Using the quality enhancement research initiative framework for implementation science in clinical nutrition.

Implementation science (IS) offers a structured approach to bridging the gap between research and practice by facilitating the adoption of evidence‐based interventions (EBIs). One established framework within IS is the Quality Enhancement Research Initiative (QUERI), developed by the US Department o...

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Publicado en:Nutrition in Clinical Practice Vol. 40; no. 6; pp. 1387 - 1393
Autores principales: Brown, Michelle, Rosenthal, Martin
Formato: case study review tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 40
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/ncp.70058
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        atl: Using the quality enhancement research initiative framework for implementation science in clinical nutrition.
      aug:
        au:
          Brown, Michelle
          Rosenthal, Martin
        affil: Food and Nutrition, UF Health, Gainesville Florida,, USA
      sug:
        subj:
          Implementation Science
          Quality of Care Research
          Quality Improvement
          Conceptual Framework
          Professional Practice, Evidence-Based
          Malnutrition Diagnosis
          Nutritional Assessment
          Hospitalization
          Health Screening
          Malnutrition Therapy
          Prehabilitation
          Outpatient Service
          Nutritional Support
          Stakeholder Participation
          Protocols
          Workflow
          United States Department of Veterans Affairs
          Benchmarking
          Program Development
          United States
          Mortality Prevention and Control
          Readmission Evaluation
          Health Care Costs
          Cost Savings
          Adverse Health Care Event Prevention and Control
          Dietary Supplementation
          Program Evaluation
      ab: Implementation science (IS) offers a structured approach to bridging the gap between research and practice by facilitating the adoption of evidence‐based interventions (EBIs). One established framework within IS is the Quality Enhancement Research Initiative (QUERI), developed by the US Department of Veterans Affairs. QUERI promotes the active dissemination of EBIs through a phased roadmap: preimplementation (data to knowledge), implementation (knowledge to performance), and sustainment (performance to data). This review article explores the QUERI framework in depth and its application in clinical nutrition settings. Two case studies illustrate how QUERI can enhance implementation efforts: (1) improving inpatient malnutrition screening and (2) integrating outpatient surgical prehabilitation programs. In the first case, QUERI guides the identification of low screening and diagnosis rates, stakeholder engagement, toolkit development, and ongoing evaluation to ensure sustainability. In the second, QUERI aids in developing and adapting evidence‐based prehabilitation protocols while balancing fidelity and customization to local workflows. Both examples demonstrate the importance of structured planning, stakeholder involvement, and iterative evaluation in achieving sustained change. QUERI's emphasis on choosing a high‐volume or high‐risk problem, defining best practices, and documenting outcomes makes it a valuable tool for nutrition professionals aiming to improve outcomes through consistent application of EBIs. As clinical nutrition continues to evolve, implementation frameworks like QUERI offer a practical pathway for translating research into impactful, sustainable improvements in patient care.
      pubtype: Academic Journal
      doctype:
        case study
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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