Integrating Implementation Science with Quality Improvement to Improve Perinatal Outcomes

Callaghan-Koru, Jennifer A.; Farzin, Azadeh; Ridout, Erick; Curran, Geoffrey M.

doi:10.1016/j.clp.2023.01.002

Cited by 3 publications

(2 citation statements)

References 66 publications

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“…This scoping review will help illuminate strengths and gaps in research and practice that aim to inform substance use treatment and care in acute care settings for pregnant and birthing people with SUD. While evidence-informed clinical guidelines exist to advise on treatment and care of pregnant and birthing people with SUD, uptake of recommendations and evidence-based practices can be slow [40] and racialized and ethnicized inequities persist [23][24][25][42][43][44]. Broadly characterizing the literature of existing strategies may inform future systematic reviews that aim to establish a strategy's effectiveness in relation to a desired change, or guide development of a comprehensive implementation study.…”

Section: Discussionmentioning

confidence: 99%

“…In QI, "strategies" may include "interventions or tools" such as Fishbone diagrams or process models [38]. While the methods and terminology differ, this review encompasses both QI and implementation science given their mutual aim to improve care outcomes for hospitalized patients and to recognize calls for integrating these practices to improve overall efficiency and effectiveness in improvement work [38][39][40].…”

Section: Conceptmentioning

confidence: 99%

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Strategies to improve delivery of equitable and evidence-informed care for pregnant and birthing people with a substance use disorder in acute care settings: A scoping review protocol

King,

Laynor,

McNeely

et al. 2024

PLoS ONE

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This protocol outlines a proposed scoping review to characterize evidence on implementation and quality improvement (QI) strategies that aim to improve equitable, evidence-informed care delivery for pregnant and birthing people with substance use disorder (SUD) in acute care. Untreated SUD during pregnancy is associated with an increased risk of overdose and severe maternal morbidity. Acute care settings are one important place to deliver equitable, evidence-informed clinical care. While clinical practice guidelines for substance use treatment and care of pregnant and birthing people with SUD exist, there are gaps in implementation. Our population of interest is pregnant and birthing people with SUD in an acute care setting. We will include US-based studies that describe or evaluate implementation or QI strategies, including experimental, observational, and descriptive studies published from 2016 to 2023. The proposed scoping review will be conducted in accordance with JBI methodology for scoping reviews and registered at OSF (registration number: BC4VZ). We will search MEDLINE (PubMed), CINAHL Complete (EBSCO), Scopus (Elsevier), and APA PsychInfo (Ovid) for published studies. Conference proceedings and Perinatal Quality Collaborative websites will be searched for grey literature. Two reviewers will independently screen then extract studies that meet inclusion criteria using a data extraction tool. The completion of this scoping review will help illuminate strengths and gaps in research and practice that aim to inform substance use treatment and care in acute care settings for pregnant and birthing people with SUD.

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Section: Discussionmentioning

confidence: 99%

Section: Conceptmentioning

confidence: 99%

Strategies to improve delivery of equitable and evidence-informed care for pregnant and birthing people with a substance use disorder in acute care settings: A scoping review protocol

King,

Laynor,

McNeely

et al. 2024

PLoS ONE

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Research on Translation Practice Based on Corpus and Data-Driven Learning

Fan

2024

2024 IEEE International Conference on Information Technology, Electronics and Intelligent Communication Systems (ICITEICS)

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Implementation research priorities for addressing the maternal health crisis in the USA: results from a modified Delphi study among researchers

Hamm

Moniz

Wahid

et al. 2023

Implement Sci Commun

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Background Maternal health outcomes in the USA are far worse than in peer nations. Increasing implementation research in maternity care is critical to addressing quality gaps and unwarranted variations in care. Implementation research priorities have not yet been defined or well represented in the plans for maternal health research investments in the USA. Methods This descriptive study used a modified Delphi method to solicit and rank research priorities at the intersection of implementation science and maternal health through two sequential web-based surveys. A purposeful, yet broad sample of researchers with relevant subject matter knowledge was identified through searches of published articles and grant databases. The surveys addressed five implementation research areas in maternal health: (1) practices to prioritize for broader implementation, (2) practices to prioritize for de-implementation, (3) research questions about implementation determinants, (4) research questions about implementation strategies, and (5) research questions about methods/measures. Results Of 160 eligible researchers, 82 (51.2%) agreed to participate. Participants were predominantly female (90%) and White (75%). Sixty completed at least one of two surveys. The practices that participants prioritized for broader implementation were improved postpartum care, perinatal and postpartum mood disorder screening and management, and standardized management of hypertensive disorders of pregnancy. For de-implementation, practices believed to be most impactful if removed from or reduced in maternity care were cesarean delivery for low-risk patients and routine discontinuation of all psychiatric medications during pregnancy. The top methodological priorities of participants were improving the extent to which implementation science frameworks and measures address equity and developing approaches for involving patients in implementation research. Conclusions Through a web-based Delphi exercise, we identified implementation research priorities that researchers consider to have the greatest potential to improve the quality of maternity care in the USA. This study also demonstrates the feasibility of using modified Delphi approaches to engage researchers in setting implementation research priorities within a clinical area.

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Integrating Implementation Science with Quality Improvement to Improve Perinatal Outcomes

Cited by 3 publications

References 66 publications

Strategies to improve delivery of equitable and evidence-informed care for pregnant and birthing people with a substance use disorder in acute care settings: A scoping review protocol

Strategies to improve delivery of equitable and evidence-informed care for pregnant and birthing people with a substance use disorder in acute care settings: A scoping review protocol

Research on Translation Practice Based on Corpus and Data-Driven Learning

Implementation research priorities for addressing the maternal health crisis in the USA: results from a modified Delphi study among researchers

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