Implementation science theories to inform efforts for de-implementation of urologic oncology care practices resulting in overuse and misuse.

The field of implementation science has been conventionally applied in the context of increasing the application of evidence-based practices into clinical care, given evidence of underusage of appropriate interventions in many settings. Increasingly, however, there is recognition of the potential fo...

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Detalles Bibliográficos
Publicado en:Urologic Oncology Vol. 36; no. 5; pp. 252 - 257
Autores principales: Nielsen, Matthew E., Birken, Sarah A.
Formato: review Journal Article
Publicado: Elsevier B.V. May2018
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:The field of implementation science has been conventionally applied in the context of increasing the application of evidence-based practices into clinical care, given evidence of underusage of appropriate interventions in many settings. Increasingly, however, there is recognition of the potential for similar frameworks to inform efforts to reduce the application of ineffective or potentially harmful practices. In this article, we provide some examples of clinical scenarios in which the quality problem may be overuse and misuse, and review relevant theories and frameworks that may inform improvement activities.