the use of implementation science to advance quality improvement in healthcare.

COLLAPSE

The scholarly study “Improving diabetes care in Saudi Arabia: Are there any changes in outcome measures?” conducted by Al-Rubeaan et al. (2018) delineates the application of implementation science to advance diabetes management in a primary care setting in Saudi Arabia. The program’s aim was the Diabetes Management Quality Program which instituted a diabetes care model, evidence-based practice guidelines, patient education, and outcome monitoring (Al-Rubeaan et al. 2018).

The methodology was a non-randomized pre-and post-intervention study measuring a change in outcome measures related to care performance, risk factors control, and diabetes complications. The framework employed appeared to incorporate components of the Chronic Care Model, such as healthcare organization, community resources, self-management support, delivery system redesign, decision support, and clinical information systems. Perceived challenges encompassed a lack of standardization, poor adherence to guidelines, and deficiencies in education, skills, and self-management.

Post-3 years, the program resulted in improved governance of blood glucose, blood pressure, and lipids and decreased diabetes complications. Improvement was stated to be sustained, but additional measurements needed to be made. Other quality improvement techniques, such as plan-do-study-act (PDSA) cycles, may have facilitated the adaptation and refinement of the program. A comprehensive framework like the Consolidated Framework for Implementation Research (CFIR) could have addressed organizational and contextual factors influencing implementation.

Two salient takeaways emerge:

To drive improvement, prioritize evidence-based standards, clinical practice guidelines, and outcome monitoring. This provides objectives, accountability, and the capacity to exhibit impact. Include patients through education and self-management support. This can influence behavior modification and motivation to sustain new practices.

In summary, this study demonstrates how implementation science was applied to attain meaningful enhancement in diabetes care. Instituting an evidence-based model, standards of care, and monitoring outcomes were instrumental to the success. Further utilization of established quality improvement and implementation science methodologies strengthened the work. However, the initiative exemplifies how to approach complex healthcare challenges and achieve transformation in the Saudi Arabian context.

Reference

Al-Rubeaan, K., Youssef, A. M., Subhani, S. N., Ahmad, N. A., Al-Sharqawi, A. H., Al-Mutlaq,

H. M., & AlNaqeb, D. (2018). Improving diabetes care in Saudi Arabia: Are there any changes in outcome measures? Saudi medical journal, 39(2), 167w4. https://doi.org/10.15537/smj.2018.2.21312

This is was qouston 

For this weekàdiscussion, use the Saudi Digital Library to locate a scholarly journal article that details the use of implementation science to advance quality improvement in healthcare.  

Summarize the article to include the healthcare setting, the quality initiative, the methodology, and outcomes.  

Was there a framework used to guide the implementation?  

Did the author(s) describe any barriers to implementation?  

Was there improvement and if so, was the improvement sustained? 

Discuss what additional or alternative quality improvement methods, implementation science approaches, and framework  you would have used or recommended. 

Describe two key takeaways from this article that you would incorporate into a similar quality improvement project in the future.