Dissemination and Implementation Science in Cardiothoracic Surgery: A Review and Case Study

Brendan T. Heiden, Emmanuel Tetteh, Keenan J. Robbins, Rachel G. Tabak, Ruben G. Nava, Gary F. Marklin, Daniel Kreisel, Bryan Meyers, Benjamin D. Kozower, Virginia R. McKay, Varun Puri

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


Dissemination and implementation (D&I) science is the practice of taking evidence-based interventions and sustainably incorporating them into routine clinical practice. As a relatively young field, D&I techniques are underutilized in cardiothoracic surgery. This review offers an overview of D&I science from the context of the cardiothoracic surgeon. First, we provide a general introduction to D&I science and basic terminology that is used in the field. Second, to illustrate D&I techniques in a real-world example, we discuss a case study for implementing lung protective management strategies for lung donor optimization nationally. Finally, we discuss challenges to successful implementation that are unique to cardiothoracic surgery and give several examples of evidence-based interventions that have been poorly implemented into surgical practice. We also provide examples of successful D&I interventions—including deimplementation strategies—from other surgical subspecialties. We hope that this review offers additional tools for cardiothoracic surgeons to explore when introducing evidence-based interventions into routine practice.

Original languageEnglish
Pages (from-to)373-382
Number of pages10
JournalAnnals of Thoracic Surgery
Issue number2
StatePublished - Aug 2022


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