Applying Implementation Science in Surgical Infection Quality Improvement.

Abstract

Background: Medical knowledge is constantly growing at an exponential rate. Despite this growth, it is estimated to take 17 years for medical innovation to reach the bedside and improve clinical care. Implementation science is the scientific study of methods to facilitate the update of evidence-based practice and research into regular use and policy. Discussion: Implementation science offers theories, models, and frameworks aimed at decreasing the time it takes to get medical innovation to the patient and to sustain the care improvements. Implementation science principles center around five main fundamental concepts that include information diffusion, dissemination, implementation, adoption, and sustainability. Understanding these fundamental concepts allow clinicians to prepare for an implementation by asking the correct questions such as: Are we ready for change?; What is our current process that we want to change?; Who needs to be involved in the implementation?; and How do we measure success? This article describes a successful catheter-associated urinary tract infection quality improvement program implemented using implementation science principles. Conclusion: Implementation science offers many proven tools and strategies to implement new evidence-based medicine and medical innovations into common practice. Clinicians are often the leaders of change and should develop an understanding of implementation science fundamentals to allow successful implementation of quality improvement and research initiatives.