Improving Patient Care: The Implementation of Change in Clinical Practice

Author: Richard Grol

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  • ISBN: 9780750688192
  • Author: Richard Grol
  • Publ Date: 2004-11-23
  • Edition:
  • Pages: 296
  • Imprint:
  • Status: ACT
  • ID - 68777


This book provides readers with information on how to promote the implementation of valuable new and existing insights and how procedures can best be designed to contribute to optimal patient care. The scope of the book can be described in five sections. Section 1 Principles of implementation, provides an introduction to the subject and covers the theoretical basis of the subject. Section 2 describes the characteristics of successful innovations and discusses clinical practice guidelines as a tool for improvements in health care. Section 3 covers diagnostic analysis - the methods of examining why change is or is not happening and includes factors influencing implementation of change and a description and discussion of the methods to identify obstacles to change. Section 4 covers the range of currently considered or used interventions and strategies to achieve the implementation of change. This section includes educational interventions, feedback and reminders, organisational and financial interventions, patient-oriented interventions and multifaceted interventions. Section 5 shows how to take the strategies and use them in healthcare systems and includes planning the process, measuring performance, the role and conduct of rigorous evaluations, the role and conduct of small scale evaluations, and economic evaluations. The editor and contributors of this book are prominent international researchers in the area of implementation research and have a wide range of experience across all the areas covered. Health care professionals, researchers and policy makers who want to set up improvements and change projects in health care will find this book invaluable.


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