Improvement science and implementation science – railroads for achieving better patient health outcomes

IF 3.7 4区医学 Q1 PEDIATRICS

Current Problems in Pediatric and Adolescent Health Care Pub Date : 2025-07-01 DOI:10.1016/j.cppeds.2025.101803

Mellissa Mahabee MD, MSHS , Micheal Schibler BSN, RN , Hemanth Lingadevaru MD, MPH , Jeremy Larson MD , Daniel Evans MD

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引用次数: 0

Abstract

Implementation science (IS) and quality improvement science (QIS) inhabit distinct areas in scholarly literature but are often blended in practice. IS and QIS have different origins, goals, and methodologies. Despite these differences, the two fields are closely intertwined and equally significant in improving healthcare outcomes. They can lead to improved patient outcomes when used in conjunction.

QIS typically commences with the identification of a problem and subsequently employs various tools and methods to address these problems. Conversely, IS begins with a solution grounded in evidence and seeks to integrate evidence-based practices (EBP) into routine usage through diverse implementation frameworks to solve problems.

This discussion aims to compare these frameworks and present a case study regarding the management of asthma exacerbations across departments within a tertiary care hospital, thereby illustrating how these approaches can collaboratively enhance health outcomes.

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改进科学和实施科学-实现更好的患者健康结果的轨道

实施科学（IS）和质量改进科学（QIS）在学术文献中占据不同的领域，但在实践中往往是混合在一起的。信息系统和质量信息系统有不同的起源、目标和方法。尽管存在这些差异，但这两个领域密切相关，在改善医疗保健结果方面同样重要。当它们联合使用时，可以改善患者的预后。QIS通常从问题的识别开始，随后使用各种工具和方法来解决这些问题。相反，IS从基于证据的解决方案开始，并寻求通过不同的实施框架将循证实践（EBP）整合到日常使用中，以解决问题。本讨论的目的是比较这些框架，并提出一个关于三级医院各部门哮喘恶化管理的案例研究，从而说明这些方法如何协同提高健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Pediatric and Adolescent Health Care PEDIATRICS-

CiteScore

4.60

自引率

0.00%

发文量

审稿时长

5 days

期刊介绍： Recognized for its probing, comprehensive, and evidence-based reviews, Current Problems in Pediatric and Adolescent Health Care devotes each issue to a timely and practical topic in pediatric medicine, presented by leading authorities in the field. The journal offers readers easily accessible information that enhances professional experience and is pertinent to daily pediatric practice. Each issue''s review article is accompanied by an additional special feature designed to highlight a particular aspect of the topic presented.