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'Knowledge translation' keeps treatment current
Date:6/8/2010

CINCINNATIThough guidelines for best treatment practices are common, they are only partially effective without standardized, routine exposure to them in clinical practice, according to a study conducted by University of Cincinnati (UC) emergency medicine researchers.

In the study, UC associate professor of emergency medicine Stewart Wright, MD, and his colleagues used national standards for treatment of pneumonia to create clinical guidelines for UC emergency medicine physicians, including an online flowchart and order set easily accessible from emergency room computers. Physicians also received monthly reminders of the treatment guidelines in departmental lectures and e-mails.

In an analysis of patients treated for pneumonia during two periods in 2006 and 2007, Wright found that compliance with the standard pneumonia treatment increased after the online flowchart was instituted. Specifically, the group of patients treated after the flowchart was created received more blood cultures, an increased use of recommended antibiotics cefepime and vancomycin and more frequently had their type of pneumonia documented.

Wright presented the work at the 2010 meeting of the Society for Academic Emergency Medicine, held June 3-6 in Phoenix. The research is part of his focus on the field of knowledge translation, a growing area of research aimed at finding ways to take the best evidence from current literature and implement it to everyday patient care.

Wright says the results show the promise of an intensive implementation strategy for knowledge translation. Since 2004, he has helped to create a center for knowledge translation in UC's emergency medicine department, including about 25 online treatment guidelines, order sets and flowcharts for treatment based on symptoms, diagnosis and guidelines on specific procedures.

"The best clinical guidelines are created from research evidence and patient experience," says Wright. "But transm
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Contact: Katy Cosse
kathryn.cosse@uc.edu
513-558-0207
University of Cincinnati Academic Health Center
Source:Eurekalert

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