Azar Jose, Adams Nadia, Boustani Malaz
Indiana University School of Medicine, Indianapolis, Indiana; Indiana University Center for Healthcare Innovation and Implementation Science, Health Information and Translational Sciences, Indianapolis, IN.
Indiana University School of Medicine, Indianapolis, Indiana; Indiana University Center for Healthcare Innovation and Implementation Science, Health Information and Translational Sciences, Indianapolis, IN.
Z Evid Fortbild Qual Gesundhwes. 2015;109(2):138-43. doi: 10.1016/j.zefq.2015.03.006. Epub 2015 May 1.
In the United States, it is estimated that 75,000 deaths every year could be averted if the healthcare system implemented high quality care more effectively and efficiently. Patient harm in the hospital occurs as a consequence of inadequate procedures, medications and other therapies, nosocomial infections, diagnostic evaluations and patient falls. Implementation science, a new emerging field in healthcare, is the development and study of methods and tools aimed at enhancing the implementation of new discoveries and evidence into daily healthcare delivery. The Indiana University Center for Healthcare Innovation and Implementation Science (IU-CHIIS) was launched in September 2013 with the mission to use implementation science and innovation to produce great-quality, patient-centered and cost-efficient healthcare delivery solutions for the United States of America. Within the first 24 months of its initiation, the IU-CHIIS successfully scaled up an evidence-based collaborative care model for people with dementia and/or depression, successfully expanded the Accountable Care Unit model positively impacting the efficiency and quality of care, created the first Certificate in Innovation and Implementation Science in the US and secured funding from National Institutes of Health to investigate innovations in dementia care. This article summarizes the establishment of the IU-CHIIS, its impact and outcomes and the lessons learned during the journey.
在美国,据估计,如果医疗保健系统能更有效且高效地提供高质量护理,每年可避免7.5万人死亡。医院里的患者伤害是由程序不完善、药物及其他治疗手段、医院感染、诊断评估以及患者跌倒等原因造成的。实施科学是医疗保健领域一个新兴的学科,它致力于开发和研究各种方法及工具,旨在推动将新发现和证据更好地应用于日常医疗服务中。印第安纳大学医疗创新与实施科学中心(IU-CHIIS)于2013年9月成立,其使命是运用实施科学与创新,为美国提供高质量、以患者为中心且具成本效益的医疗服务解决方案。在成立后的头24个月内,IU-CHIIS成功推广了一种针对痴呆症和/或抑郁症患者的循证协作护理模式,成功扩展了责任护理单元模式,对护理效率和质量产生了积极影响,在美国创建了首个创新与实施科学证书项目,并获得了美国国立卫生研究院的资助,以研究痴呆症护理方面的创新。本文总结了IU-CHIIS的成立过程、其影响和成果以及在此过程中吸取的经验教训。