Paul Sharek MD, MPH

Publication Details

  • Best practice implementation: lessons learned from 20 partnerships. Joint Commission journal on quality and patient safety / Joint Commission Resources Sharek, P. J., Mullican, C., Lavanderos, A., Palmer, C., Snow, V., Kmetik, K., Antman, M., Knutson, D., Dembry, L. M. 2007; 33 (12): 16-26


    Partnerships can facilitate effective implementation of best practices, but literature describing effective and ineffective strategies to address barriers to implementation in partnerships is lacking.Principal investigators (PIs) were surveyed to identify barriers to best practice implementation, rank their significance, and articulate the success and failure of solutions attempted.The top four categories of barriers to implementation were partnership challenges, practitioner/local organization variables, time frame challenges, and financial concerns. Ninety-eight effective and 38 ineffective solutions used to overcome these barriers were identified. The most common categories of successful solutions were flexibility of interventions to align with unique local characteristics, schedules, and budgets (36.7% of listed successful solutions); communication strategies that emphasize frequent bidirectional information exchange in person (26.5%); and thoughtful use of personnel emphasizing sites' senior leadership and centralized quality and analytic content expertise (16.3%).Despite substantial partnership diversity, consistent themes related to barriers to implementation and solutions to these barriers emerged. The successful and unsuccessful solutions provided should be proactively assessed to enhance the likelihood of future partnership success.

    View details for PubMedID 18277636

Stanford Medicine Resources:

Footer Links: