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A publication of the . . . improving patient outcomes

Exper t Perspective: Alternatives to RCTs

National Leaders Converge at the ISRN Summit


andomized Controlled Trials (RCTs) have long been the gold standard in clinical research representing the best of what is known of research methodology. However, improvement science is a novel field of research with requirements for advanced methodologies ranging from observational to implementation design.

“Improvement research can study interventions designed to help clinicians or organizations improve the care they provide”

This summer marks the 4th Improvement Science Summit hosted by the Improvement Science Research Network in San Antonio, TX (July 9-10, 2013). A major goal of this year’s research methods conference is to bring together individuals from multiple healthcare backgrounds together to advance what is known and understood in the field of improvement research. Transforming health care and achieving quality improvement and patient safety initiatives are national priorities; however, insufficient research and rigor in the field of improvement science makes scalability and spreadability of improvement initiatives difficult. The Summit aims to contribute significantly to the capacity of healthcare scientists and practice scholars to implement and evaluate rigorous improvement research.


As the landscape of improvement research evolves, so have the methodologies needed to study vastly different types of projects. The variety of studies that can be conducted in healthcare within the scope of improvement research include topics for which random assignment may not continued on page 2

In this issue:

This 1½ day conference is anchored by the theme of “Transformation through

Improvement Science Summit


Research” and includes presentations from international leaders from the field. Day 1 of the conference is centered on foundations and theoretical frameworks for conducting improvement research. Laura Damschroder will kick off Day 1 of this year’s Summit with an overview of frameworks and a consolidated theory for improvement research. Dr. John Ovretveit, ISRN Steering Council member, will discuss the challenges, solutions, and provide practical guidance for evaluating complex improvement studies. The day continues with an impressive lineup of other science leaders including Enola Proctor, PhD, Dissemination and Implementation expert from Washington University in St. Louis, along with Linda Flynn, from the College of Nursing at the Colorado Anschutz Medical Campus representing excellence in nurse led improvement projects. During the opening day’s afternoon session, Lisa Simpson, CEO and President of AcademyHealth, will present on intersecting improvement science and health services research. Improvement science requires methodologies that go beyond the traditional randomized control trial. Alexander Young, MD from UCLA Dept of Psychiatry and Los Angeles VA, will conclude the podium presentations for the day. By discussing alternatives to continued on page 2

Improving Team Communication


Turnkey Improvements


Expert Perspective: Alternatives to RCTs 1

Academic-Practice Partnerships


Systems Learning


Member Spotlight: Linda Searle Leach

Research Collaborative Opportunities


The “Choosing Wisely” Initiative



Exper t Perspective

National Leaders Converge at the ISRN Summit

continued from page 1

continued from page 1

be practical or ethical, or for which RCTs will not assure unbiased, generalizable results.

RCTs that are both useful and successful in improvement research.

As a leading expert in the field, Alexander Young, MD, MSHS, from the UCLA Department of Psychiatry and Greater Los Angeles Veterans Healthcare Center, will speak on “Alternatives to RCTs” at the 2013 Improvement Science Summit. He will discuss alternative designs for evaluating interventions under routine, real-world conditions, and discusses key tradeoffs and features of alternative research approaches.

Again this year, the Summit Student Program will highlight the impact of student led projects in improvement research. Students will participate in roundtable discussions with Summit experts and will have a special section within the poster presentations. This roundtable discussion is open to undergraduate and graduate students to interact with experts in the field of improvement science. This is a great opportunity for students to meet colleagues, build collaborations, and learn from work that others are doing. The student roundtable with Summit experts will be held the afternoon of Day 1.

Chief Nursing Officer at the University of South Alabama Medical Center teamed with nursing faculty at the USA School of Nursing to implement this study at their hospital. Lisa will provide practitioner’s insight in the values of academic-practice partnership. To complement the discussion, Wilson Pace, MD from the University of Colorado, Denver and an ISRN Steering Council member, will provide the academician’s perspective on the value of this partnership. These two speakers will present on the importance of this partnership in improving care and the mutual benefits that arise from working in an academic-practice partnership. Continuing on the theme of interprofessional collaboration, Alex Ommaya, of the Association of American Medical Colleges, will present on interprofessional initiatives on delivery systems science within a complex adaptive system.

