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The guideline implementability research and application network (GIRAnet): an international collaborative to support
Anna R Gagliardi1, Melissa C Brouwers, Onil K Bhattacharyya
1University Health Network, Toronto, ON, Canada. anna.gagliardi@uhnresearch.ca
Implementation Science : IS
|April 5, 2012
Summary
Developing implementability tools for clinical guidelines can improve healthcare quality. The Guideline Implementability Research and Application Network (GIRAnet) will test these tools to enhance guideline use and patient outcomes.
Area of Science:
- Health Services Research
- Clinical Practice Guidelines
- Knowledge Translation
Background:
- Most clinical guidelines lack features that facilitate their use and improve care quality.
- A framework for guideline implementability needs further development and evaluation.
- User-centered design is crucial for enhancing guideline adoption and effectiveness.
Purpose of the Study:
- To establish the Guideline Implementability Research and Application Network (GIRAnet) for developing and testing implementability tools.
- To identify and evaluate tools that enhance the integration and application of clinical guidelines.
- To advance the science and practice of guideline implementation.
Main Methods:
- Phase one: Examine international guidelines to identify exemplar implementability tools.
- Phase two: Conduct cognitive interviews to understand tool integration by developers and use by health professionals.
- Phase three: Pilot test implementability tools assessing behavioral outcomes and user experiences.
Main Results:
- GIRAnet will create a repository of indication-specific and generic implementability tools.
- Qualitative data will inform optimal strategies for guideline developers and users.
- Pilot testing will provide preliminary data on the impact of implementability tools.
Conclusions:
- GIRAnet leverages collaborative contributions to advance guideline implementation science.
- Needs assessment and evaluation of GIRAnet will guide the sustainability of knowledge-exchange networks.
- Facilitating guideline use through implementability tools has the potential to improve patient care delivery and outcomes.
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