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2023 | OriginalPaper | Hoofdstuk

1. Implementatie van verbeteringen in de zorg: een complex probleem

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

Gepubliceerd in: Implementatie

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Zowel onderzoek als praktijkervaring suggereert dat patiënten niet altijd de zorg krijgen die volgens recente wetenschappelijke of professionele inzichten wenselijk is. Implementatie kan worden omschreven als ‘een procesmatige en planmatige invoering van vernieuwingen en/of verbeteringen (van bewezen waarde) met als doel dat deze een structurele plaats krijgen in het (beroepsmatig) handelen, in het functioneren van organisatie(s) of in de structuur van de gezondheidszorg’. Verschillende doelgroepen en situaties brengen uiteenlopende implementatieproblemen met zich mee. Een goede diagnostische analyse van doelgroep en setting moet daarom richting geven aan het implementatieplan. Meestal betekent dit dat verschillende strategieën moeten worden benut die in een bepaalde volgorde worden toegepast.
Literatuur
go back to reference Achterhuis H. Prometheus en het menselijk tekort. In: Heerden AJP van, Kousbroek R, Fens K, Hofland HJA. Tobben in voorspoed. Amsterdam: Meulenhof; 1998. Achterhuis H. Prometheus en het menselijk tekort. In: Heerden AJP van, Kousbroek R, Fens K, Hofland HJA. Tobben in voorspoed. Amsterdam: Meulenhof; 1998.
go back to reference Asch SM, Kerr EA, Keesly J, et al. Who is at greatest risk for receiving poor-quality healthcare? N Engl J Med. 2006;354(1):147–56. Asch SM, Kerr EA, Keesly J, et al. Who is at greatest risk for receiving poor-quality healthcare? N Engl J Med. 2006;354(1):147–56.
go back to reference Berwick D. Developing and testing changes in delivery of care. Ann Int Med. 1998;128:651–6. CrossRef Berwick D. Developing and testing changes in delivery of care. Ann Int Med. 1998;128:651–6. CrossRef
go back to reference Braspenning JCC, Schellevis FG, Grol RPTM. Tweede Nationale studie naar ziekten en verrichtingen in de huisartsenpraktijk. Kwaliteit huisartsenzorg belicht. Nijmegen/Utrecht: WOK/NIVEL; 2004. Braspenning JCC, Schellevis FG, Grol RPTM. Tweede Nationale studie naar ziekten en verrichtingen in de huisartsenpraktijk. Kwaliteit huisartsenzorg belicht. Nijmegen/Utrecht: WOK/NIVEL; 2004.
go back to reference Brink-Huis A, Schoonhoven L, Grol R, et al. Helping hands. Comparing short-term and sustained effects of strategies to improve nurses’ adherence with hand hygiene prescriptions (abstract). Nice: International Forum on Quality and Safety in Health Care; 2010. Brink-Huis A, Schoonhoven L, Grol R, et al. Helping hands. Comparing short-term and sustained effects of strategies to improve nurses’ adherence with hand hygiene prescriptions (abstract). Nice: International Forum on Quality and Safety in Health Care; 2010.
go back to reference Colla CH, Morden NE, Sequist TD, Schpero WL, Rosenthal MB. Choosing wisely: prevalence and correlates of low-value healthcare services in the United States. J Gen Intern Med. 2014;30:221–8. CrossRef Colla CH, Morden NE, Sequist TD, Schpero WL, Rosenthal MB. Choosing wisely: prevalence and correlates of low-value healthcare services in the United States. J Gen Intern Med. 2014;30:221–8. CrossRef
go back to reference Davis D, Tailor-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. Davis D, Tailor-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.
go back to reference De Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17:216–23. CrossRef De Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17:216–23. CrossRef
go back to reference Dreger M, Eckhardt H, Felgner S, et al. Implementation of innovative technologies in German inpatient care: patterns of utilization and evidence development. Implemen Sci. 2021;16:94. CrossRef Dreger M, Eckhardt H, Felgner S, et al. Implementation of innovative technologies in German inpatient care: patterns of utilization and evidence development. Implemen Sci. 2021;16:94. CrossRef
go back to reference Gaal S, Verstappen W, Wolters R, Lankveld H, van Weel C, Wensing M. Prevalence and consequences of patient safety incidents in general practice in The Netherlands: a retrospective medical record review study. Implem Sci. 2011;6:37. CrossRef Gaal S, Verstappen W, Wolters R, Lankveld H, van Weel C, Wensing M. Prevalence and consequences of patient safety incidents in general practice in The Netherlands: a retrospective medical record review study. Implem Sci. 2011;6:37. CrossRef
go back to reference Greenhalgh T, Robert G, Macfarlane F, et al. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82:581–629. CrossRef Greenhalgh T, Robert G, Macfarlane F, et al. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82:581–629. CrossRef
go back to reference Grimshaw JM, Thomas RE, MacLennan G, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004;8(6):1–72. CrossRef Grimshaw JM, Thomas RE, MacLennan G, et al. Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technol Assess. 2004;8(6):1–72. CrossRef
go back to reference Grol R. Beliefs and evidence in changing clinical practice. BMJ. 1997;315:418–21. CrossRef Grol R. Beliefs and evidence in changing clinical practice. BMJ. 1997;315:418–21. CrossRef
go back to reference Grol R. Effectieve en doelmatige zorg: feit of fantasie? Inaugurale rede. Nijmegen: KUN; 1999a. Grol R. Effectieve en doelmatige zorg: feit of fantasie? Inaugurale rede. Nijmegen: KUN; 1999a.
