How to implement GDT in an institution and at the national level

Book Section (Chapter)

© Cambridge University Press 2014. Each year millions of pounds are spent around the world on health care research with the aim of developing interventions, practices, and guidelines that can improve human health. Yet only a small proportion of these innovations are ever implemented in routine practice, and the process of change for implementation to occur can frequently take many years. The implementation of evidence-based health care is a complex process. There are many factors involved such as the innovation itself, the strength of the evidence, and the local context into which the implementation may or may not occur. There are also significant challenges in measuring implementation, which has developed into a new field of medicine known as implementation science. At the nexus between research and practice, implementation science has a potential key role in measuring and defining factors that affect implementation success. Evidence-based perioperative care is the focus of interventions aimed at improving outcomes after major surgery. Some of these interventions have been detailed in different chapters throughout this book. However, changing traditional components of perioperative care is challenging. As reported in a review of the difficulties in applying the principles of evidence-based medicine (EBM) to surgical care, the immediate challenge to improving the quality of surgical care is not discovering new knowledge, but rather how to integrate what we already know into practice.

Full Text

Duke Authors

Cited Authors

  • Miller, TE; Mythen, M

Published Date

  • January 1, 2014

Book Title

  • Perioperative Hemodynamic Monitoring and Goal Directed Therapy - from theory to practice

Start / End Page

  • 262 - 266

International Standard Book Number 13 (ISBN-13)

  • 9781107048171

Digital Object Identifier (DOI)

  • 10.1017/CBO9781107257115.032