Sustaining Change: Once Evidence-Based Practices Are Transferred, What Then?
Open accessAbstract
Healthcare has undergone many transformations over the past several decades including increased diagnostic sophistication, shorter in-hospital stays and day surgeries as well as greater home-based treatments such as intravenous therapy, dialysis and palliation. Despite their rigorous evidence-based underpinnings and the demonstrated benefits of these advances, the sustainability of new clinical practices in healthcare organizations continues to present a challenge to practitioners and researchers alike.
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Many promising improvement initiatives fail to sustain and do not produce long-term benefits.
“Despite the significant investment of staff time and other resources, many promising initiatives fail to sustain and do not produce long term benefits [1–6].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [4]
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- Authors
- Virani, T., Lemieux-Charles, L., Davis, D., & Berta, W.
- Affiliations
- University of Toronto (CA)
- Association of American Medical Colleges (US)
- ORCID
- Berta, Whitney
- Venue
- Healthcare Quarterly
- Publisher
- Longwoods Publishing
- Published
- 2009-01-15
- Volume
- 12
- Issue
- 1
- Pages
- 89-96
- ISSN
- 1710-2774 (ISSN-L)
- 1929-6347
- OpenAlex
- W2017206051
- Cited by
- 71
- References
- 28
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 9 · 2022: 2 · 2021: 4 · 2020: 7 · 2019: 3 · 2018: 10 · 2017: 4 · 2016: 3 · 2015: 7 · 2014: 5 · 2013: 4 · 2012: 3
- FWCI
- 6.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Healthcare Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- evidence-based practice, sustainability of change, practice transfer, healthcare organizations, organizational change, clinical practice implementation, home care, outpatient surgery
- MeSH terms
- Canada, Health Facilities, Health Knowledge, Attitudes, Practice, Organizational Innovation, Practice Patterns, Physicians', Evidence-Based Practice
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