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Optimizing evidence-based practice implementation: a case study on simulated patient protocols in long-term opioid

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This summary is machine-generated.

Simulated patient (SP) methodology effectively identified implementation facilitators for evidence-based practices (EBPs). This approach enhances the adoption of new clinical guidelines for high-risk patients.

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Area of Science:

  • Healthcare Implementation Science
  • Clinical Practice Improvement
  • Patient Simulation Technology

Background:

  • Evidence-based practices (EBPs) face challenges with low clinician implementation rates.
  • Updating healthcare practices requires effective implementation strategies.
  • Standardized/simulated patient (SP) methodology offers a novel framework for EBP implementation.

Purpose of the Study:

  • To describe the use of SP methodology to develop implementation bundles for EBPs.
  • To increase the effectiveness, sustainability, and reproducibility of EBPs.
  • To enhance clinician adoption of EBPs for patients with concerning behaviors on long-term opioid therapy.

Main Methods:

  • Observed 12 clinicians' initial experiences with six decision-making algorithms via telehealth.
  • Utilized 24 SPs trained to portray patients with concerning behaviors related to long-term opioid therapy (LTOT).
  • Conducted post-simulation interviews with clinicians using the Consolidated Framework for Implementation Research (CFIR).

Main Results:

  • SP role-play successfully identified key factors for EBP implementation bundles.
  • SPs realistically portrayed patients with concerning behaviors, though some clinicians noted potential for greater patient assertiveness in practice.
  • The methodology proved feasible for identifying implementation barriers and facilitators.

Conclusions:

  • Simulated patient methodology provides valuable feedback for adopting new EBPs.
  • This approach is crucial for identifying best practices in EBP implementation for high-risk patient populations.
  • SP simulations enhance the development of effective implementation strategies for clinical practice.