title: Translating Health Services Research into Practice in the Safety Net.
abstract: OBJECTIVE
  To summarize research relating to health services research translation in the safety net through analysis of the literature and case study of a safety net system.
  
  
  METHODS
  Literature review and key informant interviews at an integrated safety net hospital.
  
  
  METHODS
  This paper describes the results of a comprehensive literature review of translational science literature as applied to health care paired with qualitative analysis of five key informant interviews conducted with senior-level management at Denver Health and Hospital Authority.
  
  
  RESULTS
  Results from the literature suggest that implementing innovation may be more difficult in the safety net due to multiple factors, including financial and organizational constraints. Results from key informant interviews confirmed the reality of financial barriers to innovation implementation but also implied that factors, including institutional respect for data, organizational attitudes, and leadership support, could compensate for disadvantages.
  
  
  CONCLUSIONS
  Translating research into practice is of critical importance to safety net providers, which are under increased pressure to improve patient care and satisfaction. Results suggest that translational research done in the safety net can better illuminate the special challenges of this setting; more such research is needed.
authors.affiliation: Denver Health and Hospital Authority, Center for Health Systems Research, Denver, CO.|Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), Department of Medicine, University of Colorado Denver School of Medicine, Aurora, CO.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Moore
authors.affiliation: Denver Health and Hospital Authority, Center for Health Systems Research, Denver, CO.
authors.forename: Ilana
authors.initials: I
authors.lastname: Fischer
authors.affiliation: Denver Health and Hospital Authority, Center for Health Systems Research, Denver, CO.|Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), Department of Medicine, University of Colorado Denver School of Medicine, Aurora, CO.
authors.forename: Edward P
authors.initials: EP
authors.lastname: Havranek
mesh_terms: D004059:Diffusion of Innovation; D005260:Female; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D008297:Male; D019982:Organizational Case Studies; D015279:Organizational Culture; D009936:Organizational Innovation; D064876:Safety-net Providers / Q000458:organization & administration*; D057170:Translational Research, Biomedical / Q000458:organization & administration*
keywords: Health services research; diffusion; innovation; safety net; translation