TY - CHAP M1 - Book, Section TI - Leadership and Culture Change: Implementation Science Frameworks A1 - Howell, Michael D. A1 - Stevens, Jennifer P. PY - 2020 T2 - Understanding Healthcare Delivery Science 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 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1167644237 ER -