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Gepubliceerd in:

2015 | OriginalPaper | Hoofdstuk

3 Effectieve implementatie van verbetering in de zorg: een systematische aanpak

Auteurs : prof.dr. Richard Grol, prof.dr. Michel Wensing

Gepubliceerd in: Implementatie

Uitgeverij: Bohn Stafleu van Loghum

Samenvatting

Effectieve implementatie van nieuwe werkwijzen vereist een goede voorbereiding en planning, en een systematische aanpak.
De volgende stappen zijn belangrijk in een systematische aanpak van implementatie.
- Formuleren van een concreet, goed onderbouwd en haalbaar voorstel voor verandering in de praktijk met duidelijke doelen.
- In kaart brengen van de feitelijke zorg en problemen daarin.
- Analyse van de doelgroep en de context: welke belemmerende en bevorderende factoren spelen een rol in het realiseren van de verandering?
- Ontwikkeling en selectie van strategieën om veranderingen in te voeren: strategieën voor zowel een effectieve verspreiding als een effectieve implementatie en behoud van verandering.
- Ontwikkeling en uitvoering van een implementatieplan met activiteiten, taken en een tijdpad.
- Integratie van verandering in normale routines.
- Evaluatie en (eventueel) bijstelling van het plan: continue monitoring aan de hand van indicatoren.
Veel implementatietrajecten verlopen niet geheel volgens deze stappen, maar ook dan biedt een planmatige aanpak houvast.

vorige hoofdstuk 2 Theorieën over implementatie

volgende hoofdstuk 4 Planning en organisatie van implementatie

Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet 2003;362(9391):1225-30.CrossRefPubMed

Rogers EM. Diffusion of innovations. New York: Simon & Schuster Ltd, 2003.

Straus S, Tetroe J, Graham ID. Knowledge translation in health care. Moving from evidence to practice. London: Wiley-Blackwell/BMJ books, 2009.CrossRef

Baker R, Reddish S, Robertson N, et al. Randomised controlled trial of tailored strategies to implement guidelines for the management of patients with depression in general practice. Br J Gen Pract 2001;51:737-41.PubMedPubMedCentral

Bandura A. The anatomy of stages of change. Am J Health Promot 1997;12:8-10.CrossRefPubMed

Bartholomew L, Parcel G, Kok G, Gottlieb N. Intervention mapping. Designing theory and evidence based health promotion programmes. Mountain View: Mayfield, 2001.

Bessen T, Clark R, Shakib S, Hughes G. A multifaceted strategy for implementation of the Ottawa ankle rules in two emergency departments. BMJ 2009; 339:b3056.CrossRefPubMedPubMedCentral

Bokhoven M van, Kok G, Weijden T van der. Designing a quality improvement intervention: a systematic approach. In Grol R, et al, eds. Quality improvement research. London: BMJ Books, 2003.

Cooper R, Zinud R. Information technology implementation research: a technological diffusion approach. Management Science 1990;36:123-9.CrossRef

Cretin S. Implementing guidelines: an overview. RAND-report, 1998.

Davis DA, Taylor-Vaisey A. Translating guidelines into practice: a systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. CMAJ 1997;157:408-16.PubMedPubMedCentral

Davis DA, Thomson MA, Oxman AD, et al. Evidence for the effectiveness of CME: a review of 50 randomized controlled trials. JAMA 1992;268:1111-7.CrossRefPubMed

Davis DA, O’Brien MA, Freemantle N, et al. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behaviour or health care outcomes? JAMA 1999;282:867-74.CrossRefPubMed

Dickinson E. Using marketing principles for health care development. Qual Health Care 1995; 4:40-4.CrossRefPubMedPubMedCentral

Evans D, Haines A. Implementing evidence-based changes in health care. Abingdon: Radcliffe Med Press, 2000.

