L3 Implementation

Question 1

barriers to implementation

Answer 1

lack of time
inability to understand stats
lack of support from employer
lack of generalizability of results
difficulty applying to pts
lack of interest

Question 2

Dissenmination

Answer 2

targeted distribution of information or materials

Question 3

Knowledge implementation

Answer 3

use of strategies to adopt and integrate evidence based health interventions

Question 4

implementation science

Answer 4

scientific study of methods to promote the systematic uptake of EBP into routine practice

Question 5

Quality of improvement

Answer 5

the framework used to systematically improve care. quality improvement seeks to standardize processes and structure to reduce variation, achieve predictable results, improve outcomes for pts, healthcare systems, and organizations

Question 6

Knowledge translation

Answer 6

dynamic and iterative process that includes synthesis, dissemination, exchange and ethically sound application of knowledge to improve the health of pts, provide more effective health services and products and strengthen the health care system.

Question 7

De-implementation

Answer 7

process of identifying and removing harmful, non-cost effective, or ineffective practices based on tradition and w/out adequate scientific support

Question 8

Who participates in knowledge translation?

Answer 8

knowledge creators
knowledge implementers
policy and insurance companies
patients

Question 9

Who participates in knowledge translation?

Answer 9

knowledge creators
knowledge implementers
policy and insurance companies
patients

Question 10

Knowledge to action cycle

Answer 10

process framework developed to integrate the roles of knowledge creation and knowledge application

Question 11

Steps of KTA

Answer 11

Determine know/do gap
Adapt knowledge to local context
Assess barriers/facilitators
Select, tailor, implement intervention
Monitor Knowledge use
Evaluate outcomes
Sustain knowledge use

Question 12

Categories of barriers and facilitators

Answer 12

individual (micro)
health system (macro)
organization (meso)
characteristics of the change

Question 13

Individual factors

Question 14

Select, tailor, implement intervention

Answer 14

Evidence based interventions = what is being implemented

implementation = how we seek to get knowledge into normal practice

Question 15

Implementation strategies

Answer 15

should be mapped to barriers
expert recommendations exist for certain CPGs

you should also provide assistance, adapt to context, develop stakeholder relationships, train and educate, support clinicians, engage pts, utilize financial strategies, change infrastructure

Question 16

How do you measure knowledge use?

Answer 16

assessed with fidelity metrics to measure the degree to which it is being implemented as intended

measuring content, coverage, frequency, duration

Question 17

Tips for monitoring knowledge use effectively

Answer 17

define it
communicate this definition
set expectations or benchmarks
create a process to measure