Hospital-based research spans from policy to organizational research, and potentially includes hundreds of variables. The uniqueness of improvement research within the ISRN is that is allows for multiple methodologies to be used. “Improvement research can study interventions designed to help clinicians or organizations improve the care they provide or can study policy changes designed to improve care,” says Dr. Young. He adds, “It is critical that we understand the effect of these interventions; however, RCTs may not be able to produce this information. Alternative designs are available, and may be preferable.”

Day 2 of this year’s Summit focuses on collaboration. Each year, the Summit introduces something new to excite attendees and beckon collaboration. In 2011, it was the poster program. In 2012, it was the student program. In 2013, the ISRN introduces the creation of special interest groups. Two special interest groups will be launched: One on improvement research within the pediatric settings and a second on doctoral education for improvement science. Both of these special interest groups are open to all attendees who are interested in participating; each will be a launching point for future collaboration in the creation of research questions, white papers, research projects, and the like. Contact the ISRN to suggest topics for agenda items for these special interest groups.

“It is critical that we understand the effects of [improvement] interventions, however, RCTs may not be able to produce this informationt ”

Dr. Joseph Schmelz, Assistant Vice President of Research Operations at the University of Texas Health Science Center San Antonio will begin Day 2 with a presentation on the regulatory guidelines of institutional oversight of improvement science as either research or quality improvement and answer the question: There is no other conference like this one! The 2013 Improvement Science Summit – Do quality improvement initiatives require “Transformation through Research” provides IRB approval? an excellent opportunity to enhance one’s Academic-practice partnerships are a staple capacity to conduct rigorous improvement within the ISRN network studies. None is studies. For an overview with detailed more obvious than the partnership between descriptions of each session and to register, local universities and their practice affiliates. In visit our website at and the recently completed ISRN Landmark study, download the program brochure. STAR-2 (PIs: Stevens and Ferrer), Lisa Mestas,

Attend Dr. Young’s presentation on “Alternatives to RCTs in Improvement Science” at the 2013 Improvement Science Summit. For details and registration information, visit www.


The 2013 Summit will conclude with concurrent sessions to create research collaboratives for network studies in improvement science. The ISRN will introduce three different studies that are open to multiple sites across the nation to join in collaboration. These concurrent sessions will explore the topic background and research plans for the projects. Participants can take information back to their respective organizations to gain buy-in for participation in these multi-site research projects. The ISRN collaboratives will be formed around an expansion of the STAR-2 study on operational failures and frontline engagement (PI: Stevens and Ferrer), the Impact of Cognitive Load, Interruptions and Distractions on Medication Administration Errors (PI: Thomas and Donohue-Porter) and Team Performance on Clinical Outcomes (PI: Stevens).

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ISRN Member Spotlight: Linda Searle Leach Takes on TWO Network Studies Dr. Linda Searle Leach is an assistant professor at UCLA School of Nursing. Her work in health services research is based on organizational behavior, quality management, and systems science in acute care hospitals. As principal investigator for Huntington Memorial Hospital for two of the ISRN network studies; Small Troubles Adaptive Responses (STAR-2) and Cognitive Load and Performance Failures in Medication Administration, Dr. Leach shares her unique perspective in the advantages of using the ISRN with respect to network studies. “The network studies developed and coordinated by ISRN involve multiple sites and help facilitate L i n d a S e a r l e L e a c h , P h D, RN, NEA- a larger and rigorous investigation of care BC, CNL A ss i s ta n t P r o f e ss o r , UCLA processes that affects patient outcomes. Rather than numerous sites working to design studies S c h o o l o f N u r s i n g , UCLA H e a lt h that address patient safety and systems issues, S y s t e m P at i e n t S a f e t y I n s t i t u t e the ISRN engages in that work and saves each “The ISRN provides resources to hospital the time it takes to develop a study.” coordinate data collection among She emphasizes how “The ISRN provides the sites, helps centralize the data resources to coordinate data collection among for analysis, and extends each the sites, helps centralize the data for analysis, individual site’s contribution and extends each individual site’s contribution to the project by maximizing to the project by maximizing coordination.”


