ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2019
Successful Healthcare Improvements From Translating Evidence in complex systems (SHIFT-Evidence): simple rules to guide practice and research.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Deployment of machine learning algorithms to predict sepsis: systematic review and application of the SALIENT clinical AI implementation framework.Journal of the American Medical Informatics Association : JAMIA · 2023Pooled it
- Implementation of a cardiovascular toolkit in primary care increased women Veterans' engagement in behavior change programs: results from a non-randomized stepped wedge trial.BMC primary care · 2026Trial
- Trial
- A Standardized Perioperative Care Program and Postoperative Pain, Disability, and Knowledge Among Patients Undergoing Lumbar Spine Surgery in Erbil, Iraq: A Non-Randomized Controlled Study.Health science reports · 2026Article
- Clinical audit and quality improvement: rivals, partners, or one and the same?Frontiers in health services · 2026Article
- Complexity of healthcare improvement - a comparative analysis of frameworks for improvement science.Frontiers in health services · 2026Article
- Article
- Quality improvement project to routinely identify sensory and eating challenges in childhood neurodevelopmental movement disorders.BMJ open quality · 2025Article
- Enhancing the Innovation Ecosystem: Overcoming Challenges to Introducing Information-Driven Technologies in Health Care.Journal of medical Internet research · 2025Article
- Self-management support (SMS) in primary care practice: a qualitative focus group study of care professionals' experiences.BMC primary care · 2024Article
- Implementation frameworks for end-to-end clinical AI: derivation of the SALIENT framework.Journal of the American Medical Informatics Association : JAMIA · 2023Review
- Strengthening Digital Transformation and Innovation in the Health Care System: Protocol for the Design and Implementation of a Multidisciplinary National Health Innovation Research School.JMIR research protocols · 2023Article
- How do healthcare providers use national audit data for improvement?BMC health services research · 2023Article
- Wicked problems in a post-truth political economy: a dilemma for knowledge translation.Humanities & social sciences communications · 2023Article
- Barriers and enablers to nurses' use of harm prevention strategies for older patients in hospital: A cross-sectional survey.Journal of advanced nursing · 2022Article
- Tailoring Antimicrobial Stewardship (AMS) Interventions to the Cultural Context: An Investigation of AMS Programs Operating in Northern Italian Acute-Care Hospitals.Antibiotics (Basel, Switzerland) · 2022Article
- The evidence base for US joint commission hospital accreditation standards: cross sectional study.BMJ (Clinical research ed.) · 2022Article
- Toward Successful Implementation of Artificial Intelligence in Health Care Practice: Protocol for a Research Program.JMIR research protocols · 2022Article
- Implementation Frameworks for Artificial Intelligence Translation Into Health Care Practice: Scoping Review.Journal of medical Internet research · 2022Article
- Conceptualising interventions to enhance spread in complex systems: a multisite comprehensive medication review case study.BMJ quality & safety · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence translation and improvement research indicate that healthcare contexts are complex systems, characterized by uncertainty and surprise, which often defy orchestrated intervention attempts. This article reflects on the implications of complexity on attempts to translate evidence, and on a newly published framework for Successful Healthcare Improvements From Translating Evidence in complex systems (SHIFT-Evidence). DISCUSSION: SHIFT-Evidence positions the challenge of evidence translation within the complex and evolving context of healthcare, and recognizes the wider issues practitioners routinely face. It is empirically grounded, and designed to be comprehensive, practically relevant and actionable. SHIFT-evidence is summarized by three principles designed to be intuitive and memorable: 'act scientifically and pragmatically'; 'embrace complexity'; and 'engage and empower'. Common challenges and strategies to overcome them are summarized in 12 'simple rules' that provide actionable guidance.
conclusionSHIFT-Evidence provides a practical tool to guide practice and research of evidence translation and improvement within complex dynamic healthcare settings. Implications are that improvement initiatives and research study designs need to take into account the unique initial conditions in each local setting; conduct needs to respond to unpredictable effects and address dependent problems; and evaluation needs to be sensitive to evolving priorities and the emergent range of activities required to achieve improvement.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.