Rosenstein Melissa G
Department of Clinical Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of California San Francisco, San Francisco, California.
Clin Obstet Gynecol. 2019 Sep;62(3):594-605. doi: 10.1097/GRF.0000000000000474.
Although there is no shortage of guidelines and toolkits outlining clinical practices that are evidence-based and have been shown to improve outcomes, many hospitals, and L&D units struggle to figure out exactly how to implement strategies that have been shown to work. This paper will describe suggestions to help obstetrics and gynecology units successfully implement evidence-based strategies to improve quality and safety based on the theoretical framing structures of implementation science, including theories such as the Health Beliefs Model, the Theory of Planned Behavior, Ecological Perspectives, COM-B, CFIR, and tools such as Driver Diagrams.
尽管不乏概述基于证据且已证明能改善结果的临床实践的指南和工具包，但许多医院以及分娩与产后护理单位仍难以确切弄清楚如何实施已证明有效的策略。本文将基于实施科学的理论框架结构，包括健康信念模型、计划行为理论、生态视角、COM - B、CFIR等理论以及驱动图等工具，描述一些建议，以帮助妇产科单位成功实施基于证据的策略，从而提高质量和安全性。