Feder G, Eccles M, Grol R, et al. Using clinical guidelines. BMJ 1999;318:728-30.CrossRefPubMedPubMedCentral

Ferlie E, Shortell S. Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q 2001;79:281-315.CrossRefPubMedPubMedCentral

Flottorp S, Havelsrud K, Oxman A. Process evaluation of a cluster randomised trial of tailored interventions to implement guidelines in primary care. Why is it so hard to change practice. Fam Pract 2003;20:333-9.PubMed

Garside P. Organisational context for quality: lessons from the fields of organisational development and change management. Qual Health Care 1998;7(Suppl):S8-S15.PubMed

Gladwell M. The tipping point. Boston: Little, Brown and Company, 2002.

Graham ID, Tetroe, J. Getting Evidence into Policy and Practice: Perspective of a Health Research Funder. J Can Acad Child Adolesc Psychiatry 2009;18(1):46–50.PubMedPubMedCentral

Green LW, Kreuter MW. Health promotion planning: an educational and environmental approach. Palo Alto: Mayfield Publishing Company, 1991.

Green LW, Eriksen MP, Schor EL. Preventive practices by physicians: behaviorial determinants and potential interventions. Am J Prev Med 1988;4 Suppl:101-7.PubMed

Greenhalgh T, Robert G, Macfarlane F, Bate P, Kyriakidou O, Diffusion of Innovations in Service Organizations: Systematic Review And Recommendations. Milbank Q 2004;82(4):581-629.CrossRefPubMedPubMedCentral

Grol R. Implementing guidelines in general practice care. Qual Health Care 1992;1:184-91.CrossRefPubMedPubMedCentral

Grol RTPM, Everdingen JJE van, Casparie AF. Invoering van richtlijnen en veranderingen. Een handleiding voor de medische, paramedische en verpleegkundige praktijk. Utrecht: De Tijdstroom, 1994.

Grol R. Beliefs and evidence in changing clinical practice. BMJ 1997;315:418-21.CrossRefPubMedPubMedCentral

Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet 2003;362:1225-30.CrossRefPubMed

Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. MJA 2004;180:S57-S60.PubMed

Grol R, Buchan H. Clinical guidelines: what can we do to increase their use? MJA 2006;185(6): 301-2.PubMed

Hopman J, Grol R. Preventie van infecties in het verpleeghuis. In: Grol R, red. Kwaliteitsbewaking in de verpleeghuisgeneeskunde. Den Haag: VUGA, 1991

Kok G. Theorieën over gedragsbeïnvloeding. In: Damoiseaux V, et al (red.). Gezondheidsvoorlichting en -opvoeding. Assen/Maastricht: Van Gorcum, 1987.

Kotler P, Roberto EL. Social marketing-Strategies for changing public behavior. New York, NY: The Free Press, 1989.

Kotler P, Roberto E. Sociale marketing. Utrecht: Het Spectrum, 1991.

Kotter JP, Collins J, Porras J, Duck JD, et al. Harvard business review on change. Boston: Harvard Business School Press, 1998.

Langley G, Nolan K, Nolan T, et al. The improvement guide. San Francisco: Jossey Bass Publ., 1996.

Lomas J, Haynes R. A taxonomy and critical review of tested strategies for the application of clinical practice recommendations: from ‘official’ to ‘individual’ clinical policy. In: Battista R, Lawrence R (ed). Implementing preventive services. Am J Prev Med 1988;4:77-95.

Lomas J. Beyond the sound of hand clapping: a discussion document on improving health research dissemination and uptake. University of Sydney, 1997.

Lomas J. The in-between world of knowledge brokering. BMJ 2007;334:129-32.CrossRefPubMedPubMedCentral

May CR, Mair F, Finch T, et al. Development of a theory of implementation and integration: Normalization Process Theory. Implement Sci 2009;4:29.CrossRefPubMedPubMedCentral

McGuire W. Theoretical foundation of campaigns. In: Rice R, Paisley W (ed.). Public communications campaigns. Beverley Hills CA: Sage, 1981.

