From research to daily clinical practice: what are the challenges in "translation"?

摘要: Article-at-a-Glance Background Translating research findings into sustainable improvements in clinical and patient outcomes remains a substantial obstacle to improving the quality safety of care. The Agency for Healthcare Research Quality funded two initiatives assess strategies improvements—Translating Practice (TRIP). TRIP II initiative supported 13 improvement projects. Surveying Studies principal investigators (PIs) projects were surveyed regarding encountered barriers implementation at 6 months 18 (when they also asked about solutions). Results Seven PIs responded survey both times—6 months. For each project stage—Select focus develop intervention (Stage 1), Conduct 2), Measure Impact 3)—barriers described, field-tested solutions provided. example, Stage 2, if target audience lacked buy-in would not participate, be get up-front from all staff, just leaders; address root causes problems; use opinion leaders incentives; plan interventions ahead provide make-up videos; accept that targets vary their readiness change. Discussion framework examples provided should help overcome challenges any work which are applied practice.