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首页> 外文期刊>International Journal for Quality in Health Care >Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature
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Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature

机译：利用实施科学来提高护理质量和患者安全：针对性文献的系统评价

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Background. Getting greater levels of evidence into practice is a key problem for health systems, compounded by the volume of research produced. Implementation science aims to improve the adoption and spread of research evidence. A linked problem is how to enhance quality of care and patient safety based on evidence when care settings are complex adaptive systems. Our research question was: according to the implementation science literature, which common implementation factors are associated with improving the quality and safety of care for patients? Methods. We conducted a targeted search of key journals to examine implementation science in the quality and safety domain applying PRISMA procedures. Fifty-seven out of 466 references retrieved were considered relevant following the application of exclusion criteria. Included articles were subjected to content analysis. Three reviewers extracted and documented key characteristics of the papers. Grounded theory was used to distil key features of the literature to derive emergent success factors. Results. Eight success factors of implementation emerged: preparing for change, capacity for implementation-people, capacity for implementation-setting, types of implementation, resources, leverage, desirable implementation enabling features, and sustainability. Obstacles in implementation are the mirror image of these: for example, when people fail to prepare, have insufficient capacity for implementation or when the setting is resistant to change, then care quality is at risk, and patient safety can be compromised. Conclusions. This review of key studies in the quality and safety literature discusses the current state-of-play of implementation science applied to these domains.
机译：背景。将更多的证据付诸实践是卫生系统的一个关键问题，而所产生的研究数量又使该问题更加复杂。实施科学旨在改善研究证据的采用和传播。一个关联的问题是，当护理设置是复杂的自适应系统时，如何基于证据来提高护理质量和患者安全。我们的研究问题是：根据实施科学文献，哪些常见的实施因素与提高患者护理质量和安全性相关？方法。我们针对主要期刊进行了有针对性的搜索，以研究应用PRISMA程序在质量和安全领域中的实施科学。在应用排除标准后，检索到的466种参考文献中有57种被认为是相关的。收录的文章进行了内容分析。三位审稿人提取并记录了论文的关键特征。扎扎实实的理论被用来提取文献的关键特征，以得出紧急的成功因素。结果。实施的八个成功因素已经出现：为变革做准备，实施人员的能力，实施实施的能力，实施的类型，资源，杠杆作用，理想的实施支持功能和可持续性。实施过程中的障碍是这些问题的镜像：例如，当人们准备不足，实施能力不足或环境难以改变时，医护质量将面临风险，患者安全可能受到损害。结论本文对质量和安全性文献中的关键研究进行了综述，讨论了应用于这些领域的实施科学的现状。

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