Describing her experience in the ISRN network studies she notes, “My experience in participating in both STAR-2 and the Med Errors study has been very meaningful. I have been able to establish a core team of nurse clinicians and co-investigators who are growing in their knowledge and exposure to improvement science research and who are enthusiastic and eager to learn.” In establishing an academic partnership with the ISRN she states, “The ISRN has extended my efforts to establish relationships and partner with clinicians to investigate safety and clinical processes that affect patient outcomes. Partnerships such as these advance a clinician’s engagement in research and the development of evidence-based solutions.” Dr. Leach describes the benefits of being an ISRN member as “Being a part of a network of individuals who are interested in improvement science and are potential partners for multi-site investigations. Another benefit is learning from the activities of other members who are involved in ISRN studies, access to resources such as an e-library, webinars (on topics such as team science), and the Improvement Science Summit to interact in-person with other researchers and experts in health services and improvement science.”

Improving Team Communication with TeamSTEPPS®

Contributed by Mike Mulcahey, MA, AT/ATC, NREMT, Xavier University Sports Medicine

The TeamSTEPPS® Master Training Workshop provided an invaluable opportunity for me to break down my own unique silo and engage so many other healthcare professionals. Throughout the entire process our collective group was put into an environment to learn and collaborate with each other as we learned not only the key structure pieces of TeamSTEPPS® but also how to develop the concepts within our own respective systems (eg. hospitals, universities, etc).

Mike attended the November 2012 TeamSTEPPS® Master Training Workshop that was hosted by the Academic Center for Evidence-Based Practice at the University of Texas Health Science Center San Antonio.

As the training unfolded and we were able to identify where we were potentially stronger and where some growth opportunities existed, we shared professional and personal experiences. This not only allowed us to correlate the material to real life application, it provided meaningful substance.

Note: Health professionals from across the nation are taking part in TeamSTEPPS® Master Training workshops offered by the Academic Center for Evidence-Based Practice in San Antonio, TX. These are offered as part of an array of activities to build ISRN capacity to implement and study impact of improvement strategies such as TeamSTEPPS®. The next Master Training Workshop will be held in San Antonio, TX November 6-8, 2013.

The staff was very effective in orchestrating great team dynamics and also provided our group of seven with time to plan how we would implement the newfound way of thinking at our university. As a result, we were able to discuss our challenges and opportunities with the group and gain their insight. I would highly recommend this training for any and all healthcare practitioners as well as health service administrators.

Spring 2013 •

If you are interested in TeamSTEPPS® Master Training, sign up for the November 6-8, 2013 waitlist. Those on the waitlist will be the first to be notified when registration opens.

To learn about TeamSTEPPS® Fundamentals, you are encouraged to attend the TeamSTEPPS® Fundamentals Workshop scheduled on July 10, 2013 as part of the week long Summer Institutes on Quality Improvement. More information can be found visiting the conference website at


New and Noteworthy New Video: Accelerating Evidence to Outcomes The need to disseminate and implement ‘what works’ in healthcare is at an all-time high. Yet, there exists a gap in capacity and infrastructure at many hospitals and primary care clinics to seek out best practices through literature and implement them successfully within their normal care processes. A rate limiting step in implementing healthcare improvement strategies is the speed with which research discoveries are implemented into practice. In this video blog, ISRN Director Dr. Kathleen Stevens, EdD, MS, RN, ANEF, FAAN discusses two resources in place to speed research discoveries into practice and improve patient outcomes. Click here to watch the video.

