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Implementation science for quality improvement in pediatric surgery

Gwyneth A Sullivan1, Willemijn L A Schäfer1, Mehul V Raval1

  • 1Northwestern Quality Improvement, Research, & Education in Surgery (NQUIRES), Northwestern University Feinberg School of Medicine, 633 N. Saint Clair St, 20(th) floor, Chicago, IL 60611.

Seminars in Pediatric Surgery
|April 19, 2023
PubMed

Insights

Pediatric surgery struggles with adopting evidence-based practices despite quality improvement efforts. Implementation science can enhance the uptake and effectiveness of these vital interventions in pediatric surgical care.

Area of Science:

  • Pediatric Surgery
  • Quality Improvement
  • Implementation Science

Background:

  • Quality improvement (QI) principles are widely integrated into pediatric surgical practice.
  • Adoption of evidence-based practices (EBPs) remains a significant challenge in pediatric surgery.
  • Clinical pathways and protocols that reduce practice variation and improve outcomes are slow to be adopted.

Purpose of the Study:

  • To introduce the application of implementation science principles to pediatric surgical quality improvement.
  • To optimize the uptake and success of evidence-based practices in pediatric surgery.
  • To provide a framework for assessing the effectiveness of QI interventions in this field.

Main Methods:

  • This manuscript provides an introduction to implementation science principles.
  • It explores the application of these principles to pediatric surgical quality improvement endeavors.
  • Examples of successful implementation are discussed.

Main Results:

  • Implementation science offers a structured approach to overcome barriers in adopting EBPs.
  • Applying these principles can lead to more successful and sustainable QI initiatives.
  • This approach aids in rigorously assessing intervention effectiveness.

Conclusions:

  • Integrating implementation science into QI efforts is crucial for advancing pediatric surgical care.
  • This strategic integration can reduce practice variation and improve patient outcomes.
  • Further exploration and application of implementation science are recommended for pediatric surgery.

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