SlideShare une entreprise Scribd logo

Changing Practice: Implementation strategies

•Télécharger en tant que PPT, PDF•
•
Jose Francisco García Gutiérrez
Jose Francisco García Gutiérrez

Evidence based summary of strategies for changing clinical practice

Santé & MédecineFormation
1  sur  16
CHANGING PRACTICE Evidence Based Implementation José Francisco García Gutiérrez Escuela Andaluza de Salud Pública PAHO HQ HSS/HRH
The Path Continuous Improvement Design & Evaluation Need Redesign Design Management Audit Implementation
 
NO MAGIC BULLETS ! All strategies are effective sometimes, but none is effective in all circumstances
Summary points ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Consistently effective interventions ,[object Object],[object Object],[object Object]
Interventions of variable effectiveness ,[object Object],[object Object],[object Object],[object Object]
Interventions that have little or no effect ,[object Object],[object Object]
 
TRADITIONAL MODEL OF DISEMINATION Publication of information Target audience Changes in clinical practice
DESIGN OF INTERVENTIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IMPLEMENTATION PLAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FROM THEORY TO ACTION Three key questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 

Recommandé

Learning quality improvement
Learning quality improvementLearning quality improvement
Learning quality improvementPhomolo Madome
 
Article review six sigma
Article review six sigmaArticle review six sigma
Article review six sigmainapurba
 
Introduction Lecture for Implementation Science
Introduction Lecture for Implementation ScienceIntroduction Lecture for Implementation Science
Introduction Lecture for Implementation ScienceMartha Seife
 
An Introduction to Implementation Research_Emily Peca_4.22.13
An Introduction to Implementation Research_Emily Peca_4.22.13An Introduction to Implementation Research_Emily Peca_4.22.13
An Introduction to Implementation Research_Emily Peca_4.22.13CORE Group
 
Implementation Research-What is it?
Implementation Research-What is it?Implementation Research-What is it?
Implementation Research-What is it?CORE Group
 
Innovative Study Designs for Implementation Research
Innovative Study Designs for Implementation ResearchInnovative Study Designs for Implementation Research
Innovative Study Designs for Implementation ResearchHopkinsCFAR
 
2006 Accreditation Criteria
2006 Accreditation Criteria2006 Accreditation Criteria
2006 Accreditation CriteriaHOWARD ROBIN
 
Implementation science and learning health systems: Pieces of a puzzle
Implementation science and learning health systems: Pieces of a puzzle Implementation science and learning health systems: Pieces of a puzzle
Implementation science and learning health systems: Pieces of a puzzle Department of Learning Health Sciences, University of Michigan Medical School
 

Recommandé

Learning quality improvement
Learning quality improvementLearning quality improvement
Learning quality improvementPhomolo Madome
 
Article review six sigma
Article review six sigmaArticle review six sigma
Article review six sigmainapurba
 
Introduction Lecture for Implementation Science
Introduction Lecture for Implementation ScienceIntroduction Lecture for Implementation Science
Introduction Lecture for Implementation ScienceMartha Seife
 
An Introduction to Implementation Research_Emily Peca_4.22.13
An Introduction to Implementation Research_Emily Peca_4.22.13An Introduction to Implementation Research_Emily Peca_4.22.13
An Introduction to Implementation Research_Emily Peca_4.22.13CORE Group
 
Implementation Research-What is it?
Implementation Research-What is it?Implementation Research-What is it?
Implementation Research-What is it?CORE Group
 
Innovative Study Designs for Implementation Research
Innovative Study Designs for Implementation ResearchInnovative Study Designs for Implementation Research
Innovative Study Designs for Implementation ResearchHopkinsCFAR
 
2006 Accreditation Criteria
2006 Accreditation Criteria2006 Accreditation Criteria
2006 Accreditation CriteriaHOWARD ROBIN
 