Not a Member Yet? Join Us Today! Learn more about the benefits of membership and Join Us today. To recieve the newsletter in your inbox, subscribe to the ISRN mailing list by sending an email with “subscribe” in the body of the message.

ISRN Guide for Building Research Collaboratives Team Science is growing because of the need to address complex issues related to quality of healthcare delivery. The topics presented in this guide are intended to serve as a resource for conducting quality improvement research as a transdisciplinary scientific team. Click here for more. 4

Frontline Innovations: An Academic-Practice Partnership

Contributed by Lisa Mestas, RN, BAS, MSN, CNOR University of South Alabama Medical Center, Mobile, AL

Innovative, relevant academic-practice partnerships are essential in preparing nurses to function effectively in the current healthcare environment. Nursing education has evolved from teaching hands-on skills toward theoretical frameworks and evidence-based practice. Students are now taught to formulate research questions, perform literature searches, and incorporate best practices into the care they deliver. Interdisciplinary collaboration and team science must be an integral part of practice in order to achieve best patient outcomes. Nurses in practice are expected to simultaneously coordinate care for multiple patients while complying with increasing State and Federal regulations regarding safety, privacy, and electronic documentation. Without academic-practice collaboration, nurses are not equipped for best practice. Collaborative academic-practice relationships narrow the gap between what is studied and what is actualized into practice. Such relationships can also assist healthcare organizations to solve problems within their organizations. The University of South Alabama Medical Center (USAMC) and the University of South Alabama College of Nursing (USACON), through an ongoing collaboration, partnered in 2011 to participate in the ISRN Network study, “STAR-2: Frontline Nurse

Engagement in Quality Improvement”. Much was learned about operational glitches which interfere with nurse patient engagement. As data were collected, trends were observed and frontline staff realized they had accepted those glitches as “normal noise.” Dialogue began regarding the possibilities of removing these barriers through a continued academic-practice partnership. The “Frontline Innovations Research Team” was formed, which included faculty from the CON, the CNO, and medical-surgical nurses who had participated in the STAR-2 study. The goal was to incorporate research practices toward elimination of barriers to nurse-patient engagement. Almost 2 years later, many accomplishments have been achieved. Bedside care has been improved and streamlined. Staff nurses identified problems, designed data collection tools, collected and presented data (to nurses and other disciplines to engage support for change), and presented at research symposiums. Improved patient outcomes, financial benefits, and increased time at the bedside have been realized. Staff nurses have incorporated the valued skills of academia into their practice, while the faculty has gained insight into the complexities of practice from the perspective of the frontline staff.

Research Collaborative Opportunities for ISRN Members ISRN members will be called to action at this year’s Improvement Science Summit. A concurrent session on Wednesday July 10 will provide an opportunity for ISRN members to engage in three Network Studies. Summit attendees will receive an overview of each of these studies and learn how to engage as a research partner. The ISRN’s Research Collaboratives are scientific teams formed around a Network Study and involve several key individuals, including the Network Principal Investigator (PI), a Site Investigator, a Site Coordinator, and the ISRN Coordinating Center. The Network study Principal Investigator is the researcher who oversees the development, implementation and completion of a Network Study across multiple sites and is responsible for the overall conduct of the study. The Site Investigator is responsible for all aspects of planning and conducting the study at the study site. A Site Coordinator assists the Site Investigator with study implementation including such things as data

collection and entry. Finally, the ISRN Coordinating Center team provides all the support to help ensure that the study runs smoothly. The ISRN solicits applications to partner in research collaboratives through various communication channels including email announcements, updates on the ISRN website, and presentations at the Improvement Science Summit. A simple application process matches sites to each particular study based on eligibility criteria, staff support, and research infrastructure. Sites will be matched and selected to partner on a study based on their application. At this year’s Summit, the ISRN Coordinating Center will provide an overview of the application process and tips on how to submit a successful application. The ISRN looks forward to seeing you in July and to the opportunity to partner with strong leaders on high priority topics in improvement science.