Metz J, McGrath KM, Copperchini ML, et al. Appropriateness of transfusions of red cells, platelets and fresh frozen plasma. An audit in a tertiary care teaching hospital. MJA 1995;162:572-7.PubMed

Mittman BS, Tonesk X, Jacobson PD. Implementing clinical practice guidelines: social influence strategies and practitioner behaviour change. QRB 1992;18:413-22.

Moulding NT, Silagy CA, Weller DP. A framework for effective management of change in clinical practice: dissemination and implementation of clinical practice guidelines. Qual Health Care 1999;8:177-83.CrossRefPubMedPubMedCentral

NHMRC. How to put the evidence into practice: implementation and dissemination strategies. Commonwealth of Australia, 2000.

NHS. Centre for reviews and dissemination. Getting evidence into practice. Effective Health Care 1999; 5:1-15.

Orlandi M. Promoting health and preventing disease in health care settings: an analysis of barriers. Prev Med 1987;16(1):119-30.CrossRefPubMed

Ouwens MMTJ. Integrated care for patients with cancer. Nijmegen: Centre for Quality of Care Research, 2007.

Øvretveit J. A team quality improvement sequence for complex problem. Qual Health Care 1999;8:239-46.CrossRefPubMedPubMedCentral

Pathman DE, Konrad TR, Freed GL, et al. The awareness-to-adherence model of the steps to clinical guideline compliance. The case of pediatric vaccine recommendations. Med Care 1996;34:873-89.CrossRefPubMed

Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot 1997;12:38-48.CrossRefPubMed

Robertson N, Baker R, Hearnshaw H. Changing the clinical behaviour of doctors: a psychological framework. Qual Health Care 1996;1:51-4.CrossRef

Rogers EM. Diffusion of innovations. New York: Simon & Schuster Ltd, 2003.

Rogers E. Lessons for guidelines from the diffusion of innovation. Jt Comm J Qual Improv 1995; 21:324-8.PubMed

Solomon DH, Hashimoto H, Daltroy L, Liang MH. Techniques to improve physician’s use of diagnostic tests: a new conceptual framework. JAMA 1998;280:2020-7.CrossRefPubMed

Spence W. Innovation. The communication of change in ideas, practices and products. London: Chapman and Hall, 1994.

Schrijvers A. Tien theorieën om de snelheid van de verspreiding van zorginnovaties te verklaren. In: RVZ. Weten wat we doen: verspreiding en innovaties in de zorg. Zoetermeer: RVZ, 2005.

Schrijvers A, Oudendijk N, Vries P de, Hageman M (red). Moderne patiëntenzorg in Nederland. Maarssen: Elsevier, 2002.

Thomson R. Evidence based implementation of complex interventions. BMJ 2009; 339: b3124.CrossRefPubMed

Tiffany CM, Cheatham AB, Doornbos D, et al. Planned change theory: survey of nursing periodical literature. Nursing Management 1994;25(7):54-9.

Tuckfield A, Haeusler MN, Grigg AP, et al. Reduction of inapropriate use of blood products by prospective monitoring of transfusion request forms. MJA 1997;167:473-6.PubMed

Weinstein ND, Rothman AJ. Stage theories of health behavior: conceptual and methodological issues. Health Psychol 1998;17:290-9.CrossRefPubMed

Wensing M, Weijden T van der, Grol R. Implementing guidelines and innovations in general practice: which interventions are effective? Br J Gen Pract 1998;48:991-7.PubMedPubMedCentral

Wye L, McClenahan J. Getting better with evidence. London: King’s Fund, 2000.

Zaltman G, Duncan R. Strategies for planned change. New York: John Wiley, 1977.

Titel: 3 Effectieve implementatie van verbetering in de zorg: een systematische aanpak
Auteurs: prof.dr. Richard Grol
prof.dr. Michel Wensing
Uitgeverij: Bohn Stafleu van Loghum
Boek: Implementatie
Print ISBN: 978-90-368-1076-0

Elektronisch ISBN: 978-90-368-1077-7

Copyright: 2015
DOI: https://doi.org/10.1007/978-90-368-1077-7_3

Bohn Stafleu van Loghum

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