SUMAMOS EXCELENCIA Project: Assessment of Implementation of Best Practices in a National Health System (Third Edition)

What this Trial Is About

This research aims to assess how effective a multifaceted implementation strategy is in applying evidence-based recommendations across various healthcare settings including primary care, hospital units, and nursing homes. The study focuses on improving patient outcomes and healthcare quality in areas such as pain management, urinary incontinence, childhood obesity prevention, breastfeeding promotion, hand hygiene, smoking cessation, pressure injury prevention, and fall prevention. It is a quasi-experimental, multicenter, before-and-after study designed to bridge the gap between research findings and clinical practice. The intervention involves applying a multifaceted implementation strategy based on continuous quality improvement and implementation science theories. This strategy includes training, audits, analyzing local contexts, designing local strategies, providing feedback, and facilitation to help healthcare teams adopt evidence-based practices. The intervention is tailored to the specific clinical unit and its scope of action. Data collection occurs at baseline and at 4, 8, and 12 months during the first year of follow-up. Participants include NHS units and nursing homes that voluntarily adhere to the project and provide direct patient care, along with the patients they serve. The study collects various process and outcome measures related to pain, incontinence, obesity, breastfeeding, hand hygiene, smoking cessation, pressure injuries, and falls. Data is gathered from clinical histories and records, with descriptive and inferential analyses performed to assess the intervention’s effectiveness. The total study duration extends from 2024 to 2025, with follow-up evaluations over 15 months.

Sumamos Excelencia Project: Implementation of Best Practices in Clinical Practice (Thrid Edition)