Med Care. Clinician who is expert in the clinical innovation and recommended by the treatment developer. Thus, details about the dose or intensity of implementation strategies such as the amount of time spent with an external facilitator [ 39 ], the time and intensity of training [ 80 ], or the frequency of audit and feedback [ 81 ] should be designated a priori and reported.
The Standards for Quality Improvement Reporting Excellence SQUIRE suggest that authors provide, among other things, a description of the intervention in this case implementation strategy and its component parts in sufficient detail so that others could reproduce it, an indication of the main factors that contributed to the choice of the intervention, and initial plans for how the intervention was to be implemented, including the specific steps to be taken and by whom i.
The types of clinical reminders that are most effective for making EBP knowledge available at the point of care require further empirical explanation.
Additionally, funding is needed for implementation studies that focus on evidence-based patient safety practices as the topic of concern.
In our view, definition and specification should include each of the seven dimensions outlined above. Implementing the change will take several weeks to months, depending on the nature of the practice change. Elements of system readiness include tension for change, EBP-system fit, assessment of implications, support and advocacy for the EBP, dedicated time and resources, and capacity to evaluate the impact of the EBP during and following implementation.
The last aspect, quality management, had the fewest reviews available, with the results uncertain. However, there is no magic bullet for translating what is known from research into practice. Target s of the action Clinicians newly trained in the innovation.
Temporality Clinical supervision should begin within one week following the end of didactic training. Each member of the core group, in turn, takes the responsibility for imparting evidence-based information and effecting practice change with two or three of their peers.