An Implementation Science Approach Improves Language Access in the Emergency Department

2021 ◽  
Author(s):  
Breena R. Taira ◽  
Laura Onofre ◽  
Catherine Yaggi ◽  
Aristides Orue ◽  
Shannon Thyne ◽  
...  
Keyword(s):  
Emergency Department ◽  
Implementation Science ◽  
Language Access ◽  
Science Approach

An implementation science approach to geriatric screening in an emergency department

2021 ◽  
Author(s):  
Lauren T. Southerland ◽  
Katherine M. Hunold ◽  
Jenifer Van Fossen ◽  
Jeffrey M. Caterino ◽  
Peg Gulker ◽  
...  
Keyword(s):  
Emergency Department ◽  
Implementation Science ◽  
Science Approach ◽  
Geriatric Screening

scholarly journals Combating antibiotic resistance using guidelines and enhanced stewardship in Kenya: a protocol for an implementation science approach

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e030823 ◽  
Author(s):  
Jesse Gitaka ◽  
Moses Kamita ◽  
Dominic Mureithi ◽  
Davies Ndegwa ◽  
Moses Masika ◽  
...  
Keyword(s):  
Implementation Science ◽  
Health Sector ◽  
Antibiotic Use ◽  
Economic Benefits ◽  
Antibiotic Usage ◽  
Sub Saharan Africa ◽  
Local Context ◽  
National Commission ◽  
Middle Income ◽  
Science Approach

IntroductionAntimicrobial resistance (AMR) is a growing problem globally especially in Sub-Saharan Africa including Kenya. Without any intervention, lower/middle-income countries (LMICs) will be most affected due to already higher AMR levels compared with higher income countries and due to the far higher burden of diseases in the LMICs. Studies have consistently shown that inappropriate use of antimicrobials is the major driver of AMR. To address this challenge, hospitals are now implementing antibiotic stewardship programmes (ASPs), which have been shown to achieve reduced antibiotic usage, to decrease the prevalence of resistance and lead to significant economic benefits. However, the implementation of the guideline is highly dependent on the settings in which they are rolled out. This study, employing an implementation science approach, aims to address the knowledge gap in this area and provide critical data as well as practical experiences when using antibiotic guidelines and stewardship programmes in the public health sector. This will provide evidence of ASP performance and potentially contribute to the county, national and regional policies on antibiotics use.Methods and analysisThe study will be conducted in three geographically diverse regions, each represented by two hospitals. A baseline study on antibiotic usage, resistance and de-escalation, duration of hospital stay, rates of readmission and costs will be carried out in the preimplementation phase. The intervention, that is, the use of antibiotic guidelines and ASPs will be instituted for 18 months using a stepwise implementation strategy that will facilitate learning and continuous improvement of stewardship activities and updating of guidelines to reflect the evolving antibiotic needs.Ethics and disseminationApprovals to carry out the study have been obtained from the National Commission for Science, Technology and Innovation and the Mount Kenya University Ethics Review Committee. The approvals from the two institutions were used to obtain permission to conduct the study at each of the participating hospitals. Study findings will be presented to policy stakeholders and published in peer-reviewed scientific journals. It is anticipated that the findings will inform the appropriate antibiotic use guidelines within our local context.

An Implementation Science Approach to Handoff Redesign in a Cardiac Surgery Intensive Care Unit

2020 ◽  
Vol 109 (6) ◽  
pp. 1782-1788
Author(s):  
Tracy R. Geoffrion ◽  
Isaac P. Lynch ◽  
William Hsu ◽  
Eleanor Phelps ◽  
Abu Minhajuddin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Implementation Science ◽  
Science Approach

scholarly journals Service-wide management of healthy gestational weight gain following an implementation science approach

2016 ◽  
Vol 13 (2) ◽  
pp. e12266 ◽  
Author(s):  
Shelley A. Wilkinson ◽  
Elin Donaldson ◽  
Michael Beckmann ◽  
Helen Stapleton
Keyword(s):  
Weight Gain ◽  
Implementation Science ◽  
Gestational Weight Gain ◽  
Gestational Weight ◽  
Science Approach

Implementation Science

2017 ◽  
Vol 25 (1) ◽  
pp. 58-73 ◽  
Author(s):  
Lee E. Nordstrum ◽  
Paul G. LeMahieu ◽  
Elaine Berrena
Keyword(s):  
Quality Improvement ◽  
Implementation Science ◽  
Design Methodology ◽  
University Partnerships ◽  
Content Type ◽  
The Core ◽  
Potential Value ◽  
Science Approach ◽  
Theoretical Foundations

Purpose This paper is one of seven in this volume elaborating upon different approaches to quality improvement in education. This paper aims to delineate a methodology called Implementation Science, focusing on methods to enhance the reach, adoption, use and maintenance of innovations and discoveries in diverse education contexts. Design/methodology/approach The paper presents the origins, theoretical foundations, core principles and a case study showing an application of Implementation Science in education, namely, in promoting school–community–university partnerships to enhance resilience (PROSPER). Findings Implementation Science is concerned with understanding and finding solutions to the causes of variation in a program’s outcomes relating to its implementation. The core phases are: initial considerations about the host context; creating an implementation structure; sustaining the structure during implementation; and improving future applications. Originality/value Few theoretical treatments and demonstration cases are currently available on commonly used models of quality improvement in other fields that might have potential value in improving education systems internationally. This paper fills this gap by elucidating one promising approach. The paper also derives value, as it permits a comparison of the Implementation Science approach with other quality improvement approaches treated in this volume.

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