RT Book, Section A1 Howell, Michael D. A1 Stevens, Jennifer P. SR Print(0) ID 1167644237 T1 Leadership and Culture Change: Implementation Science Frameworks T2 Understanding Healthcare Delivery Science YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260026481 LK accesspharmacy.mhmedical.com/content.aspx?aid=1167644237 RD 2024/04/24 AB Healthcare has a really hard time changing. Time and time again, we see delays in putting evidence into practice. In outpatient medicine, we frequently miss quality targets for care with high-quality evidence rankings.1–3 In hospital medicine, we routinely discharge patients without needed secondary prevention.3,4 In intensive care medicine, we continue to fail to provide lifesaving, lung-protective ventilation.5 Why is this? Healthcare providers are not actively trying to deliver bad care. Doctors and nurses are not actively choosing to fail their patients. Frequently, what may be missing is an implementation path forward.6,7