Implementation science and learning health systems: Pieces of a puzzle
Implementation science and learning health systems: Pieces of a puzzle Implementation science and learning health systems: Pieces of a puzzle
Implementation science and learning health systems: Pieces of a puzzle Department of Learning Health Sciences, University of Michigan Medical School
 
Rehab and evaluting health
Rehab and evaluting healthRehab and evaluting health
Rehab and evaluting healthQURATULAIN MUGHAL
 
Implementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the ScienceImplementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the ScienceHopkinsCFAR
 
Research findings in nursing practice
Research findings in nursing practiceResearch findings in nursing practice
Research findings in nursing practicemaheswarirajamanicka
 
WhitePaper_VBP_FINAL
WhitePaper_VBP_FINALWhitePaper_VBP_FINAL
WhitePaper_VBP_FINALLilian Lazarevic
 
semhar final
semhar finalsemhar final
semhar finalRewina123
 
Implementation research
Implementation researchImplementation research
Implementation researchMahmoud Alaaeldin Hashim, MD.
 
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...NHSNWRD
 
Models of Evidence Base Practice PPT use in ANP, Education subject
Models of Evidence Base Practice PPT use in ANP, Education subjectModels of Evidence Base Practice PPT use in ANP, Education subject
Models of Evidence Base Practice PPT use in ANP, Education subjectsonal patel
 
Evidence Based Practice
Evidence Based PracticeEvidence Based Practice
Evidence Based PracticeDr. Binu Babu Nursing Lectures Incredibly Easy
 
Jeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference SlidesJeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference SlidesShawnHoke
 
A reflection on frameworks to assess implementation fidelity of an adaptive d...
A reflection on frameworks to assess implementation fidelity of an adaptive d...A reflection on frameworks to assess implementation fidelity of an adaptive d...
A reflection on frameworks to assess implementation fidelity of an adaptive d...valéry ridde
 
Seminar on evidence based practice
Seminar on evidence based practiceSeminar on evidence based practice
Seminar on evidence based practiceAmritanshuChanchal
 
Using the policy diffusion framework to investigate domestic actors’ ownershi...
Using the policy diffusion framework to investigate domestic actors’ ownershi...Using the policy diffusion framework to investigate domestic actors’ ownershi...
Using the policy diffusion framework to investigate domestic actors’ ownershi...valéry ridde
 
Measure the Improvement
Measure the ImprovementMeasure the Improvement
Measure the ImprovementMusa Abu Sbeih
 
Team leadership under stress,(mike rosen and betsy)
Team leadership under stress,(mike rosen and betsy)Team leadership under stress,(mike rosen and betsy)
Team leadership under stress,(mike rosen and betsy)INSPIRE_Network
 
Msnv 601 week 12 pp
Msnv 601 week 12 ppMsnv 601 week 12 pp
Msnv 601 week 12 pptamahene
 
Supporting effective provider communication: from communication trainings to ...
Supporting effective provider communication: from communication trainings to ...Supporting effective provider communication: from communication trainings to ...
Supporting effective provider communication: from communication trainings to ...WHO Regional Office for Europe
 
Ebp presentation
Ebp presentationEbp presentation
Ebp presentationghulam fatima
 
Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11john
 
Job satisfaction
Job satisfactionJob satisfaction
Job satisfactionAna Recamunda
 
Use of Silver Coated Catheters to Prevent Urinary Tract Infections:
Use of Silver Coated Catheters to Prevent Urinary Tract Infections:Use of Silver Coated Catheters to Prevent Urinary Tract Infections:
Use of Silver Coated Catheters to Prevent Urinary Tract Infections:Stephanie Thompson
 
NGR 6803, R. S., Project Proposal
NGR 6803, R. S., Project ProposalNGR 6803, R. S., Project Proposal
NGR 6803, R. S., Project ProposalSamantha Rodriguez
 

Contenu connexe

Tendances

Implementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the ScienceImplementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the ScienceHopkinsCFAR
 
