Die Leitlinien-Implementierung zur Unterstützung der Anwendung von Leitlinien wird international zum Teil in aufwändigen Projekten durchgeführt und evaluiert. Eine Auswahl ist nachstehend zusammengestellt.
- Agency for Healthcare Research and Quality
Putting Evidence Into Practice.
This edition of Health Affairs, sponsored by the Agency for Healthcare Research and Quality (AHRQ), provides a variety of perspectives on the challenges and potential rewards of building and using a stronger evidence base for health care decisions. Articles in this edition review the history and context of evidence-based decisionmaking; they describe the challenges of developing the most relevant evidence for different clinical and policy decisions. They discuss obstacles and opportunities for practitioners and policymakers seeking to implement evidence-based decisions.
- American Academy of Pediatrics
Bright Futures is a national health promotion and disease prevention initiative that addresses children's health needs in the context of family and community. In addition to use in pediatric practice, many states implement Bright Futures principles, guidelines and tools to strengthen the connections between state and local programs, pediatric primary care, families, and local communities.
- Canadian Institutes of Health Research
Evidence in action, acting on evidence. A casebook of health services and policy research knowledge translation stories.
Knowledge translation (KT) is a broad concept, encompassing all steps between the creation of new knowledge and its application to yield beneficial outcomes for society. Successful KT strategies can include linkage and exchange, communication and education, policy change, and program and practice improvement initiatives. CIHR's vision of successful KT is the exchange, synthesis, and ethically-sound application of knowledge within a complex set of interactions among researchers and users-to accelerate the capture of the benefits of research for Canadians through improved health, more effective services and products, and a strengthened health care system. A core element of CIHR's knowledge translation strategy is to support and recognize KT excellence, and to act as a KT resource for Canada.
- Centre for Mental Health Services (CMHS) – USA
Evidence-Based Practice Implementation Resource Kits.
The Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) are pleased to introduce six Evidence-Based Practice Implementation Resource Kits to encourage the use of evidence-based practices in mental health. The Kits were developed as one of several SAMHSA/CMHS activities critical to its science-to-services strategy. We expect to identify additional practices for future Kits.
- Centre for Translational Research in Public Health - GB
Our research programme has two main themes - health improvement and evidence translation - framed by a staged approach to intervention development, evaluation and implementation. Health improvement research will focus on health-related behaviour change, tackling health inequalities, and evaluation of new professional roles. The outputs of this research will feed into the translational research theme, which will focus on getting evidence into policy and practice by researching professional and organisational behaviour change, public health commissioning and knowledge translation. Integration across themes and strands results in theoretical and methodological advances of international applicability.
- CHSRF/CIHR KU-UC database
Is developing a continuously evolving database, entitled KU-UC, which contains documents on knowledge transfer, innovation and health service policies and management. This database can likewise be consulted free of charge.
- Cochrane Effective Practice and Organisation of Care Group
The focus of EPOC is on reviews of interventions designed to improve professional practice and the delivery of effective health services. This includes various forms of continuing education, quality assurance, informatics, financial, organisational and regulatory interventions that can affect the ability of health care professionals to deliver services more effectively and efficiently.
- European Science Foundation (ESF)
Das Statuspapier der European Science Foundation (ESF) "Implementation of Research in Clinical Practice" (Mai 2011), an dessen Erarbeitung u. a. das ÄZQ beteiligt war, beschreibt die Bedeutung von Leitlinien für den Transfer von wissenschaftlichen Studienergebnissen in die Patientenversorgung.
- Implementation Science
Implementation Science - Journal.
An open access, peer-reviewed online journal that aims to publish research relevant to the scientific study of methods to promote the uptake of research findings into routine healthcare in both clinical and policy contexts.
- Institute for Clinical Systems Improvement (ICSI) – USA
Guideline Impact Studies.
- National Guideline Clearinghouse – Annotated Bibliography: Guideline Implementation
The National Guideline Clearinghouse™ (NGC) Annotated Bibliographies feature allows users to search by text word and/or subject category to identify citations for publications and resources about guidelines. Resources have been selected not only from the peer-reviewed journal literature, but also from non-journal sources. Links to corresponding records in the National Library of Medicine's PubMed database and/or full-text articles available at external Web sites are provided, where available.
- National Institute for Health and Clinical Excellence (NICE) - GB
NICE guidance aims to ensure that the promotion of good health and patient care in local health communities is in line with the best available evidence of effectiveness and cost effectiveness.
- National Institute of Clinical Studies (NICS) – Australien
Australia’s national agency for closing the gaps between evidence and practice in health care.
As part of NHMRC, NICS works to improve health care by getting the best available evidence from health and medical research into everyday practice.
- Barriers and enablers.
This document outlines some successful strategies for enabling change and the the different kinds of obstacles - or barriers - that can hinder health care improvement efforts.
- Deciding which guideline recommendation to tackle first.
This short document outlines the factors to consider when deciding where to focus your effort in implementing clinical practice guideline recommendations.
This short document outlines the evidence for the usefulness of using clinician feedback to change practice.
- Identifying barriers to evidence uptake.
This 2006 guide aims to provide basic information about the techniques that can be used to identify barriers to change and to provide some ideas and tools to help identify barriers to change at a local level.
- Making recommendations actionable.
This short document outlines the evidence for the importance of being specific when developing clinical practice guideline recommendations.
