As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that.

Improving Patient Care: The Implementation of Change in Health Care, 2nd Edition, provides a structure for professionals and change agents to implement better practices in healthcare. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centered strategies for change.

Table of Contents

Introduction

Part I: Principles of Implementation of Change

• Implementation of change in healthcare: A complex problem
  Richard Grol, Michel Wensing
• Theories on implementation of change in healthcare
  Richard Grol, Michel Wensing, Marije Bosch, Marlies Hulscher, Martin Eccles
• Effective implementation of change in healthcare: A systematic approach
  Richard Grol, Michel Wensing
• Planning and organizing the change process
  Richard Grol, Mari�lle Ouwens, Hub Wollersheim

Part II: Guidelines and Innovations

• Characteristics of successful innovations
  Richard Grol, Michel Wensing
• Clinical practice guidelines as a tool for improving patient care
  Jako Burgers, Mirrian Smolders, Trudy van der Weijden, David Davis, Richard Grol

Part III: Assessment of Performance

• Quality and safety of care: The role of indicators
  Joz� Braspenning, Rosella Hermens, Hilly Calsbeek, Gert Westert, Stephen Campbell, Richard Grol

Part IV: Problem Analysis

• Determinants of change
  Michel Wensing, Marije Bosch, Richard Grol
• Methods to identify determinants of change in healthcare
  Michel Wensing, Marije Bosch, Richard Grol

Part V: Strategies for Change

• Development and selection of strategies for improving patient care
  Richard Grol, Marije Bosch, Michel Wensing
• Dissemination of innovations
  Richard Grol, Michel Wensing
• Educational strategies
  Michel Wensing, Cornelia Fluit, Richard Grol
• Feedback and reminders
  Trudy van der Weijden, Michel Wensing, Martin Eccles, Richard Grol
• Patient-focused strategies
  Marjan Faber, Trudy van der Weijden, Glyn Elwyn, Michel Wensing, Richard Grol
• Organizational implementation strategies for change
  Michel Wensing, Miranda Laurant, Mari�lle Ouwens, Hub Wollersheim
• Patient safety and risk prevention
  Marieke Zegers, Hub Wollersheim, Michel Wensing, Charles Vincent, Richard Grol
• Economic and policy strategies for implementation of change
  Michel Wensing, Martin Eccles, Richard Grol
• Multifaceted strategies for improvement
  Marlies Hulscher, Michel Wensing, Richard Grol

Part VI: Organization and Evaluation

• Planning of change implementation
  Richard Grol, Mari�lle Ouwens
• Impact of implementation strategies: Controlled studies
  Trudy van der Weijden, Martin Eccles, Jeremy Grimshaw, Richard Grol
• Observational evaluation of implementation strategies
  Michel Wensing, Richard Grol
• Process evaluation of implementation strategies
  Marlies Hulscher, Miranda Laurant, Richard Grol
• Economic evaluation of implementation strategies
  Johan L. Severens, Ties Hoomans, Eddy Adang, Michel Wensing

Index

About the Authors and Contributors:

Written by an international expert author team, Improving Patient Care: The Implementation of Change in Health Care, 2nd Edition, is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare.

Richard Grol, Scientific Institute for Quality of Healthcare, The Netherlands

Michel Wensing, Scientific Institute for Quality of Healthcare, The Netherlands

Martin Eccles, University of Newcastle upon Tyne, UK

David Davis, Association of American Medical Colleges, Washington DC, USA