Research findings in nursing practice
Research findings in nursing practiceResearch findings in nursing practice
Research findings in nursing practicemaheswarirajamanicka
 
semhar final
semhar finalsemhar final
semhar finalRewina123
 
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...NHSNWRD
 
Models of Evidence Base Practice PPT use in ANP, Education subject
Models of Evidence Base Practice PPT use in ANP, Education subjectModels of Evidence Base Practice PPT use in ANP, Education subject
Models of Evidence Base Practice PPT use in ANP, Education subjectsonal patel
 
Jeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference SlidesJeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference SlidesShawnHoke
 
A reflection on frameworks to assess implementation fidelity of an adaptive d...
A reflection on frameworks to assess implementation fidelity of an adaptive d...A reflection on frameworks to assess implementation fidelity of an adaptive d...
A reflection on frameworks to assess implementation fidelity of an adaptive d...valéry ridde
 
Seminar on evidence based practice
Seminar on evidence based practiceSeminar on evidence based practice
Seminar on evidence based practiceAmritanshuChanchal
 
Using the policy diffusion framework to investigate domestic actors’ ownershi...
Using the policy diffusion framework to investigate domestic actors’ ownershi...Using the policy diffusion framework to investigate domestic actors’ ownershi...
Using the policy diffusion framework to investigate domestic actors’ ownershi...valéry ridde
 
Measure the Improvement
Measure the ImprovementMeasure the Improvement
Measure the ImprovementMusa Abu Sbeih
 
Team leadership under stress,(mike rosen and betsy)
Team leadership under stress,(mike rosen and betsy)Team leadership under stress,(mike rosen and betsy)
Team leadership under stress,(mike rosen and betsy)INSPIRE_Network
 
Msnv 601 week 12 pp
Msnv 601 week 12 ppMsnv 601 week 12 pp
Msnv 601 week 12 pptamahene
 
Supporting effective provider communication: from communication trainings to ...
Supporting effective provider communication: from communication trainings to ...Supporting effective provider communication: from communication trainings to ...
Supporting effective provider communication: from communication trainings to ...WHO Regional Office for Europe
 
Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11john
 

Tendances (20)

Rehab and evaluting health
Rehab and evaluting healthRehab and evaluting health
Rehab and evaluting health
 
Implementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the ScienceImplementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the Science
 
Research findings in nursing practice
Research findings in nursing practiceResearch findings in nursing practice
Research findings in nursing practice
 
WhitePaper_VBP_FINAL
WhitePaper_VBP_FINALWhitePaper_VBP_FINAL
WhitePaper_VBP_FINAL
 
semhar final
semhar finalsemhar final
semhar final
 
Implementation research
Implementation researchImplementation research
Implementation research
 
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...
Let's Talk Research 2015 - Michael Harrison Blount - An Action Research appro...
 
Models of Evidence Base Practice PPT use in ANP, Education subject
Models of Evidence Base Practice PPT use in ANP, Education subjectModels of Evidence Base Practice PPT use in ANP, Education subject
Models of Evidence Base Practice PPT use in ANP, Education subject
 
Evidence Based Practice
Evidence Based PracticeEvidence Based Practice
Evidence Based Practice
 
Jeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference SlidesJeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference Slides
 
A reflection on frameworks to assess implementation fidelity of an adaptive d...
A reflection on frameworks to assess implementation fidelity of an adaptive d...A reflection on frameworks to assess implementation fidelity of an adaptive d...
A reflection on frameworks to assess implementation fidelity of an adaptive d...
 
Seminar on evidence based practice
Seminar on evidence based practiceSeminar on evidence based practice
Seminar on evidence based practice
 
Using the policy diffusion framework to investigate domestic actors’ ownershi...
Using the policy diffusion framework to investigate domestic actors’ ownershi...Using the policy diffusion framework to investigate domestic actors’ ownershi...
Using the policy diffusion framework to investigate domestic actors’ ownershi...
 
