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    Implementation Science

    Explore the latest research and opinion on ways to integrate evidence-based interventions into clinical practice, health systems, health care organization and delivery, and health policy.

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    • Interventions for Optimization of Guideline-Directed Medical Therapy: A Systematic Review
      JAMA Cardiology
      Review
      February 21, 2024

      This study performs a systematic review to identify which types of system-level initiatives are most effective at improving guideline-directed medical therapy use among patients with heart failure with reduced ejection fraction.

      Cardiology Heart Failure Health Care Quality Guidelines
      Full Text | pdf link PDF | CME & MOC is active quiz
    • Implementation of Best Practices in Pancreatic Cancer Care in the Netherlands: A Stepped-Wedge Randomized Clinical Trial
      JAMA Surgery
      Research
      February 14, 2024

      This study aims to improve the nationwide implementation of guideline-based best practices in pancreatic cancer care and assess the impact on survival.

      Pancreatic Cancer Pancreatic Disease Surgery Surgical Oncology Gastroenterology
      Full Text | pdf link PDF open access
    • Scalability and Sustainability of a Surgical Infection Prevention Program in Low-Income Environments
      JAMA Surgery
      Research
      November 29, 2023

      This cohort study of surgical patients from hospitals in Ethiopia examines whether adherence to infection prevention and control standards and rates of postoperative infections improved in a low-income surgical infection prevention program after the program was updated and refined.

      Global Health Health Care Safety Surgery Health Care Quality
      Full Text | pdf link PDF free
    • What Health Systems Can Do Now to Improve Human Papillomavirus Vaccination
      JAMA Pediatrics
      Opinion
      November 20, 2023
      Vaccination Pediatrics Adolescent Medicine Cancer Screening, Prevention, Control Infectious Diseases
      Full Text | pdf link PDF
    • Multilevel Implementation Strategies for Adolescent Human Papillomavirus Vaccine Uptake: A Cluster Randomized Clinical Trial
      JAMA Pediatrics
      Research
      November 20, 2023

      This study evaluates the individual and combined impact of 2 evidence-based interventions on human papillomavirus vaccination rates among 11- and 12-year-old children.

      Adolescent Medicine Vaccination Cancer Screening, Prevention, Control Infectious Diseases Oncology
      Full Text | pdf link PDF free has multimedia
    • Taking Stock of Care Delivery Transformation
      JAMA Health Forum
      Opinion
      June 23, 2023

      This Viewpoint discusses how the same realism and rigor for evaluating biomedical innovations can be applied to the science of care delivery.

      Health Policy Health Care Delivery Models
      Full Text | pdf link PDF open access
    • Assessment of the Massachusetts Flexible Services Program to Address Food and Housing Insecurity in a Medicaid Accountable Care Organization
      JAMA Health Forum
      Research
      June 2, 2023

      This qualitative study sought to understand the barriers and facilitators of Massachusetts Medicaid’s Flexible Services Program implementation in a Medicaid accountable care organization during the first 17 months from March 2020 to July 2021.

      Health Policy Equity, Diversity, and Inclusion Health Care Reform Health Care Delivery Models Health Care Economics, Insurance, Payment
      Full Text | pdf link PDF open access has multimedia
    • It Takes an Average of 17 Years for Evidence to Change Practice—the Burgeoning Field of Implementation Science Seeks to Speed Things Up
      JAMA
      News
      April 5, 2023

      This Medical News feature discusses how implementation science seeks to narrow the often yearslong gap between the development of evidence-based practices and their routine use in the real world.

      Health Policy
      Full Text | pdf link PDF has multimedia
    • Overcoming Implementation Challenges With Innovation and Patient Empowerment—Let’s Keep Moving With Prehabilitation
      JAMA Surgery
      Opinion
      March 29, 2023
      Colorectal Cancer Gastroenterology Gastrointestinal Cancer Geriatrics Oncology
      Full Text | pdf link PDF
    • Assessment of Team Dynamics and Operative Efficiency in Hip and Knee Arthroplasty
      JAMA Surgery
      Research
      March 22, 2023

      This quality improvement study assesses team turnover, composition, and interpersonal preferences in terms of operative efficiency in total hip and knee arthroplasty.

