Using the quality enhancement research initiative framework for implementation science in clinical nutrition

Area of Science:

• Implementation Science
• Clinical Nutrition
• Healthcare Improvement

Background:

• Bridging the gap between research and practice is crucial for effective healthcare.
• The Quality Enhancement Research Initiative (QUERI) is an established framework for implementing evidence-based interventions (EBIs).
• QUERI utilizes a phased roadmap: preimplementation, implementation, and sustainment.

Purpose of the Study:

• To explore the QUERI framework and its application in clinical nutrition.
• To illustrate QUERI's utility through case studies in malnutrition screening and surgical prehabilitation.

Main Methods:

• Review of the QUERI framework.
• Analysis of two case studies demonstrating QUERI's application in clinical nutrition settings.
• Examination of structured planning, stakeholder involvement, and iterative evaluation.

Main Results:

• QUERI provides a structured approach for implementing EBIs in clinical nutrition.
• Case studies show QUERI's effectiveness in improving inpatient malnutrition screening and integrating outpatient surgical prehabilitation.
• The framework emphasizes problem selection, best practice definition, and outcome documentation.

Conclusions:

• QUERI is a valuable tool for nutrition professionals to improve patient care through consistent EBI application.
• Implementation frameworks like QUERI offer a practical pathway for translating research into sustainable improvements.
• Structured planning, stakeholder engagement, and iterative evaluation are key to achieving sustained change in healthcare.