- Networks to support evidence implementation.
This short document outlines the evidence for networks to support evidence implementation.
- NICS Barrier Tool.
Designed for group and workshop use, the NICS Barrier Tool 2006 was developed to help health professionals identify the barriers and enablers to applying evidence and changing practice within Australian health care settings.
- Resources for reaching General Practice.
This short document outlines strategies to communicate with general practitioners.
- Selecting strategies.
This short document summarises factors to consider when selecting effective implementation strategies.
- Stop the clot guide.
The National Institute of Clinical Studies Stop the Clot guide is a practical tool to help hospitals to integrate venous thromboembolism recommendations into routine hospital care.
- Summary Report – Assessing the implementability of guidelines.
This report sets out to inform this work by summarising the latest international experience and advice on assessing the implementability of guidelines.
- Newcastle University
Developing and evaluating the effectiveness of educational prompts in improving diabetes care.
We will establish and evaluate a quality improvement initiative, in partnership with the Clinical Biochemistry Laboratory at Newcastle Royal Victoria Infirmary and the Newcastle Diabetes Centre, to improve the care of patients with diabetes using test report reminders.
Improving the Delivery of Care for Patients with Diabetes through Understanding Optimised Team Work and Organisation in Primary Care.
The aim of this study is to identify individual, team and organisational factors that predict the implementation of best practice for patients with diabetes cared for in primary care. Understanding of these factors will help to improve the quality of care for patients with diabetes cared for in primary care.
- New Zealand Guidelines Group (NZGG)
- NHS Evidence – National Library of Guidelines
A range of resources for those who have responsibility for implementing NICE guidance, offering tools, tips, good practice examples and contacts. Includes a link to 'NICE implementation support plan'.
- Quality Tools
QualityTools is a compilation of practical tools for assessing, measuring, promoting, and improving the quality of health care.
Its purpose is to give health plans, providers, purchasers, consumers, and policymakers easy access to a variety of resources they can use to improve the delivery of care, inform decisions, and educate people about their health care needs.
- Registered Nurses’ Association of Ontario
Best Practice Guideline Implementation: Project Plan.
This project plan is intended to be used as an example in organizations wishing to develop an implementation strategy of their own. The project plan demonstrates how and when implementation of the RNAO BPG will occur, by showing the major milestones of the project, and the activities and resources required to meet these goals.
- E-Learning Program: Establishing Therapeutic Relationships
This is an e-learning program based on the Establishing Therapeutic Relationships guideline.
- Educator’s Resource: Integration of Best Practice Guidelines
This resource has been developed to assist educators in both academic and practice settings to incorporate BPG into learning events, in order to promote evidence-based practice to student nurses and faculty in academic settings, and to nurses in practice settings. It is a supplement to the RNAO Toolkit: Implementation of Clinical Practice Guidelines (RNAO, 2002).
- Sustainability of Best Practice Guideline Implementation
- To provide an overview on sustainability of guideline implementation
- To present strategies associated with sustainability
- To provide a framework for sustainability using the Ottawa Model
- To present considerations for evaluating the success of sustainability
Weitere Implementation Resources
- Toolkit: Implementation of clinical practice guidelines
This Toolkit was designed to assist health care settings in maximizing the potential of Clinical Practice Guidelines through systematic and well-planned implementation. It was also designed to accompany the Nursing Best Practice Guidelines (NBPGs) developed by the Registered Nurses' Association of Ontario (RNAO) in order to facilitate their implementation.
- Scottish Intercollegiate Guidelines Network
For over 15 years we have been developing leading evidence based clinical guidelines. We are now shifting more of our emphasis to supporting implementation of existing guidelines and to put them into practice.
Our vision is to become a World leader in guideline implementation support, in line with the wider NHS QIS vision of better supporting implementation.
- St. Michael’s Hospital, University of Toronto
Joint Program in Knowledge Translation.
The Joint Program in Knowledge Translation is a collaboration between St. Michael's Hospital and the Continuing Education and Professional Development Office, University of Toronto, Faculty of Medicine.
The Joint Program in Knowledge Translation designs and evaluates interventions to increase the likelihood of incorporating the best available evidence into practice and policy, and researches the best strategy to implement knowledge in a variety of areas, including: critical care and trauma, diabetes, patient education, continuing medical education, interprofessional care, and the management of chronic diseases in the developing world.
- University of Aberdeen
Health Professionals’ Behaviour.
Health professionals are crucial to the delivery of effective health care. The key aims of the research within this theme are to understand the factors that influence the practice of health professionals, and to identify interventions that will enable them to adopt evidence based practices (this is known as 'implementation research'). Different projects
- University of Yale
Computer-Mediated Guideline Implementation Project.
has explored the use of mobile, pen-based devices that incorporate guideline knowledge to provide clinical decision support and overcome challenges to user acceptance.
- Conference On Guideline Standardization (COGS)
Project sought to identify key elements that should be included in clinical guidelines and to understand factors that influence guideline implementability.
- GuideLine Implementability Appraisal (GLIA)
The objective of GLIA is to provide a tool for the appraisal of the implementability of clinical guidelines.
- The Guidelines into Decision Support Project (GLIDE)
The objective of the GLIDES project is the development, implementation and evaluation of demonstration sub-projects that advance understanding of how best to incorporate clinical decision support (CDS) into the delivery of healthcare.