title: Transitioning the Adult with Type 2 Diabetes From the Acute to Chronic Care Setting: Strategies to Support Pragmatic Implementation Success.
abstract: Scientific evidence is available to guide the how to of medications management when patients with diabetes are hospitalized or present to the Emergency Department. However, few clinical trials in the diabetes field have addressed the execution, coupled with established implementation effectiveness evaluation frameworks to help inform and assess implementation practices to support the transition in care. These deficiencies may be overcome by (1) applying the principles of implementation and delivery systems science; (2) engaging the principles of human factors (HF) throughout the design, development, and evaluation planning activities; and (3) utilizing mixed methods to design the intervention, workflow processes, and evaluate the intervention for sustainability within existing care delivery models. This article provides a discussion of implementation science and human factors science including an overview of commonly used frameworks which can be applied to structure design and implementation of sustainable and generalizable interventions.
authors.affiliation: MedStar Diabetes Institute, 100 Irving St, NW, #4114, Washington, DC, USA. Michelle.F.Magee@MedStar.net.|MedStar Health Research Institute, 6525 Belcrest Rd., Ste. 700, Hyattsville, MD, 20782, USA. Michelle.F.Magee@MedStar.net.|Georgetown University School of Medicine and Healthcare Sciences, Washington, DC, USA. Michelle.F.Magee@MedStar.net.
authors.forename: Michelle
authors.initials: M
authors.lastname: Magee
authors.affiliation: MedStar Health Research Institute, 6525 Belcrest Rd., Ste. 700, Hyattsville, MD, 20782, USA.|MedStar Health Corporate Nursing, 6525 Belcrest Rd., Ste. 700, Hyattsville, MD, 20782, USA.
authors.forename: Joan K
authors.initials: JK
authors.lastname: Bardsley
authors.affiliation: Northwestern University Feinberg School of Medicine, Suite 530 645N, Michigan Avenue, Chicago, IL, 60611, USA.
authors.forename: Amisha
authors.initials: A
authors.lastname: Wallia
authors.affiliation: MedStar Health Research Institute, 6525 Belcrest Rd., Ste. 700, Hyattsville, MD, 20782, USA.
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Smith
mesh_terms: D000328:Adult; D003695:Delivery of Health Care; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004636:Emergency Service, Hospital; D006284:Health Plan Implementation; D006760:Hospitalization; D006801:Humans; D010353:Patient Education as Topic
keywords: Diabetes education; Diabetes management; Human factors; Implementation effectiveness; Implementation frameworks; Implementation science