Description
Strategies for successfully updating and improving health care organizations of all kinds
Health care is always evolving and improving. However, the rapid speed of medical advancement can make the adoption of
new technologies and practices a challenging process - particularly in large organizations and complex networks.
Any projected impact upon quality and outcomes of care must be carefully evaluated so that changes may be implemented
in the most efficacious and efficient manner possible.
Improving Patient Care equips professionals and policymakers with the knowledge required to successfully optimize
health care practice. By integrating scientific evidence and practical experience, the text presents a cohesive and
proven model for practice change and innovation, complete with analysis of innovation, target group and setting;
selection and application of strategies; and evaluation of process, outcomes and costs.
This new third edition also includes:
and methods for process evaluation
Part I Principles of the Implementation of Change 1
1 Implementation of Change in Healthcare: A Complex Problem 3
2 Theories on Implementation of Change in Healthcare 21
3 Effective Implementation of Change in Healthcare: A Systematic Approach 45
4 Planning and Organizing the Change Process 73
Part II Guidelines and Innovations 87
5 Characteristics of Successful Innovations 89
6 Clinical Practice Guidelines as a Tool for Improving Patient Care 103
Part III Assessment of Performance 131
7 Indicators for Quality and Safety of Care 133
Part IV Problem Analysis 155
8 Determinants of Implementation 157
9 Methods to Identify and Analyze Determinants of Implementation 173
Part V Strategies for Change 189
10 Selection of Strategies for Improving Patient Care 191
11 Dissemination of Innovations 207
12 Educational Implementation Strategies 221
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13 Clinical Performance Feedback and Decision Support 235
14 Engaging Patients in Healthcare Improvement and Innovation 253
15 Organizational Implementation Strategies 263
16 Patient Safety Strategies 275
17 Health System Strategies for Implementation 299
18 Multifaceted Implementation Strategies 313
Part VI Organization and Evaluation 329
19 Planning of Implementation 331
20 Experimental Designs for Evaluation of Implementation Strategies 345
21 Observational Evaluation of Implementation Strategies 357
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22 Process Evaluation of Implementation Strategies 369
23 Economic Evaluation of Implementation Strategies 389
Index 409