Measure the Improvement
Measure the ImprovementMeasure the Improvement
Measure the Improvement
 
Team leadership under stress,(mike rosen and betsy)
Team leadership under stress,(mike rosen and betsy)Team leadership under stress,(mike rosen and betsy)
Team leadership under stress,(mike rosen and betsy)
 
Msnv 601 week 12 pp
Msnv 601 week 12 ppMsnv 601 week 12 pp
Msnv 601 week 12 pp
 
Supporting effective provider communication: from communication trainings to ...
Supporting effective provider communication: from communication trainings to ...Supporting effective provider communication: from communication trainings to ...
Supporting effective provider communication: from communication trainings to ...
 
Ebp presentation
Ebp presentationEbp presentation
Ebp presentation
 
Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11Ovretveit implementation science research course 1day sept 11
Ovretveit implementation science research course 1day sept 11
 
Job satisfaction
Job satisfactionJob satisfaction
Job satisfaction
 

En vedette

Use of Silver Coated Catheters to Prevent Urinary Tract Infections:
Use of Silver Coated Catheters to Prevent Urinary Tract Infections:Use of Silver Coated Catheters to Prevent Urinary Tract Infections:
Use of Silver Coated Catheters to Prevent Urinary Tract Infections:Stephanie Thompson
 
NGR 6803, R. S., Project Proposal
NGR 6803, R. S., Project ProposalNGR 6803, R. S., Project Proposal
NGR 6803, R. S., Project ProposalSamantha Rodriguez
 
Factors influencing the practice of exclusive breast feeding in rural communi...
Factors influencing the practice of exclusive breast feeding in rural communi...Factors influencing the practice of exclusive breast feeding in rural communi...
Factors influencing the practice of exclusive breast feeding in rural communi...Alexander Decker
 
Harvard style research paper nursing evidenced based practice
Harvard style research paper nursing evidenced based practiceHarvard style research paper nursing evidenced based practice
Harvard style research paper nursing evidenced based practiceCustomEssayOrder
 
Evidence Based Practice: Core Concepts
Evidence Based Practice: Core ConceptsEvidence Based Practice: Core Concepts
Evidence Based Practice: Core ConceptsAnn Celestine
 
GCU-HCA 699 Capstone Presentation Power Point
GCU-HCA 699 Capstone Presentation Power PointGCU-HCA 699 Capstone Presentation Power Point
GCU-HCA 699 Capstone Presentation Power PointTasha Chenoweth, MHA
 
EVIDENCE BASED PRACTICE
EVIDENCE BASED PRACTICEEVIDENCE BASED PRACTICE
EVIDENCE BASED PRACTICEBalkeej Sidhu
 

En vedette (9)

Use of Silver Coated Catheters to Prevent Urinary Tract Infections:
Use of Silver Coated Catheters to Prevent Urinary Tract Infections:Use of Silver Coated Catheters to Prevent Urinary Tract Infections:
Use of Silver Coated Catheters to Prevent Urinary Tract Infections:
 
NGR 6803, R. S., Project Proposal
NGR 6803, R. S., Project ProposalNGR 6803, R. S., Project Proposal
NGR 6803, R. S., Project Proposal
 
Life support measures kp among nurses proposal
Life support measures kp among nurses proposalLife support measures kp among nurses proposal
Life support measures kp among nurses proposal
 
Factors influencing the practice of exclusive breast feeding in rural communi...
Factors influencing the practice of exclusive breast feeding in rural communi...Factors influencing the practice of exclusive breast feeding in rural communi...
Factors influencing the practice of exclusive breast feeding in rural communi...
 
