Implementation Toolkit

There are 5 Steps for implementing patient decision support in clinical practice. The following highlights the 5 steps and identifies resources that have been used to accomplish each step.

Step 1: Assessment
Assess patients’ and practitioners’ information and decision making needs.

Step 2: Decision Support Tools
Review patient decision support tools to find those relevant to the identified needs.

Step 3: Education and Training
Provide opportunities for practitioners to enhance their decision support skills.

Step 4: Implementation
Implement patient decision support using strategies tailored to the practice setting

Step 5: Quality Monitoring Tools
Monitor the quality of decision support provided

Resources

Stacey D, Pomey MP, O'Connor AM, Graham ID. Adoption and sustainability of decision support for patients facing health decisions: an implementation case study in nursing. Implement Sci. 2006 Aug 24;1:17.

Stacey D, Graham ID, O'Connor AM, Pomey MP. Barriers and facilitators influencing call center nurses' decision support for callers facing values-sensitive decisions: a mixed methods study. Worldviews Evid Based Nurs. 2005;2(4):184-95.

Legare F, O'Connor AM, Graham ID, Saucier D, Cote L, Blais J, Cauchon M, Pare L. Primary health care professionals' views on barriers and facilitators to the implementation of the Ottawa Decision Support Framework in practice. Patient Educ Couns. 2006 Nov;63(3):380-90.

O'Connor AM, Llewellyn-Thomas HA, Flood AB. Modifying unwarranted variations in health care: shared decision making using patient decision aids. Health Aff (Millwood). 2004;Suppl Web Exclusive:VAR63-72.

Gravel K, Légaré F, Graham I. Barriers and facilitators to implementing shared decision-making in clinical practice: a systematic review of health professionals' perceptions. Implementation Science 2006, 1:16.