go back to reference Grol R, Grimshaw J. Evidence-based implementation of evidence-based medicine. J Qual Improv. 1999;25:503–13. Grol R, Grimshaw J. Evidence-based implementation of evidence-based medicine. J Qual Improv. 1999;25:503–13.
go back to reference Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 2003;362(1):225–30. Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 2003;362(1):225–30.
go back to reference Grol R, Van Weel C. Getting a grip on guidelines: how to make them more relevant for practice. Br J Gen Pract. 2009;59:e143–4. CrossRef Grol R, Van Weel C. Getting a grip on guidelines: how to make them more relevant for practice. Br J Gen Pract. 2009;59:e143–4. CrossRef
go back to reference Grol R, Wensing M, Mainz J, et al. Patients in Europe evaluate general practice care: an international comparison. Br J Gen Pract. 2000;50:882–7. Grol R, Wensing M, Mainz J, et al. Patients in Europe evaluate general practice care: an international comparison. Br J Gen Pract. 2000;50:882–7.
go back to reference Guyatt G, Meade M, Jaeschke R, et al. Practitioners of evidence based care. BMJ. 2000;320:954–5. CrossRef Guyatt G, Meade M, Jaeschke R, et al. Practitioners of evidence based care. BMJ. 2000;320:954–5. CrossRef
go back to reference Haines A. The science of perpetual change. Br J Gen Pract. 1996;46:115–9. Haines A. The science of perpetual change. Br J Gen Pract. 1996;46:115–9.
go back to reference Hilt N, Lokate M, OldeLoohuis A, et al. Hand hygiene compliance in Dutch general practice offices. Archives Publ Hlth. 2020;78:79. CrossRef Hilt N, Lokate M, OldeLoohuis A, et al. Hand hygiene compliance in Dutch general practice offices. Archives Publ Hlth. 2020;78:79. CrossRef
go back to reference Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Med. 2020;18:313. CrossRef Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Med. 2020;18:313. CrossRef
go back to reference Hulscher M, Wensing M, Grol R. Effectieve implementatie: theorieën en strategieën. Den Haag: ZON; 2000. Hulscher M, Wensing M, Grol R. Effectieve implementatie: theorieën en strategieën. Den Haag: ZON; 2000.
go back to reference Innvaer S, Vist G, Trommald M, Oxman A. Health policy-makers’ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002;7(4):239–44. CrossRef Innvaer S, Vist G, Trommald M, Oxman A. Health policy-makers’ perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002;7(4):239–44. CrossRef
go back to reference Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care. 1998;7:149–58. CrossRef Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care. 1998;7:149–58. CrossRef
go back to reference Lomas J. The in-between world of knowledge brokering. BMJ. 2007;334:129–32. CrossRef Lomas J. The in-between world of knowledge brokering. BMJ. 2007;334:129–32. CrossRef
go back to reference Lyu H, Xu T, Brotman D, et al. Overtreatment in the United States. PLoS ONE. 2017;12: e0181970. CrossRef Lyu H, Xu T, Brotman D, et al. Overtreatment in the United States. PLoS ONE. 2017;12: e0181970. CrossRef
go back to reference McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(2):635–45. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(2):635–45.
go back to reference Naylor C. Grey zones of clinical practice: some limits to evidence-based medicine. Lancet. 1995;345:840–2. CrossRef Naylor C. Grey zones of clinical practice: some limits to evidence-based medicine. Lancet. 1995;345:840–2. CrossRef
go back to reference OECD. Health at a Glance 2019: OECD Indicators. Paris: OECD Publishing; 2019. OECD. Health at a Glance 2019: OECD Indicators. Paris: OECD Publishing; 2019.