Spring 2013 •

Turnkey Improvements at the 2013 Summer Institutes One of the many highlights of the 2013 Summer Institutes on Quality Improvement is the panel presentation “Improving Our Work IS Our Work: Three Turn Key Improvements from RWJF Interdisciplinary Nursing Quality Research Initiative (INQRI)”, scheduled for Thursday, July 11. The Interprofessional Nursing Quality Research Initiative (INQRI) program was created by Robert Wood Johnson Foundation (RWJF) in 2005 to fund research projects that addressed the link between nursing care quality and patient outcomes. Between 2005 and 2010, the program funded 40 projects led by interdisciplinary research teams. INQRI’s focus on supporting interdisciplinary research reflects its belief in the value of collaboration across professions and disciplines. The panelists will discuss three INQRI projects and their impact on the field of quality improvement. The panel presenters include Mark Pauly, PhD (INQRI Co-PI), Jill Marsteller, PhD, MPP, Cynthia Corbett, PhD, MSN, and Barbara Resnick, PhD, RN, CRNP, FAAN, FAANP. Dr. Mark Pauly, Professor of Health Care Management at University of Pennsylvania, is Co-Director of the INQRI program. Dr. Jill Marsteller is Associate Professor of Health Policy and Management at the Bloomberg School of Public Health at Johns Hopkins University. Her INQRI research study was a randomized controlled trial of a nurse-led evidence-based intervention to reduce centralline associated blood stream infections in the ICU. Dr. Cynthia Corbett is Professor and Interim Associate Dean for Research at Washington State University’s College of Nursing. Dr. Corbett co-led a study that investigated how home care nurses can resolve medication discrepancies in patients who are transitioning from the hospital to home. Dr. Barbara Resnick, Professor at University of Maryland’s School of Nursing, co-led a research team that tested an intervention called Function Focused Care – Assisted Living, which aims to improve physical functioning, strength and psychosocial outcomes in assisted living residents. Learn more about these successful nursing led quality improvement projects at the Summer Institutes on Quality Improvement. Each of these INQRI projects aligns with the research priorities of the Improvement Science Research Network. INQRI leadership continues to assist its grantees in promoting and disseminating the results of their research. Similarly, the ISRN offers guidance and expertise to its members participating in network study collaboratives. ISRN members who are interested in joining one of these collaboratives are encouraged to attend this year’s Improvement Science Summit on Tuesday, July 9. Linda Flynn, PhD, RN, FAAN, University of Colorado Anschutz Medical Campus, will present on “Forming Research Collaboratives for Network Studies: Structure and Process.”

National Trends for Studying “Systems Learning” ISRN members represent a diverse group of academic and clinical partners who share an interest in studying healthcare improvement. Through the ISRN research infrastructure, members can partner on a scientific team and collaborate on Network Studies that address high priority topics in improvement science. This trend for interprofessional, transdisciplinary collaboration is gaining national momentum, which is evident through recent initiatives and evolving fields of science. In 2012, the Association of American Medical Colleges (AAMC) established the Research on Care Community (ROCC). This collaborative effort aims to bring together researchers and clinicians to improve healthcare quality and patient safety. ROCC members focus on issues such as health systems and research integration, alignment of research and quality improvement, and institutional commitment to clinical effectiveness and implementation research scholarship. Like the ISRN, ROCC recognizes the need to move towards “learning health systems” and underscores the challenges of conducting rigorous improvement and implementation research. The interwoven processes of healthcare require an understanding of work culture and environment in order for effective systems learning to occur. This is at the core of many new fields of science including Health Delivery Science (HDS). HDS emphasizes both context and setting as important variables contributing to systems learning. Dr. Alexander Ommaya will present this July at the Improvement Science Summit on HDS and the ROCC initiative. ISRN members will have a chance to see how their engagement aligns with national trends and learn about the importance of studying systems learning through rigorous methodology.

