The authors have no conflict of interest to declare for this article.
Lessons Learned about Implementing Research Evidence into Clinical Practice
Experiences from VA QUERI
Version of Record online: 24 MAR 2006
Journal of General Internal Medicine
Volume 21, Issue S2, pages S21–S24, February 2006
How to Cite
Hagedorn, H., Hogan, M., Smith, J. L., Bowman, C., Curran, G. M., Espadas, D., Kimmel, B., Kochevar, L., Legro, M. W. and Sales, A. E. (2006), Lessons Learned about Implementing Research Evidence into Clinical Practice. Journal of General Internal Medicine, 21: S21–S24. doi: 10.1111/j.1525-1497.2006.00358.x
An earlier version of this article was included in materials to support the State of the Art of Implementation Conference, titled “Implementing the Evidence: Transforming Practices, Systems, and Organizations.” The conference was conducted by the Department of Veterans Affairs, Office of Research and Development, Health Services Research and Development Service, and was held in Washington, DC, from August 30 to September 1, 2004.
See Editorial by Catarina I. Kiefe and Anne Sales, p. S67.
- Issue online: 24 MAR 2006
- Version of Record online: 24 MAR 2006
- implementation research;
- quality improvement;
- evidence-based medicine;
The mission of the Veterans Health Administration's (VHA) quality enhancement research initiative (QUERI) is to enhance the quality of VHA health care by implementing clinical research findings into routine care. This paper presents lessons that QUERI investigators have learned through their initial attempts to pursue the QUERI mission. The lessons in this paper represent those that were common across multiple QUERI projects and were mutually agreed on as having substantial impact on the success of implementation. While the lessons are consistent with commonly recognized ingredients of successful implementation efforts, the examples highlight the fact that, even with a thorough knowledge of the literature and thoughtful planning, unexpected circumstances arise during implementation efforts that require flexibility and adaptability. The findings stress the importance of utilizing formative evaluation techniques to identify barriers to successful implementation and strategies to address these barriers.