increase the adoption, learning, and sustainability of EBTs by an already practicing workforce and, consequently, help trainers, practitioners, and organizations address implementation barriers...
November 2016: Infant Mental Health Journal
https://www.readbyqxmd.com/read/27783207/cns-impact-of-perinatal-hiv-infection-and-early-treatment-the-need-for-behavioral-rehabilitative-interventions-along-with-medical-treatment-and-care
#15
REVIEW
Michael J Boivin, Horacio Ruiseñor-Escudero, Itziar Familiar-Lopez
There is growing concern that although the more severe forms of HIV-associated neurologic deficits are reduced following highly active anti-retroviral therapy (HAART), mild to moderate cognitive disorders may persist for years after HAART initiation and this may occur despite complete plasma viral suppression. According to the UNAIDS 2014 report, there were 3.2 million children living with HIV around the world at the end of 2013 and 91 % of these resided in sub-Saharan Africa. In the same year, only 24 % of children who needed antiretroviral treatment (ART) received it and 190,000 children died of AIDS-related illnesses...
December 2016: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/27771804/overcoming-research-barriers-in-chagas-disease-designing-effective-implementation-science
#16
Andrés F Henao-Martínez, Kathryn Colborn, Gabriel Parra-Henao
Chagas disease is a complex tropical parasitic infection. It affects a significant portion of the population in Latin America, especially in areas of poverty and poor access to health care. It also affects immigrants in high-income countries who lack access to health care due to their legal status. Millions of people are at risk of contracting the disease, and approximately 30 % of chronically infected patients will develop cardiomyopathy. The cost of caring for patients that have been infected is substantial...
October 22, 2016: Parasitology Research
https://www.readbyqxmd.com/read/27770819/implementing-school-nursing-strategies-to-reduce-lgbtq-adolescent-suicide-a-randomized-cluster-trial-study-protocol
#17
Cathleen E Willging, Amy E Green, Mary M Ramos
BACKGROUND: Reducing youth suicide in the United States (U.S.) is a national public health priority, and lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) youth are at elevated risk. The Centers for Disease Control and Prevention (CDC) endorses six evidence-based (EB) strategies that center on meeting the needs of LGBTQ youth in schools; however, fewer than 6 % of U.S. schools implement all of them. The proposed intervention model, "RLAS" (Implementing School Nursing Strategies to Reduce LGBTQ Adolescent Suicide), builds on the Exploration, Preparation, Implementation, and Sustainment (EPIS) conceptual framework and the Dynamic Adaptation Process (DAP) to implement EB strategies in U...
October 22, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27763258/tuberculosis-diagnostics-state-of-the-art-and-future-directions
#18
Madhukar Pai, Mark P Nicol, Catharina C Boehme
Rapid and accurate diagnosis is critical for timely initiation of anti-tuberculosis (TB) treatment, but many people with TB (or TB symptoms) do not have access to adequate initial diagnosis. In many countries, TB diagnosis is still reliant on sputum microscopy, a test with known limitations. However, new diagnostics are starting to change the landscape. Stimulated, in part, by the success and rollout of Xpert MTB/RIF, an automated, molecular test, there is now considerable interest in new technologies. The landscape looks promising with a pipeline of new tools, particularly molecular diagnostics, and well over 50 companies actively engaged in product development, and many tests have been reviewed by WHO for policy endorsement...
October 2016: Microbiology Spectrum
https://www.readbyqxmd.com/read/27756434/triage-treatment-and-transfer-of-patients-with-stroke-in-emergency-department-trial-the-t-3-trial-a-cluster-randomised-trial-protocol
#19
Sandy Middleton, Chris Levi, Simeon Dale, N Wah Cheung, Elizabeth McInnes, Julie Considine, Catherine D'Este, Dominique A Cadilhac, Jeremy Grimshaw, Richard Gerraty, Louise Craig, Verena Schadewaldt, Patrick McElduff, Mark Fitzgerald, Clare Quinn, Greg Cadigan, Sonia Denisenko, Mark Longworth, Jeanette Ward
BACKGROUND: Internationally recognised evidence-based guidelines recommend appropriate triage of patients with stroke in emergency departments (EDs), administration of tissue plasminogen activator (tPA), and proactive management of fever, hyperglycaemia and swallowing before prompt transfer to a stroke unit to maximise outcomes. We aim to evaluate the effectiveness in EDs of a theory-informed, nurse-initiated, intervention to improve multidisciplinary triage, treatment and transfer (T(3)) of patients with acute stroke to improve 90-day death and dependency...
October 18, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27749299/towards-a-greater-understanding-of-implementation-science-in-health-professions-education
#20
Aliki Thomas, André Bussières
No abstract text is available yet for this article.
October 4, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
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