Testing a systematic approach to identify and prioritise barriers to successful implementation of a complex healthcare intervention

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• 作者：Louise E. Craig ; Leonid Churilov ; Liudmyla Olenko…
• 关键词：Prioritisation ; Barriers ; Acute stroke care ; Implementation
• 刊名：BMC Medical Research Methodology
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：17
• 期：1
• 全文大小：1226KB
• 刊物主题：Theory of Medicine/Bioethics; Statistical Theory and Methods; Statistics for Life Sciences, Medicine, Health Sciences;
• 出版者：BioMed Central
• ISSN：1471-2288
• 卷排序：17

文摘

BackgroundMultiple barriers may inhibit the adoption of clinical interventions and impede successful implementation. Use of standardised methods to prioritise barriers to target when selecting implementation interventions is an understudied area of implementation research. The aim of this study was to describe a method to identify and prioritise barriers to the implementation of clinical practice elements which were used to inform the development of the T3 trial implementation intervention (Triage, Treatment [thrombolysis administration; monitoring and management of temperature, blood glucose levels, and swallowing difficulties] and Transfer of stroke patients from Emergency Departments [ED]).