Lane-Fall Meghan B, Cobb Benjamin T, Cené Crystal Wiley, Beidas Rinad S
Penn Center for Perioperative Outcomes Research and Transformation, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Drive, 333 Blockley Hall, Philadelphia, PA 19104, USA; Leonard Davis Institute of Health Economics, University of Pennsylvania, Colonial Penn Center, 3641 Locust Walk Philadelphia, PA 19104-6218; Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 680 Dulles (Anesthesia), Philadelphia, PA 19104, USA.
Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, 680 Dulles (Anesthesia), Philadelphia, PA 19104, USA; National Clinician Scholar Program, University of Pennsylvania, 423 Guardian Drive, 1310 Blockley Hall, Philadelphia, PA 19104, USA.
Anesthesiol Clin. 2018 Mar;36(1):1-15. doi: 10.1016/j.anclin.2017.10.004.
There is a 17-year gap between the initial publication of scientific evidence and its uptake into widespread practice in health care. The field of implementation science (IS) emerged in the 1990s as an answer to this "evidence-to-practice gap." In this article, we present an overview of implementation science, focusing on the application of IS principles to perioperative care. We describe opportunities for additional training and discuss strategies for funding and publishing IS work. The objective is to demonstrate how IS can improve perioperative patient care, while highlighting perioperative IS studies and identifying areas in need of additional investigation.
科学证据首次发表与在医疗保健中广泛应用之间存在17年的差距。实施科学（IS）领域于20世纪90年代出现，以应对这一“证据到实践的差距”。在本文中，我们概述了实施科学，重点关注实施科学原则在围手术期护理中的应用。我们描述了额外培训的机会，并讨论了资助和发表实施科学工作的策略。目的是展示实施科学如何改善围手术期患者护理，同时突出围手术期实施科学研究，并确定需要进一步调查的领域。
