The role of organizational research in implementing evidence-based practice: QUERI Series

Address: 1Veterans Affairs (VA) Health Services Research and Development (HSR&D) Center of Excellence for the Study of Healthcare Provider Behaviour, VA Greater Los Angeles Healthcare System, Sepulveda, CA, USA and 2Department of Health Services, UCLA School of Public Health, Los Angeles, CA, USA Email: Elizabeth M Yano - | BioMed Central Implementation Science Methodology The role of organizational research in implementing evidence-based practice QUERI Series Elizabeth M Yano1 2 Open Access Address 1Veterans Affairs VA Health Services Research and Development HSR D Center of Excellence for the Study of Healthcare Provider Behaviour VA Greater Los Angeles Healthcare System Sepulveda CA USA and 2Department of Health Services UCLA School of Public Health Los Angeles CA USA Email Elizabeth M Yano - Published 29 May 2008 Received 19 August 2006 Implementation Science 2008 3 29 doi l748-5908-3-29 Accepted 29 May 2008 This article is available from http content 3 1 29 2008 Yano licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Health care organizations exert significant influence on the manner in which clinicians practice and the processes and outcomes of care that patients experience. A greater understanding of the organizational milieu into which innovations will be introduced as well as the organizational factors that are likely to foster or hinder the adoption and use of new technologies care arrangements and quality improvement QI strategies are central to the effective implementation of research into practice. Unfortunately much implementation research seems to not recognize or adequately address the influence and importance of organizations. Using examples from the . Department of Veterans Affairs VA Quality Enhancement Research Initiative QUERI we describe the role of organizational research in advancing the implementation of evidence-based practice into routine care settings. Methods Using the six-step QUERI process as a foundation we present an organizational

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