Harvard style research paper nursing evidenced based practice
Harvard style research paper nursing evidenced based practiceHarvard style research paper nursing evidenced based practice
Harvard style research paper nursing evidenced based practice
 
Evidence Based Practice: Core Concepts
Evidence Based Practice: Core ConceptsEvidence Based Practice: Core Concepts
Evidence Based Practice: Core Concepts
 
GCU-HCA 699 Capstone Presentation Power Point
GCU-HCA 699 Capstone Presentation Power PointGCU-HCA 699 Capstone Presentation Power Point
GCU-HCA 699 Capstone Presentation Power Point
 
EVIDENCE BASED PRACTICE
EVIDENCE BASED PRACTICEEVIDENCE BASED PRACTICE
EVIDENCE BASED PRACTICE
 
Evidence Based Practice
Evidence Based PracticeEvidence Based Practice
Evidence Based Practice
 

Similaire à Changing Practice: Implementation strategies

Implementation strategies
Implementation strategiesImplementation strategies
Implementation strategiesMartha Seife
 
Guidelines - what difference do they make? A Dutch perspective
Guidelines - what difference do they make? A Dutch perspectiveGuidelines - what difference do they make? A Dutch perspective
Guidelines - what difference do they make? A Dutch perspectiveepicyclops
 
IMPACTE groups NHS librarians Oxford 12 March 2010
IMPACTE groups NHS librarians Oxford 12 March 2010IMPACTE groups NHS librarians Oxford 12 March 2010
IMPACTE groups NHS librarians Oxford 12 March 2010Anne Gray
 
Studying implementation 2017
Studying implementation 2017Studying implementation 2017
Studying implementation 2017Martha Seife
 
Estrategias para Implementación de las Guías de Práctica Clínica
Estrategias para Implementación de las Guías de Práctica ClínicaEstrategias para Implementación de las Guías de Práctica Clínica
Estrategias para Implementación de las Guías de Práctica ClínicaGuíaSalud
 
Building Blocks: Protocols
Building Blocks: ProtocolsBuilding Blocks: Protocols
Building Blocks: Protocolsguest5efb1
 
NICHE Building Blocks: Protocols
NICHE Building Blocks: ProtocolsNICHE Building Blocks: Protocols
NICHE Building Blocks: Protocolsjjorgens
 
Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...
Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...
Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...Health Evidence™
 
Operations research luna
Operations research lunaOperations research luna
Operations research lunajehill3
 
Operations Research In MCH Programs: Measurement Challenges
Operations Research In MCH Programs: Measurement ChallengesOperations Research In MCH Programs: Measurement Challenges
Operations Research In MCH Programs: Measurement Challengesjehill3
 
Operations research luna
Operations research lunaOperations research luna
Operations research lunajehill3
 
Implementation_Research.pptx
Implementation_Research.pptxImplementation_Research.pptx
Implementation_Research.pptxJoshuaKalunda
 
Prevention: Why and how does it work? Considerations to strengthen HIV behavi...
Prevention: Why and how does it work? Considerations to strengthen HIV behavi...Prevention: Why and how does it work? Considerations to strengthen HIV behavi...
Prevention: Why and how does it work? Considerations to strengthen HIV behavi...Australian Federation of AIDS Organisations
 
Clinical Pathways
Clinical PathwaysClinical Pathways
Clinical Pathwayspradhasrini
 
Evidence for Public Health Decision Making
Evidence for Public Health Decision MakingEvidence for Public Health Decision Making
Evidence for Public Health Decision MakingVineetha K
 
Quality control of healthcare
Quality control of healthcareQuality control of healthcare
Quality control of healthcareAjay Agade
 
OPERATIONAL RESEARCH (OR)
OPERATIONAL RESEARCH (OR)OPERATIONAL RESEARCH (OR)
OPERATIONAL RESEARCH (OR)Bikash Debbarma
 
QUALITY ASSURANCE IN HEALTH CARE.ppt
QUALITY ASSURANCE IN HEALTH CARE.pptQUALITY ASSURANCE IN HEALTH CARE.ppt
QUALITY ASSURANCE IN HEALTH CARE.pptS A Tabish
 
QUALITY ASSURANCE IN HEALTH CARE.ppt
QUALITY ASSURANCE IN HEALTH CARE.pptQUALITY ASSURANCE IN HEALTH CARE.ppt
QUALITY ASSURANCE IN HEALTH CARE.pptS A Tabish
 
