Department of Internal Medicine, University of Arkansas for Medical Sciences, 1125 North College Avenue, Fayetteville, AR 72703, USA.
Pediatrix of Maryland/Adventist Healthcare, 9901 Medical Center Drive, Rockville, MD 20850, USA.
Clin Perinatol. 2023 Jun;50(2):343-361. doi: 10.1016/j.clp.2023.01.002. Epub 2023 Mar 27.
Implementation science is an interdisciplinary field that seeks to contribute generalizable knowledge that can improve the translation of clinical evidence in routine care. To promote the integration of implementation science approaches with health care quality improvement, the authors offer a framework that links the Model for Improvement with implementation strategies and methods. Perinatal quality improvement teams can leverage the robust frameworks of implementation science to diagnose implementation barriers, select implementation strategies, and assess the strategies' contribution to improving care. Partnerships between implementation scientists and quality improvement teams could accelerate efforts by both groups to achieve measurable improvements in care.
实施科学是一个跨学科领域,旨在为改善常规护理中临床证据的转化提供可推广的知识。为了促进实施科学方法与医疗保健质量改进的整合,作者提出了一个将改进模型与实施策略和方法联系起来的框架。围产期质量改进团队可以利用实施科学的强大框架来诊断实施障碍,选择实施策略,并评估这些策略对改善护理的贡献。实施科学家和质量改进团队之间的合作可以加速这两个群体在改善护理方面取得可衡量进展的努力。