Review article: A primer for clinical researchers in the emergency department: Part XII. Sustainability of improvements in care: An introduction

Victoria Ramsden; Sandy Middleton; Elizabeth McInnes; Franz E Babl; Emma Tavender

doi:10.1111/1742-6723.14052

Review article: A primer for clinical researchers in the emergency department: Part XII. Sustainability of improvements in care: An introduction

Emerg Med Australas. 2022 Oct;34(5):670-674. doi: 10.1111/1742-6723.14052. Epub 2022 Aug 2.

Authors

Victoria Ramsden^{1

2

3}, Sandy Middleton^{1

4}, Elizabeth McInnes^{1

4}, Franz E Babl^{2

5

6}, Emma Tavender^{2

5

6}

Affiliations

¹ School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Sydney, New South Wales, Australia.
² Emergency Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
³ Faculty of Medicine, Nursing and Midwifery and Health Sciences, The University of Notre Dame Australia, Sydney, New South Wales, Australia.
⁴ Nursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne and Australian Catholic University, Sydney, New South Wales, Australia.
⁵ Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
⁶ Department of Critical Care, The University of Melbourne, Melbourne, Victoria, Australia.

Abstract

Despite an increased focus on ways to improve implementation of evidence and de-implementation of practices with no known benefit, there is limited guidance on how to sustain these improvements. This review provides an introduction to sustainability of improvements in care and sustainability research, discussing how to support sustainability in practice and detailing a sustainability research agenda for the emergency medicine setting.

Keywords: emergency medicine; evidence-based practice; implementation science; sustainability; sustainment.

Publication types

Review

MeSH terms

Emergency Service, Hospital*
Humans