A5028186268- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Patient Safety and Medication Errors
- Healthcare professionals’ stress and burnout
- Infection Control in Healthcare
- Global Health Workforce Issues
- Interprofessional Education and Collaboration
- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Surgical site infection prevention
- Clostridium difficile and Clostridium perfringens research
- Emergency and Acute Care Studies
- COVID-19 and Mental Health
- Urinary Tract Infections Management
- Focus Groups and Qualitative Methods
- COVID-19 and healthcare impacts
- Workplace Violence and Bullying
- Health and Medical Research Impacts
- Central Venous Catheters and Hemodialysis
- Healthcare cost, quality, practices
- Public Health Policies and Education
- Occupational Health and Safety Research
VA Eastern Colorado Health Care System
2017-2025
Veterans Health Administration
2021-2025
Center for Innovation
2019-2025
United States Department of Veterans Affairs
2021-2025
Colorado School of Public Health
2018-2024
University of Colorado Anschutz Medical Campus
2012-2024
Colorado Clinical and Translational Sciences Institute
2020-2024
Alberta Health Services
2024
Georgia State University
2024
East Sussex County Council
2024
There is consensus in dissemination and implementation (D&I) science that addressing contextual factors critically important for understanding translation of health care delivery interventions but little agreement on which are key determinants outcomes. We describe the application Practical Robust Implementation Sustainability Model (PRISM), expands Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to identify across four diverse programs. Multiple qualitative...
Implementation strategies are essential to deliver evidence-based programs that align with local context, resources, priorities, and preferences. However, it is not always clear how specific selected (vs. others) operationalized clearly, distinctly, dynamically. logic models provide one useful way conceptualize the role selection of implementation strategies, plan evaluation their intended impacts on effectiveness outcomes, communicate key aspects a project. This paper describes our initial...
Background: Many health care interventions encounter implementation challenges because of inadequate stakeholder engagement and identification barriers. The brainwriting premortem technique is the silent sharing written ideas about why an intervention failed. method can engage stakeholders identify barriers more efficiently than traditional brainstorming focus groups. Purpose: We evaluated during a transition in Veterans Health Administration (VA). Clinicians from 10 VA facilities...
Adapting promising health care interventions to local settings is a critical component in the dissemination and implementation process. The Veterans Health Administration (VHA) rural transitions nurse program (TNP) nurse-led, Veteran-centered intervention designed improve transitional for funded by VA national offices other sites serving predominantly Veteran population. Here, we describe our novel approach evaluation = TNP. This controlled before after study that assesses both outcomes....
Abstract Background When complex health services interventions are implemented in real-world settings, adaptations inevitable. Adaptations changes made to an intervention, implementation strategy, or context prior to, during, and after improve uptake fit. There is a growing interest systematically documenting understanding including what changed, why, when, by whom, with impact. The rural Transitions Nurse Program (TNP) program the Veterans Health Administration (VHA), designed safely...
Abstract Background Veterans are often transferred from rural areas to urban VA Medical Centers for care. The transition hospital home is vulnerable postdischarge adverse events. Objective To evaluate the effectiveness of Transitions Nurse Program (TNP). Design, Setting, and Participants National hybrid‐effectiveness‐implementation study, within site propensity‐matched cohort in 11 hospitals. 3001 were enrolled TNP April 2017 September 2019, 6002 matched controls. Intervention Outcomes...
Abstract Objective To characterize the relationship between learning environments (the educational approaches, cultural context, and settings in which teaching happen) reliability enhancing work practices (hiring, training, decision making) with employee engagement, retention, safety climate. Data source We collected data using Learning Environment High Reliability Practices Survey (LEHRs) from 231 physicians, nurses, technicians at 67 Veterans Affairs cardiac catheterization laboratories...
Topic Concept analysis of isolation. Purpose This article uses Walker and Avant's methodological approach in distinguishing the concept isolation between normal, ordinary language usage scientific concept. Background The importance social contact has long been recognized as a fundamental need for humans. is used throughout lay literature primarily negative connotation experience sometimes severe enough to result serious reductions adaptation performance. Data Sources Medline, CINAHL, Google...
Psychological safety is a critical factor in team learning that positively impacts patient safety. We sought to examine the influence of psychological on using recommended health care-associated infection (HAI) prevention practices within US hospitals.We mailed surveys preventionists random sample nearly 900 acute care hospitals 2017. Our survey asked about hospital and control program characteristics, organizational factors, use prevent common HAIs. Hospitals scored 4 or 5 (5-point Likert...
This SHEA white paper identifies knowledge gaps and challenges in healthcare epidemiology research related to coronavirus disease 2019 (COVID-19) with a focus on core principles of epidemiology. These gaps, revealed during the worst phases COVID-19 pandemic, are described 10 sections: epidemiology, outbreak investigation, surveillance, isolation precaution practices, personal protective equipment (PPE), environmental contamination disinfection, drug supply shortages, antimicrobial...
Patient safety checklists are ubiquitous in health care. Nurses bear significant responsibility for ensuring checklist adherence. To report nonadherence to a and stop an unsafe procedure, workplace climate of psychological is needed. Thus, analysis organizational data was conducted examine the relationship between reports central line bundle checklist. Results showed varied perceptions but no with nonadherence. Considerations this finding assessing provided.
To evaluate the effectiveness of a brief mindfulness intervention on hand hygiene performance and mindful attention for inpatient physician teams.A pilot, pre-test/post-test randomised controlled mixed methods trial.One academic medical centre in USA.Four internal medicine teams consisting one attending, resident, two to three interns up four students.A facilitated, group-based educational discussion how mindfulness, as practised through hygiene, may improve clinical care practices hospital...
Ensuring safe transitions of care around hospital discharge requires effective relationships and communication between health teams. Relational coordination (RC) is a process communicating relating for the purpose task integration that predicts desirable outcomes patients providers. RC can be measured using validated survey.The aim study was to demonstrate application practices within rural Transitions Nurse Program (TNP), nationwide intervention Veterans, assess mechanisms developing in...
The COVID-19 pandemic has required many clinical and translational scientists staff to work remotely prevent the spread of virus. To understand impact on research programs, we assessed barriers remote strategies implemented support virtual engagement productivity. A mixed-methods RedCap survey querying experience was emailed Colorado Clinical Translational Sciences Institute (CCTSI) in April 2020. Descriptive analyses, Fisher's Exact tests, content analysis were conducted. Respondents (n =...