Framework for Spread

D and/or I:
information tooltip image The focus on dissemination and/or implementation activities. D-only focuses on an active approach of spreading evidence-based interventions to target audience via determined channels using planned strategies. D=I, D>I, and I>D means there is some focus on both dissemination and implementation. I-only focuses on process of putting to use or integrating evidence-based interventions within a setting.


Socio-Ecological Levels:
information tooltip image The level of the framework at which the model operates. Individual includes personal characteristics; Organization includes hospitals, service organizations, and factories; Community includes local government and neighborhoods; System includes hospital systems and government; Policy includes changes in policy.


Number of Times Cited:
information tooltip image The # of times the original publication for the model was cited as indicated by Google Scholar since 2016.


Field of Origin:
information tooltip image The field of study in which the model originated.


information tooltip image These are ratings given by users of the site.

information tooltip image The original publication(s) of the model.

Langley GJ. The improvement guide: a practical approach to enhancing organizational performance. 2nd ed. San Francisco: Jossey-Bass, 2009. Nolan K, Schall MW, Erb F, Nolan T. Using a framework for spread: the case of patient access in the Veterans Health Administration. Jt Comm J Qual Patient Safety 2005;31(6):339–47.

information tooltip image Citations of studies that have used the model as an outline for their study.

Morgenthaler TI, Lovely JK, Cima RR, Berardinelli CF, Fedraw LA, Wallerich TJ, Hinrichs DJ, Varkey P. Using a framework for spread of best practices to implement successful venous thromboembolism prophylaxis throughout a large hospital system. Am J Med Qual. 2012 Jan-Feb;27(1):30-8. doi: 10.1177/1062860611411518

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