The Indiana University Center for Healthcare Innovation and Implementation Science: Bridging healthcare research and delivery to build a learning healthcare system
The Indiana University Center for Healthcare Innovation and Implementation Science: Bridging healthcare research and delivery to build a learning healthcare system
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DOI：
10.1016/j.zefq.2015.03.006
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发表时间：
2015-01-01
影响因子：
1.1
通讯作者：
Boustani, Malaz
中科院分区：
文献类型：
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作者：
Azar, Jose;Adams, Nadia;Boustani, Malaz
在美国，如果医疗保健系统能够更有效、更高效地实施高质量护理，预计每年可避免 75,000 人死亡。医院内的患者伤害是由于程序、药物和其他治疗不当、医院感染、诊断评估和患者跌倒造成的。实施科学是医疗保健领域的一个新兴领域，是对方法和工具的开发和研究，旨在加强新发现和证据在日常医疗保健服务中的实施。印第安纳大学医疗保健创新和实施科学中心 (IU-CHIIS) 于 2013 年 9 月成立，其使命是利用实施科学和创新为美国提供优质、以患者为中心且具有成本效益的医疗保健提供解决方案。在启动后的前 24 个月内，IU-CHIIS 成功扩大了针对痴呆症和/或抑郁症患者的循证协作护理模式，成功扩展了问责护理单元模式，对医疗保健的效率和质量产生了积极影响。护理，创建了美国第一个创新和实施科学证书，并获得了美国国立卫生研究院的资助，以研究痴呆症护理的创新。本文总结了 IU-CHIIS 的成立、其影响和成果以及在此过程中吸取的经验教训。
In the United States, it is estimated that 75,000 deaths every year could be averted if the healthcare system implemented high quality care more effectively and efficiently. Patient harm in the hospital occurs as a consequence of inadequate procedures, medications and other therapies, nosocomial infections, diagnostic evaluations and patient falls. Implementation science, a new emerging field in healthcare, is the development and study of methods and tools aimed at enhancing the implementation of new discoveries and evidence into daily healthcare delivery. The Indiana University Center for Healthcare Innovation and Implementation Science (IU-CHIIS) was launched in September 2013 with the mission to use implementation science and innovation to produce great-quality, patient-centered and cost-efficient healthcare delivery solutions for the United States of America.Within the first 24 months of its initiation, the IU-CHIIS successfully scaled up an evidence-based collaborative care model for people with dementia and/or depression, successfully expanded the Accountable Care Unit model positively impacting the efficiency and quality of care, created the first Certificate in Innovation and Implementation Science in the US and secured funding from National Institutes of Health to investigate innovations in dementia care.This article summarizes the establishment of the IU-CHIIS, its impact and outcomes and the lessons learned during the journey.