Lessons learned about implementing research evidence into clinical practice. Experiences from VA QUERI.

Journal of General Internal Medicine
Hildi HagedornAnne E Sales

Abstract

The mission of the Veterans Health Administration's (VHA) quality enhancement research initiative (QUERI) is to enhance the quality of VHA health care by implementing clinical research findings into routine care. This paper presents lessons that QUERI investigators have learned through their initial attempts to pursue the QUERI mission. The lessons in this paper represent those that were common across multiple QUERI projects and were mutually agreed on as having substantial impact on the success of implementation. While the lessons are consistent with commonly recognized ingredients of successful implementation efforts, the examples highlight the fact that, even with a thorough knowledge of the literature and thoughtful planning, unexpected circumstances arise during implementation efforts that require flexibility and adaptability. The findings stress the importance of utilizing formative evaluation techniques to identify barriers to successful implementation and strategies to address these barriers.

References

Nov 30, 2002·Medical Care·P Todd KorthuisSamuel A Bozzette
Oct 7, 2003·Journal of the American Medical Informatics Association : JAMIA·Emily S PattersonSteven M Asch
Mar 5, 2004·The Journal of Spinal Cord Medicine·Frances M WeaverMargaret C Hammond
Apr 13, 2004·Journal of Acquired Immune Deficiency Syndromes : JAIDS·P Todd KorthuisSamuel A Bozzette
May 18, 2004·The American Journal of Medicine·Sarah L KreinRodney A Hayward
Jun 10, 2004·Journal of the American Medical Informatics Association : JAMIA·Lynn McQueenJohn G Demakis
Jun 10, 2004·Journal of the American Medical Informatics Association : JAMIA·Richard R OwenMona Ritchie
Sep 17, 2004·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Henry D AnayaSteven M Asch
Dec 15, 2004·The Milbank Quarterly·Trisha GreenhalghOlivia Kyriakidou
Apr 28, 2006·Journal of General Internal Medicine·Cheryl B StetlerJeffrey L Smith

❮ Previous
Next ❯

Citations

Apr 28, 2006·Journal of General Internal Medicine·Catarina I Kiefe, Anne Sales
Dec 6, 2007·Journal of General Internal Medicine·Alexander S YoungRuth Perrin
Feb 19, 2008·Implementation Science : IS·Cheryl B StetlerJoseph Francis
Apr 24, 2008·Implementation Science : IS·Mark W Smith, Paul G Barnett
Mar 11, 2009·Annals of Family Medicine·Leif I SolbergUNKNOWN NAPCRG Committee on Advancing the Science of Family Medicine
Sep 12, 2009·Implementation Science : IS·David KatzMarita Titler
Jan 1, 2008·The Journal of Manual & Manipulative Therapy·Chad Cook
Jan 28, 2010·Journal of General Internal Medicine·Daniel T HoltBryan J Weiner
Oct 15, 2010·Aging & Mental Health·Christopher M CallahanHugh C Hendrie
May 17, 2011·Journal of the American Medical Informatics Association : JAMIA·Charlene WeirMark A Supiano
Sep 1, 2011·Implementation Science : IS·Cheryl B StetlerHildi J Hagedorn
Oct 6, 2011·Quality Management in Health Care·James H FordKaren Anderson Oliver
Jan 29, 2011·Aging & Mental Health·Malaz A BoustaniChristopher M Callahan
Mar 25, 2006·The Journal of Continuing Education in the Health Professions·Joseph Francis, Jonathan B Perlin
Dec 18, 2007·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Sumant R RanjiKaveh G Shojania

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.