Application of Implementation Science to OB/GYN Quality Improvement Efforts

Clin Obstet Gynecol. 2019 Sep;62(3):594-605. doi: 10.1097/GRF.0000000000000474.

Abstract

Although there is no shortage of guidelines and toolkits outlining clinical practices that are evidence-based and have been shown to improve outcomes, many hospitals, and L&D units struggle to figure out exactly how to implement strategies that have been shown to work. This paper will describe suggestions to help obstetrics and gynecology units successfully implement evidence-based strategies to improve quality and safety based on the theoretical framing structures of implementation science, including theories such as the Health Beliefs Model, the Theory of Planned Behavior, Ecological Perspectives, COM-B, CFIR, and tools such as Driver Diagrams.

MeSH terms

  • Female
  • Gynecology / standards*
  • Humans
  • Implementation Science*
  • Obstetrics / standards*
  • Pregnancy
  • Quality Improvement*