Spring 2013 •



k at h l e e n r . s t e v e n s , r n , edd , m s n , a n e f , fa a n , i s r n d i r e c to r

Come Together The long and very busy 4 years many of us have spent in the R&D and testing phases of our unique research network are proving ‘worth it.’ The national Network Studies have tested the mettle of the ISRN infrastructure and it stood the test. We have been successful in conducting rigorous national, multisite studies in this nascent scientific field…together. This is the success that comes from the effort of many. As examples, I am humbled by the testimonies of Lisa Mestas and Linda Searle Leach to the benefits and value of the Improvement Science Research Network. Their reflections, included in this issue, redouble my commitment to see that the ISRN continues to grow a viable portfolio of impactful research projects that contribute to what we know about improving care. Because of the nature of improvement science, we must study strategies across settings, with great rigor, and focused on stakeholder priorities. Collectively, we, the ISRN members, the Steering Council, and coordinating center team have gained the respect and attention of many entities across the nation and across the globe…they are seeking us out as an epicenter for this work. We are indeed coming together to continued on page 6



FROM THE DIRECTOR continued from page 5

advance improvement science. In July 2013, we will again come together at the 2013 Improvement Science Summit…and we do so for a number of important reasons. Consider these: • Expand your repertoire of research methods to study quality improvement. • Position your work to win grants in the new field of implementation and improvement research. • Be a part of the nation’s only interprofessional research network to discover what works in improving care. • Share your stories across the nation with those other brave souls who venture into the discovery of strategies that produce the changes we need to see in healthcare. • Join a research collaborative to conduct definitive national studies on frontline engagement in quality improvement, team performance, and cognitive load in medication administration. This 4th Summit promises to exponentially advance the field. Be there. Be part of the action. Come Together!

Improvement Science Summit A Research Methods Conference July 9-10, 2013. Join us for this innovative 1½ day conference focused on advancing healthcare improvement. Click here for more information. 6

Less is More – The “Choosing Wisely” Initiative

Contributed by John Øvretveit, Karolinska Institutet, Stockholm Sweden and ISRN Steering Council Member

“We are only beginning to discover which strategies are effective for enabling more appropriate use.” Improvement and implementation is not always about adding extra. De-implementation is a term sometimes used to describe reducing the use of certain interventions which are not effective. It is not a good word to use in front of clinicians who regard their first accountability as being to their patients. It implies prohibiting interventions for all patients. A more acceptable approach is to enable physicians and clinicians to more selectively use interventions with greater knowledge as for whom and when the intervention is most appropriate (Øvrevteit 2009, 2011, 2012). Enabling more appropriate care can improve patient outcomes and lower costs by reducing interventions for patients where there is no benefit. Some may already be familiar with the “Choosing Wisely” initiative, which is a collaboration with different U.S. medical specialist associations, to draw providers’ attention to some interventions which could, with benefit, be used more selectively. For examples of the initiative visit the ISRN Blog and ISRN members know that implementation or rather enabling uptake is the key issue here, and that implementation research has found which strategies are effective for implementation. We are only beginning to

discover which strategies are effective for deimplementation or enabling more appropriate use, and this must be a subject for future research projects and research grant funding. We also need to encourage similar “choosing wisely” lists for nurses and other practitioners. As for managers regarding “choosing wisely” for which service delivery models are best suited for patient groups: more appropriate use of team based models and of transitions in care models would be considerable valuable improvements in healthcare. One model does not suit all patients and all services, as we have found with rapid response teams. We have some evidence about which models are most suited to groups and circumstances. I would not want to forget “choosing wisely” in our improvement and research projects. We can use readiness for change assessments and other methods before jumping in to find out what the prospects for success are. It helps us think through if our valuable time and money is best spent on some projects or studies rather than others, where impact is more likely to be greater. We “rent” a short time on this earth, and we are given this time to benefit others – are we “choosing wisely” where our skills and experience lead us to contribute? Finally, on the subject of selecting proven interventions for safety, see the new AHRQ study just out by Shekelle et al 2013, see summary of “The Top Patient Safety Strategies That Can Be Encouraged for Adoption Now” Ann Intern Med. 2013;158:365-368.