      Anesthesiology Medical Education and Training Orthopedics Health Care Quality Academic Medicine
      Full Text | pdf link PDF free has multimedia
    • Complexity of Team Dynamics in the Academic Environment—A Need for Intentionality
      JAMA Surgery
      Opinion
      March 22, 2023
      Orthopedics Health Care Quality Trauma and Injury Medical Education and Training Anesthesiology
      Full Text | pdf link PDF
    • Bridging the Know-Do Gap in Hospital Care Transitions
      JAMA Internal Medicine
      Opinion
      March 20, 2023
      Health Care Quality
      Full Text | pdf link PDF
    • Improving Clinician Well-being and Patient Safety Through Human-Centered Design
      JAMA
      Opinion
      February 23, 2023

      This Viewpoint discusses the need for clinicians to be involved in every stage of the development of patient safety interventions in order to not only improve patient care, but also maximize the interventions’ effectiveness and ensure clinician well-being and buy-in.

      Health Care Safety Health Care Quality Health Policy Professional Well-being
      Full Text | pdf link PDF
    • Urinary Catheters for Inguinal Hernia Repair—The Challenges of Deimplementation of Routine Procedures
      JAMA Surgery
      Opinion
      June 15, 2022
      Surgery Urology Perioperative Care and Consultation Health Care Quality
      Full Text | pdf link PDF
    • Association of Psychiatric Services Referral and Attendance Following Treatment for Deliberate Self-harm With Prospective Mortality in Norwegian Patients
      JAMA Psychiatry
      Research
      May 18, 2022

      This cohort study evaluates the association between risk of death and follow-up psychiatric care among patients treated for deliberate self-harm.

      Psychiatry and Behavioral Health Suicide
      Full Text | pdf link PDF free
    • A Learning Health System Agenda for Organizational Approaches to Enhancing Occupational Well-being Among Clinicians
      JAMA
      Opinion
      May 12, 2022

      This Viewpoint discusses approaches to address clinician occupational well-being based on data and experiences before and during the COVID-19 pandemic.

      Health Care Quality Health Policy Professional Well-being Health Care Reform Coronavirus (COVID-19)
      Full Text | pdf link PDF free has multimedia
    • Evaluation of Interventions Targeting Follow-up Appointment Scheduling After Emergency Department Referral to Ophthalmology Clinics Using A3 Problem Solving
      JAMA Ophthalmology
      Research
      April 21, 2022

      This quality improvement study examines factors associated with time until appointment scheduling following emergency department (ED) referral for urgent outpatient ophthalmology services.

      Ophthalmology Emergency Medicine Health Care Quality
      Full Text | pdf link PDF free
    • Selecting and Implementing Patient-Reported Outcome and Experience Measures to Assess Health System Performance
      JAMA Health Forum
      Research
      April 1, 2022

      This Special Communication aims to provide practical resources for the identification of psychometrically robust patient-reported outcome and experience measures and support for their implementation to drive improvements across health systems globally.

      Health Policy Health Care Quality
      Full Text | pdf link PDF open access
    • The Next Frontier of Less Is More—From Description to Implementation
      JAMA Internal Medicine
      Opinion
      December 6, 2021
      Health Care Quality Less is More Health Care Reform Health Care Economics, Insurance, Payment
      Full Text | pdf link PDF
    • Patient Navigation—Exploring the Undefined
      JAMA Health Forum
      Opinion
      November 24, 2021

      This Viewpoint discusses the importance of clearly and accurately defining patient navigation.

      Health Policy
      Full Text | pdf link PDF open access
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