go back to reference Petek D, Künzi B, Kersnik J, Szecsenyi J, Wensing M. Patients’ evaluations of European general practice – revisited after 11 years. Int J Qual Health Care. 2011;23:621–8. CrossRef Petek D, Künzi B, Kersnik J, Szecsenyi J, Wensing M. Patients’ evaluations of European general practice – revisited after 11 years. Int J Qual Health Care. 2011;23:621–8. CrossRef
go back to reference Prasad V, Ioannidis JPA. Evidence-based de-implementation for contradicted, unproven, and aspiring healthcare practices. Implemen Sci. 2014;9:1. CrossRef Prasad V, Ioannidis JPA. Evidence-based de-implementation for contradicted, unproven, and aspiring healthcare practices. Implemen Sci. 2014;9:1. CrossRef
go back to reference Sackett D, Richardson W, Rosenberg W, Haynes R. Evidence-based medicine: how to practice and teach. London: Churchill Livingstone; 1997. Sackett D, Richardson W, Rosenberg W, Haynes R. Evidence-based medicine: how to practice and teach. London: Churchill Livingstone; 1997.
go back to reference Scholten AC, et al. Pain management in trauma patients in (pre)hospital based emergency care: current practice versus new guideline. Injury. 2015;46:798–806. CrossRef Scholten AC, et al. Pain management in trauma patients in (pre)hospital based emergency care: current practice versus new guideline. Injury. 2015;46:798–806. CrossRef
go back to reference Squires JE, Cho-Young D, Aloisio D, et al. Inappropriate use of clinical practices in Canada: a systematic review. Can Med Assoc J. 2022;194:E279–96. CrossRef Squires JE, Cho-Young D, Aloisio D, et al. Inappropriate use of clinical practices in Canada: a systematic review. Can Med Assoc J. 2022;194:E279–96. CrossRef
go back to reference Tetroe J, Graham I, Foy R, et al. Health research funding agencies’ support and promotion of knowledge translation: an international study. Milbank Q. 2008;86:125–55. CrossRef Tetroe J, Graham I, Foy R, et al. Health research funding agencies’ support and promotion of knowledge translation: an international study. Milbank Q. 2008;86:125–55. CrossRef
go back to reference Van den Bemt P. Drug safety in hospitalized patients. Proefschrift. Groningen: Rijksuniversiteit Groningen; 2002. Van den Bemt P. Drug safety in hospitalized patients. Proefschrift. Groningen: Rijksuniversiteit Groningen; 2002.
go back to reference Van Gaal BG, et al. Concurrent incidence of adverse events in hospitals and nursing homes. J Nurs Scholarsh. 2014;46:187–98. CrossRef Van Gaal BG, et al. Concurrent incidence of adverse events in hospitals and nursing homes. J Nurs Scholarsh. 2014;46:187–98. CrossRef
go back to reference Van Woerkom C, Adolfse L. Interactieve Kennisontwikkeling En -Benutting SI. 1998;1:10–9. Van Woerkom C, Adolfse L. Interactieve Kennisontwikkeling En -Benutting SI. 1998;1:10–9.
go back to reference Wensing M, Van Splunteren P, Hulscher M, et al. Praktisch nieuw. implementatie van vernieuwingen in de gezondheidszorg. Assen: Van Gorcum & Comp.; 2000. Wensing M, Van Splunteren P, Hulscher M, et al. Praktisch nieuw. implementatie van vernieuwingen in de gezondheidszorg. Assen: Van Gorcum & Comp.; 2000.
go back to reference Zegers M, De Bruijne MC, Wagner C, et al. Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study. Qual Saf Health Care. 2009;18(4):297–302. CrossRef Zegers M, De Bruijne MC, Wagner C, et al. Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study. Qual Saf Health Care. 2009;18(4):297–302. CrossRef
go back to reference Zegers M, Wollersheim H. Landelijk veiligheidsprogramma leidt niet tot halvering van vermijdbare sterfte in ziekenhuizen. Ned T Geneesk. 2012;156:A4768. Zegers M, Wollersheim H. Landelijk veiligheidsprogramma leidt niet tot halvering van vermijdbare sterfte in ziekenhuizen. Ned T Geneesk. 2012;156:A4768.
go back to reference Zorg Onderzoek Nederland. Met het oog op toepassing. Beleidsnota Implementatie ZON 1997–1999. Den Haag: ZON; 1997. Zorg Onderzoek Nederland. Met het oog op toepassing. Beleidsnota Implementatie ZON 1997–1999. Den Haag: ZON; 1997.
Metagegevens
Titel
Implementatie van verbeteringen in de zorg: een complex probleem
Auteurs
Prof. dr. Richard Grol
Prof. dr. Michel Wensing
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2909-0_1