Navigation Links
'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 transmitting those guidelines to patient treatment requires a significant investment from physicians and educators. It's a continuous effort to try and push people toward the goal and keep moving them. It requires years and years worth of effort."

Wright also presented a workshop in knowledge translation with researchers from Columbia University, the Mayo Clinic and the University of Calgary June 4, giving participants an overview of the field and tools on implementing similar guidelines in emergency care. The session was a shortened version of a three-day course Wright and his colleagues conduct each year, sponsored by a $300,000 grant from the Agency for Healthcare Research and Quality (AHRQ).

But Wright says it's important to continually monitor changes made to clinical practice. In an abstract presented by UC emergency medicine resident Michael Ward, MD, researchers designed an intervention to place an antibiotic needed for treatment of sepsis in the emergency room, instead of routing it through the hospital pharmacy. The hypothesis was that the move would speed up drug delivery to the patientbut results proved it took longer in the new system.

"It was a very unexpected outcome," says Wright. "There's lot of information out there now about quality improvement initiatives and how to get the best care to patients, but if you don't track the results of whatever initiative you do, you can get these unintended negative consequences."


'/>"/>

Contact: Katy Cosse
kathryn.cosse@uc.edu
513-558-0207
University of Cincinnati Academic Health Center
Source:Eurekalert

Related medicine news :

1. Renowned Duke researcher wins Frontiers of Knowledge Award
2. Lefkowitz, BBVA Foundation Frontiers of Knowledge Award in Biomedicine
3. Study highlights lack of patient knowledge regarding hospital medications
4. Physicians knowledge of childhood food allergies needs room for improvement
5. Knowledge Networks Expands in Pharma Research With Acquisition of CMR
6. Projects In Knowledge(R) Is Brightening the Holidays for Many in Need
7. Firsthand Knowledge of E85 Earns Waconia Man a Free Trip to Soldier Field to See Monday Night Vikings-Bears Game
8. American Heart Association Rapid Access Journal Report: Study Finds Racial Gaps Continue in Heart Disease Awareness, Low Knowledge of Heart Attack Warning Signs Among Women
9. Beware the Gentle Man With Unique Knowledge: The Passion and Skill of a Rising Star
10. Adritech Software Releases Website Realizer, a Website Builder to Create Websites without Any Programming Knowledge
11. New global health initiative will help bridge gap between knowledge, action
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... ... 08, 2016 , ... Eating disorders and post-traumatic stress disorder ... and men with eating disorders report a history of trauma, research suggests that ... an eating disorder. , At the 2016 iaedp Symposium, the workshop, “What ...
(Date:2/8/2016)... ... 08, 2016 , ... The Association of Home Care Coding ... Home Health and Hospice ICD-10 Transition Workgroup are working closely with the American ... clarifications, to address concerns over the use of 'A' as the seventh character ...
(Date:2/8/2016)... ... February 08, 2016 , ... The schedule is now online ... AutismOne 2016 Conference, which is being held May 25-29 at the Loews Chicago O’Hare ... helpful interventions and causes of chronic illness in children. , Very recent articles have ...
(Date:2/7/2016)... ... February 07, 2016 , ... HealthSmart ... employers and organizations with the tools and information to lower the costs, and ... cut the cost of providing employee healthcare benefits by as much as 22%:, ...
(Date:2/6/2016)... Viejo, CA (PRWEB) , ... February 06, 2016 , ... ... quickly and easily add warm color grades to their footage. A LUT is a ... every pixel's color to the corresponding color indicated by the table. By manipulating each ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... Feb. 8, 2016  A research team led by ... discovered details of how the abnormal breakage and rearrangement ... aggressive form of acute lymphoblastic leukemia (ALL). Such leukemias ... mutations trigger overproduction of immature cells, called lymphoblasts. ... of the malfunction underlying the type called "Ph-like ALL" ...
(Date:2/8/2016)... SAN DIEGO , Feb. 8, 2016 /PRNewswire/--  ... have announced that advanced tissue-engineering services are now ... using a groundbreaking new three-dimensional (3D) bioprinting approach ... Regenova® 3D Bio Printer , a state-of-the-art robotic ... Applications has created a powerful pay-for-service bio-printing model ...
(Date:2/8/2016)... 2016 http://www.researchandmarkets.com/research/bcrl3s/labelfree ... "Label-Free Detection Market by Technology, Products, ... report to their offering. --> ... the "Label-Free Detection Market by Technology, ... report to their offering. --> ...
Breaking Medicine Technology: