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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
April 01, 2023 - • Research addressing implementation challenges of
telehealth at the health-system level (e.g., … technical
assistance needs, staffing models), ideally using
implementation frameworks, and generate … Telehealth
implementation was facilitated when there were
sufficient resources, access to knowledge … Evidence Gaps
Interventions
• Studies of systems-level implementation to
understand operations that … • Hybrid studies that combine effectiveness and
implementation assessments to understand the
characteristics
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effectivehealthcare-admin.ahrq.gov/products/engaging-caregivers-mhs4/rapid-research
April 01, 2024 - Five studies detailed implementation facilitators, and two studies noted specific barriers to PSP implementation … study descriptions, we identified four prominent resource considerations: (1) allocated time for pre-implementation
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effectivehealthcare-admin.ahrq.gov/products/organization-cancer-care/tech-brief
October 01, 2023 - The most common study themes included: implementation of quality improvement projects and investigation … of context and process barriers to implementation; evaluation of total care models such as patient-centered … , total care models such as the patient-centered medical home, and processes of improvement project implementation … and barrier assessment (such as guideline implementation).
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effectivehealthcare-admin.ahrq.gov/products/transitions-care-pediatric-adult/protocol
February 01, 2022 - KQ2c: What are the barriers and facilitators to effective implementation? … What transition care training and other implementation strategies are available to prepare pediatric … We will use the Implementation Research Logic Model as a framework for studies on implementation strategies … implementation projects. … Implementation Science (2020) 15:84. DOI: 10.1186/s13012-020-01041-8.
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effectivehealthcare-admin.ahrq.gov/products/mhs4-opioid-stewardship/protocol
September 01, 2023 - What resources (e.g., cost, staff, time) are required for implementation of opioid stewardship practices … What toolkits are available to support implementation of opioid stewardship practices? … report, most studies examined multicomponent interventions consisting of clinical interventions and implementation … Pain management documentation
Implementation outcomes (Review Questions 6 and 7)
Barriers … barriers and facilitators, resources needed for implementation, and description of toolkits.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/rural-telehealth-amended-protocol.pdf
February 25, 2021 - What is the effectiveness of implementation strategies for provider-to-provider
telehealth in rural … Which barriers and facilitators impact adoption and implementation of provider-to-
provider telehealth … What are the methodological weaknesses of the identified studies of implementation and
sustainability … , or spread; no
4
strategies; time periods prior to implementation
• Outcomes:
o KQ1: … KQ2:
a) Indicators and measures of uptake of telehealth
(e.g., rates of use, timing to implementation
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effectivehealthcare-admin.ahrq.gov/products/rural-telehealth/protocol
January 01, 2023 - Which barriers and facilitators impact adoption and implementation of provider-to-provider telehealth … What are the methodological weaknesses of the identified studies of implementation and sustainability … , or spread; no strategies; time periods prior to implementation
Outcomes:
KQ1: Clinical … KQ2:
Indicators and measures of uptake of telehealth (e.g., rates of use, timing to implementation … Which barriers and facilitators impact adoption and implementation of provider-to-provider telehealth
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effectivehealthcare-admin.ahrq.gov/products/asthma-education/protocol
April 01, 2019 - Our analysis will also highlight factors affecting implementation success, including public availability … GQ 2: What is the context and implementation of AS-ME packages?
Who develops the packages? … What factors are important facilitators and barriers to implementation of AS-ME? … How is technology used to support implementation? … How is implementation evaluated?
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effectivehealthcare-admin.ahrq.gov/sites/default/files/product/pdf/strategies-integrating-behavioral-health-protocol.pdf
August 04, 2022 - How do the barriers, facilitators, and other factors involved in the implementation of
behavioral health … and primary care interact to affect implementation and sustainability? … of implementation of
integration approaches. … Using implementation facilitation to implement
primary care mental health integration via clinical … Unpacking
collaborative care for depression: examining two
essential tasks for implementation.
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effectivehealthcare-admin.ahrq.gov/products/organization-cancer-care/protocol
November 01, 2022 - Most intervention protocols referred to implementation science frameworks, 3 which call on many, although … A 12-year cut-off corresponds roughly to the implementation of the Affordable Care Act (ACA) (circa 2010 … A systematic review of the use of the Consolidated Framework for Implementation Research. … Advancing the use of organization theory in implementation science. … Organizational Theory for Implementation Science (OTIS) Workgroup . CPCRN; 2020.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
October 01, 2023 - • Studies reported that implementation of patient and family engagement PSPs was
influenced by staff … • Several toolkits are available to support implementation of patient and family engagement
for … What resources (e.g., cost, staff, time) are required for implementation?
8. … What toolkits are available to support implementation of the patient and family
engagement PSPs? … What Toolkits Are Available To
Support Implementation of the Patient and Family
Engagement PSPs?
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
January 01, 2024 - What are common barriers and facilitators to implementation?
3. … What resources (e.g., cost, staff, time) are required for implementation?
4. … What toolkits are available to support implementation? … family members;
Studies limited to compensation
strategies
Comparator Usual care, pre- and post-implementation … Liability claims and costs before and after
implementation of a medical error disclosure program.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/product/pdf/racial-disparities-health-healthcare-protocol.pdf
January 06, 2022 - What incentives and barriers are there to implementation or de-
implementation?
d. … The
algorithm/decision tool development-to-clinical implementation lifecycle involves multiple
steps … We
have organized dissemination and implementation methods into tiers, each based on the potential … Systems-Level Implementation is defined as
the translation and integration of algorithms and decision … The magnitude and impact of biases depends on the
dissemination and implementation method (Figure 2(
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/mhs4-computerized-cds-protocol.pdf
May 08, 2023 - What resources (e.g., cost, staff, time) are required for implementation of
computerized clinical decision … What toolkits are available to support implementation of computerized clinical
2
decision support … Systems
(CDSSs)” [Chapter 6] and summarized eight studies, as well as potential for harm, cost
and implementation … Brief
Update Review” [Chapter 41] and summarized three systematic reviews, unintended
consequences, implementation … event rates
o Medication error rates
• Provider outcomes
o Changes in prescribing
behavior
• Implementation
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effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/mhs4-failure-rescue-protocol-amendment.pdf
September 19, 2023 - What resources (e.g., cost, staff, time) are required for implementation of rapid response
systems? … What toolkits are available to support implementation of rapid response system PSPs? … made response to general ward
clinical deterioration a patient safety goal leading to widespread implementation … of rapid response
3
systems in the U.S.22 However, despite decades of dissemination and implementation … • Non-patients (staff, visitors) who are
not covered by rapid response teams
Intervention* Implementation
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effectivehealthcare-admin.ahrq.gov/products/racial-disparities-health-healthcare/protocol
March 01, 2023 - What incentives and barriers are there to implementation or de-implementation? … The algorithm/decision tool development-to-clinical implementation lifecycle involves multiple steps, … We have organized dissemination and implementation methods into tiers, each based on the potential impact … Systems-Level Implementation is defined as the translation and integration of algorithms and decision … The magnitude and impact of biases depends on the dissemination and implementation method (Figure 2(b
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research.pdf
April 01, 2025 - What are common barriers and facilitators to implementation?
3. … What resources (e.g., cost, staff, time) are required for implementation?
4. … What toolkits are available to support implementation? … Comparison: Pre-
implementation
Organizational
structure
interventions:
Magnet®designation
de … Ambiguous
directives and implementation of interventions limit consistency of further implementation
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effectivehealthcare-admin.ahrq.gov/products/asthma-education/technical-brief
August 01, 2020 - interventions are widely studied, but uncertainty remains about optimal design, characteristics, and implementation … Key Informants were interviewed to identify contextual factors affecting development and implementation … Implementation of AS-ME packages varies widely.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/asthma-education-protocol.pdf
January 01, 2018 - Our analysis will also
highlight factors affecting implementation success, including public availability … GQ 2: What is the context and implementation of AS-ME packages?
• Who develops the packages? … • What factors are important facilitators and barriers to implementation of AS-ME? … • How is technology used to support implementation? … • How is implementation evaluated?
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effectivehealthcare-admin.ahrq.gov/products/patient-monitoring-systems/protocol
August 01, 2024 - What are common barriers and facilitators to implementation? … What resources (e.g., cost, staff, time) are required for implementation? … What toolkits are available to support implementation? … These improvements include implementation of early warning scores, automatic calculation of early warning … Change in parameters monitored, implementation of scoring system/index either manually or electronically