Identifying, developing, and testing implementation strategies are important goals of implementation science. However, these efforts have been complicated by the use of inconsistent language and inadequate descriptions of implementation strategies in the literature. The Expert Recommendations for Implementing Change (ERIC) study aimed to refine a published compilation of implementation strategy terms and definitions by systematically gathering input from a wide range of stakeholders with expertise in implementation science and clinical practice. Purposive sampling was used to recruit a panel of experts in implementation and clinical practice who engaged in three rounds of a modified Delphi process to generate consensus on implementation strategies and definitions. The first and second rounds involved Web-based surveys soliciting comments on implementation strategy terms and definitions. After each round, iterative refinements were made based upon participant feedback. The third round involved a live polling and consensus process via a Web-based platform and conference call. Participants identified substantial concerns with 31% of the terms and/or definitions and suggested five additional strategies. Seventy-five percent of definitions from the originally published compilation of strategies were retained after voting. Ultimately, the expert panel reached consensus on a final compilation of 73 implementation strategies. This research advances the field by improving the conceptual clarity, relevance, and comprehensiveness of implementation strategies that can be used in isolation or combination in implementation research and practice. Future phases of ERIC will focus on developing conceptually distinct categories of strategies as well as ratings for each strategy’s importance and feasibility. Next, the expert panel will recommend multifaceted strategies for hypothetical yet real-world scenarios that vary by sites’ endorsement of evidence-based programs and practices and the strength of contextual supports that surround the effort.

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A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project.

Over the past two decades, there has been an exponential and enthusiastic adoption of simulation in healthcare education internationally. Medicine has learned much from professions that have established programs in simulation for training, such as aviation, the military and space exploration. Increased demands on training hours, limited patient encounters, and a focus on patient safety have led to a new paradigm of education in healthcare that increasingly involves technology and innovative ways to provide a standardized curriculum. A robust body of literature is growing, seeking to answer the question of how best to use simulation in healthcare education. Building on the groundwork of the Best Evidence in Medical Education (BEME) Guide on the features of simulators that lead to effective learning, this current Guide provides practical guidance to aid educators in effectively using simulation for training. It is a selective review to describe best practices and illustrative case studies. This Guide is the second part of a two-part AMEE Guide on simulation in healthcare education. The first Guide focuses on building a simulation program, and discusses more operational topics such as types of simulators, simulation center structure and set-up, fidelity management, and scenario engineering, as well as faculty preparation. This Guide will focus on the educational principles that lead to effective learning, and include topics such as feedback and debriefing, deliberate practice, and curriculum integration – all central to simulation efficacy. The important subjects of mastery learning, range of difficulty, capturing clinical variation, and individualized learning are also examined. Finally, we discuss approaches to team training and suggest future directions. Each section follows a framework of background and definition, its importance to effective use of simulation, practical points with examples, and challenges generally encountered. Simulation-based healthcare education has great potential for use throughout the healthcare education continuum, from undergraduate to continuing education. It can also be used to train a variety of healthcare providers in different disciplines from novices to experts. This Guide aims to equip healthcare educators with the tools to use this learning modality to its full capability.

https://www.tandfonline.com/doi/pdf/10.3109/0142159X.2013.818632

Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82

The Iowa Model of Evidence-Based Practice to Promote Quality Care.

Family-centered care (FCC) is a partnership approach to health care decision-making between the family and health care provider. FCC is considered the standard of pediatric health care by many clinical practices, hospitals, and health care groups. Despite widespread endorsement, FCC continues to be insufficiently implemented into clinical practice. In this paper we enumerate the core principles of FCC in pediatric health care, describe recent advances applying FCC principles to clinical practice, and propose an agenda for practitioners, hospitals, and health care groups to translate FCC into improved health outcomes, health care delivery, and health care system transformation.

/pdf/family-centered-care-current-applications-and-future-3zbo1rg1xz.pdf

Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care

Theoretical approaches to brokerage and translation in development / David Mosse and David Lewis -- Aid policies and recipient strategies in Niger : why donors and recipients should not be compartmentalized into separate "worlds of knowledge" / Benedetta Rossi -- Resources, ideologies, and nationalism : the politics of development in Malaysia / Amity A. Doolittle -- Governing land, translating rights : the rural land plan in Benin / Pierre-Yves Le Meur -- Translating, interpreting, and practicing civil society in Vietnam : a tale of calculated misunderstandings / Oscar Salemink -- Brokering fair trade relations between coffee cooperatives and alternative trade organizations : a view from Costa Rica / Peter Luetchford -- Ethnographic research in a non-governmental organization : revealing strategic translations through an embedded tale / Wiebe Nauta -- Inside out : rationalizing practices and representations in agricultural development projects / Bina Desai -- "They can't mix like we can" : bracketing differences and the professionalization of NGOs in Nepal / Celayne Heaton Shrestha -- Rethinking the mechanics of the "anti-politics machine" / Tim Bending and Sergio Rosendo.

Jean Gayton Carroll

Papers

Crossing the Quality Chasm: A New Health System for the 21st Century

The diagnosis-related group (DRG) system.

The Gold Standard: The Challenge of Evidence-Based Medicine and Standardization in Health Care

The Best on Quality: Targets, Improvements, Systems

Lean-Six Sigma for Healthcare: A Senior Leader Guide to Improving Cost and Throughput