ISRN Steering Council Kathleen R. Stevens, RN, EdD, MSN, ANEF, FAAN, ISRN Director Sarah Humme, DNP, RN, NEA-BC CNO/COO, Southwest General Hospital Rosemary Kennedy, RN, MBA, FAAN Thomas Jefferson University School of Nursing Heidi King, MS, FACHE, BCC, CMC, CPPS TRICARE Management Activity Vivian Low, MPH, RN-BC, FPCNA El Camino Hospital Gail Mallory, PhD, RN, NEA-BC Oncology Nursing Society Jack Needleman, PhD, FAAN UCLA School of Public Health

John Øvretveit, BSC (HONS), MPHIL, PhD, CPSYCHOL, CSCI, MIHM The Karolinska Institutet, Stockholm Wilson Pace, MD, FAAFP University of Colorado, Denver Cathy Rick, RN, PhD, NEA-BC, FACHE, FAAN, VA Headquarters Mary Salisbury, MSN, RN The Cedar Institute, Inc. Lily Thomas, PhD, RN North Shore-Long Island Jewish Health System Sallie J. Weaver, PhD The Johns Hopkins University School of Medicine

Spring 2013 •

Program & Schedule | Hotel Accommodations | Registration

Summer Institutes on Quality Improvement July 9 – 13, 2013 | Specialty Workshops July 10 Grand Hyatt Riverwalk, San Antonio, TX

At the 2013 Institutes: ◆◆ Apply evidence-based practice to improve care, safety, and patient outcomes. ◆◆ Build capacity to conduct research on improvement and implementation strategies. ◆◆ Drill down with Specialty Workshops on EBP education, TeamSTEPPS® Fundamentals, basics of EBP. Take advantage of these back-to-back conferences and be part of the force that transforms care by moving research From Knowing to Doing. Come and make a difference. Enjoy top-notch professional development in one of America’s top five “city getaways,” San Antonio, Texas! 13


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July 9 San Anton 13, 2013 io, Texas

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View Online Brochure t

ISRN Mission

Offered by: Academic Center for Evidence-Based Practice (ACE) Improvement Science Research Network (ISRN) School of Nursing University of Texas Health Science Center San Antonio

Network News

To advance the scientific foundation for quality improvement, safety, and efficiency through transdisciplinary research addressing healthcare systems, patient-centeredness, and integration of evidence into practice.

Executive Editor Kathleen R. Stevens, RN, EdD, MSN, ANEF, FAAN, ISRN Director

How to get Involved

Contributing Authors Braulio Amezaga, BA Tiffany Luna, BA Darpan Patel, PhD Frank Puga, PhD

Become a member of the ISRN, the first national collaboration of clinical and academic leaders devoted to accelerating improvement science in a systems context across multiple hospital sites. Benefits include the following: • • • • • • • • •

Opportunities to participate in multi-site collaborations on patient safety and quality improvement research initiatives; Access to members-only ISRN online resources; Leverage of a national test bed for evaluating improvement strategies; Training resources such as IRB training; Expert guidance in conducting research; Technology infrastructure for participating in multi-site studies; Access to the ISRN web portal, which provides secure communication, storage, and sharing of documents and data; A technical support system that provides access to expert guidance in conducting research and using statistics; and Recognition as an ISRN member and use of the ISRN logo on presentations and publications.


To become a member of the ISRN visit:

Guest Contributers Lisa Mestas, Univ. of South Alabama Mike Mulcahey, Xavier University John Ovretveit, Karolinska Institutet

Contact Us 210.567.1480 M–F 8 am–5 pm CT

Follow us on Twitter @theISRN Volume 3 • No. 2 • Spring 2013

The project described was supported by Award Number 3RC2NR011946 from the National Institute of Nursing Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health.


Spring 2013 •

ISRN Network News June 2013  

Network News is a quarterly newsletter designed to connect you to the emerging Improvement Science Research Network (ISRN)—the first nationw...