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Related Experiment Videos

Closing the gap between what we know and what we do.

M Harris

    The Quality Letter for Healthcare Leaders
    |January 7, 1997
    PubMed
    Summary

    Healthcare improvements often stall, but new methods accelerate clinical practice changes. These strategies involve incremental testing, data analysis, and continuous small-scale improvements for better patient care.

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    Area of Science:

    • Healthcare Improvement Science
    • Clinical Practice Implementation

    Background:

    • Clinical innovations often face slow adoption into practice.
    • Bridging the gap between research findings and patient care is a persistent challenge.

    Purpose of the Study:

    • To introduce and evaluate methods for accelerating the implementation of improved clinical practices.
    • To demonstrate how systematic, incremental changes can lead to significant breakthroughs in healthcare.

    Main Methods:

    • Utilizing Breakthrough Series collaboratives to teach new implementation strategies.
    • Employing small-scale, iterative testing of changes.
    • Focusing on 'just enough' measurement to guide improvement cycles.
    • Analyzing results to confirm improvements before scaling.

    Main Results:

    • Successful application of breakthrough methods to address clinical problems.
    • Demonstrated improvements in areas such as emergency room wait times.
    • Enhanced efficiency in scheduling intravenous (IV) therapy.

    Conclusions:

    • Incremental improvements, when systematically tested and implemented, can drive substantial breakthroughs in healthcare.
    • The methods taught in Breakthrough Series collaboratives effectively accelerate the adoption of better clinical practices.

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