Governance & Physician Compacts
Governance & Physician CompactsGovernance & Physician Compacts
Governance & Physician Compactscatalyst00
 

Similaire à Changing Practice: Implementation strategies (20)

Implementation strategies
Implementation strategiesImplementation strategies
Implementation strategies
 
Guidelines - what difference do they make? A Dutch perspective
Guidelines - what difference do they make? A Dutch perspectiveGuidelines - what difference do they make? A Dutch perspective
Guidelines - what difference do they make? A Dutch perspective
 
IMPACTE groups NHS librarians Oxford 12 March 2010
IMPACTE groups NHS librarians Oxford 12 March 2010IMPACTE groups NHS librarians Oxford 12 March 2010
IMPACTE groups NHS librarians Oxford 12 March 2010
 
Studying implementation 2017
Studying implementation 2017Studying implementation 2017
Studying implementation 2017
 
Estrategias para Implementación de las Guías de Práctica Clínica
Estrategias para Implementación de las Guías de Práctica ClínicaEstrategias para Implementación de las Guías de Práctica Clínica
Estrategias para Implementación de las Guías de Práctica Clínica
 
Building Blocks: Protocols
Building Blocks: ProtocolsBuilding Blocks: Protocols
Building Blocks: Protocols
 
NICHE Building Blocks: Protocols
NICHE Building Blocks: ProtocolsNICHE Building Blocks: Protocols
NICHE Building Blocks: Protocols
 
Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...
Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...
Evidence-Informed Public Health Decisions Made Easier: Take it one Step at a ...
 
Operations research luna
Operations research lunaOperations research luna
Operations research luna
 
Operations Research In MCH Programs: Measurement Challenges
Operations Research In MCH Programs: Measurement ChallengesOperations Research In MCH Programs: Measurement Challenges
Operations Research In MCH Programs: Measurement Challenges
 
Operations research luna
Operations research lunaOperations research luna
Operations research luna
 
Implementation_Research.pptx
Implementation_Research.pptxImplementation_Research.pptx
Implementation_Research.pptx
 
Prevention: Why and how does it work? Considerations to strengthen HIV behavi...
Prevention: Why and how does it work? Considerations to strengthen HIV behavi...Prevention: Why and how does it work? Considerations to strengthen HIV behavi...
Prevention: Why and how does it work? Considerations to strengthen HIV behavi...
 
Clinical Pathways
Clinical PathwaysClinical Pathways
Clinical Pathways
 
Evidence for Public Health Decision Making
Evidence for Public Health Decision MakingEvidence for Public Health Decision Making
Evidence for Public Health Decision Making
 
Quality control of healthcare
Quality control of healthcareQuality control of healthcare
Quality control of healthcare
 
OPERATIONAL RESEARCH (OR)
OPERATIONAL RESEARCH (OR)OPERATIONAL RESEARCH (OR)
OPERATIONAL RESEARCH (OR)
 
QUALITY ASSURANCE IN HEALTH CARE.ppt
QUALITY ASSURANCE IN HEALTH CARE.pptQUALITY ASSURANCE IN HEALTH CARE.ppt
QUALITY ASSURANCE IN HEALTH CARE.ppt
 
QUALITY ASSURANCE IN HEALTH CARE.ppt
QUALITY ASSURANCE IN HEALTH CARE.pptQUALITY ASSURANCE IN HEALTH CARE.ppt
QUALITY ASSURANCE IN HEALTH CARE.ppt
 
Governance & Physician Compacts
Governance & Physician CompactsGovernance & Physician Compacts
Governance & Physician Compacts
 

Plus de Jose Francisco García Gutiérrez

Toma de decisiones compartida con el paciente. Sigue bromeando, Dr Garcia? (2...
Toma de decisiones compartida con el paciente. Sigue bromeando, Dr Garcia? (2...Toma de decisiones compartida con el paciente. Sigue bromeando, Dr Garcia? (2...
Toma de decisiones compartida con el paciente. Sigue bromeando, Dr Garcia? (2...Jose Francisco García Gutiérrez
 

