Blog Archives

How research can improve patient care?

Life-changing research can only benefit patients if they receive an appropriate intervention (as part of normal clinical care)  implemented in the way it was designed. We need to reduce the time lag, currently estimated at 17 years, between research discovery

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Posted in collaboration, culture, health care services, implementation, improvement, organisation, patients, research culture, sustainability, using research

Learning experiences from translating knowledge

Here’s a quick summary from 2 wonderful presenters during last week’s module “Knowledge into Action” I suggest that these shared learnings might be a useful guide to check individual progress during projects that aim to use research evidence to improve

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Posted in change, clinical practice, complex interventions, implementation, knowledge translation

Why test theory fidelity?

Recent guidance about developing and evaluating complex interventions emphasises the need to use theoretical explanations to aid understanding of what works within an intervention. This is in direct contrast to the large research literature about drug studies, where human physiology

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Posted in behaviour, change, complex interventions, implementation, intervention, realist review, theory fidelity

Different circumstances different outcomes

In my quest to better understand which aspects of the local environment influence the way complex interventions are delivered, I was alerted to a comprehensive realist review of human resource management interventions that were designed to improve health workers’ performance

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Posted in behaviour, complex interventions, culture, implementation, improvement

Can context explain heterogeneity in complex interventions?

Complex interventions are usually defined as containing several interacting components. These components usually include people (researchers), who are  trying to influence other people (healthcare professionals) to do, or not do something (adhere to clinical guideline recommendations). Some common complex interventions

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Posted in complex interventions, implementation

Leaders vs Managers when implementing improvement?

What if I answer my question in the first sentence, saying both are important – will you read on to find out more? It is common to summarise differences between leadership and management; The manager’s job is to plan, organize

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Posted in change, implementation, improvement, leadership, management

Interpreting research evidence, from there to here

A key challenge in using research in practice is knowing how to interpret and translate results. Even when we have clear results from a well designed randomised controlled trial (RCT), there is a challenge in understanding and interpreting the results.

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Posted in change, complex interventions, context, implementation, intervention, sustainability

Why is context important in healthcare improvement?

Context is the new keyword to describe the conditions present in the environment when an intervention is carried out to improve healthcare. It is usually excluded from controlled experimental studies, so that the treatment effect can be attributed to the

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Posted in change, complex interventions, context, implementation, improvement, intervention, organisation

What skills do you need to improve?

Many of us have accepted challenges to improve a service in which we have worked. Sometimes we were successful. But often when were not, we just moved on to a different place and project. Sometimes lessons have been learned, but

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Posted in change, implementation, improvement, leadership, learning, management, organisation

Keys to improving healthcare services

Can innovation be led by clinicians and professionals in local healthcare services? Can these innovations drive improved services for patients? It seems possible – at least in a recent learning report produced by the Health Foundation, who sponsored 32 Shine

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Posted in health care services, healthcare professional, implementation, improvement, information, innovation, learning, organisation