Plus de Jose Francisco García Gutiérrez (13)

CIBERCONDRIA_XXXIII Congreso semFYC_Granada Junio 2013
CIBERCONDRIA_XXXIII Congreso semFYC_Granada Junio 2013CIBERCONDRIA_XXXIII Congreso semFYC_Granada Junio 2013
CIBERCONDRIA_XXXIII Congreso semFYC_Granada Junio 2013
 
MBE revisitada @ May 2012
MBE revisitada @ May 2012MBE revisitada @ May 2012
MBE revisitada @ May 2012
 
Toma de decisiones compartida con el paciente. Sigue bromeando, Dr Garcia? (2...
Toma de decisiones compartida con el paciente. Sigue bromeando, Dr Garcia? (2...Toma de decisiones compartida con el paciente. Sigue bromeando, Dr Garcia? (2...
Toma de decisiones compartida con el paciente. Sigue bromeando, Dr Garcia? (2...
 
Evidence Based Medicine Revisited
Evidence Based Medicine RevisitedEvidence Based Medicine Revisited
Evidence Based Medicine Revisited
 
Clinical governance
Clinical governance Clinical governance
Clinical governance
 
Health Services at the crossroad
Health Services at the crossroadHealth Services at the crossroad
Health Services at the crossroad
 
Bioetica y sus gentes
Bioetica y sus gentesBioetica y sus gentes
Bioetica y sus gentes
 
Nuevas Tecnologias & Salud: ¿por que y para que?
Nuevas Tecnologias & Salud: ¿por que y para que?Nuevas Tecnologias & Salud: ¿por que y para que?
Nuevas Tecnologias & Salud: ¿por que y para que?
 
Innovaciones Web 2.0
Innovaciones Web 2.0Innovaciones Web 2.0
Innovaciones Web 2.0
 
Implementacion Jfgg 2009
Implementacion Jfgg 2009Implementacion Jfgg 2009
Implementacion Jfgg 2009
 
Medicalizacion_Jfgg Octubre 2009
Medicalizacion_Jfgg Octubre 2009Medicalizacion_Jfgg Octubre 2009
Medicalizacion_Jfgg Octubre 2009
 
Nodos Intercambio Conocimiento Salud Publica Sespas 2009
Nodos Intercambio Conocimiento Salud Publica Sespas 2009Nodos Intercambio Conocimiento Salud Publica Sespas 2009
Nodos Intercambio Conocimiento Salud Publica Sespas 2009
 
Sistemas Sanitarios en la Encrucijada_ EASP March 2009
Sistemas Sanitarios en la Encrucijada_ EASP March 2009Sistemas Sanitarios en la Encrucijada_ EASP March 2009
Sistemas Sanitarios en la Encrucijada_ EASP March 2009
 

Dernier

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...chandars293
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...adilkhan87451
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableGENUINE ESCORT AGENCY
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...parulsinha
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...chandars293
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...GENUINE ESCORT AGENCY
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 

Dernier (20)

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kurnool Just Call 8250077686 Top Class Call Girl Service Available
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kakinada Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
 

Changing Practice: Implementation strategies

  • 1. CHANGING PRACTICE Evidence Based Implementation José Francisco García Gutiérrez Escuela Andaluza de Salud Pública PAHO HQ HSS/HRH
  • 2. The Path Continuous Improvement Design & Evaluation Need Redesign Design Management Audit Implementation
  • 3.  
  • 4. NO MAGIC BULLETS ! All strategies are effective sometimes, but none is effective in all circumstances
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.  
  • 11. TRADITIONAL MODEL OF DISEMINATION Publication of information Target audience Changes in clinical practice
  • 12.
  • 13.
  • 14.
  • 15.  
  • 16.