Featured Research

from universities, journals, and other organizations

'Knowledge translation' keeps treatment current

Date:
June 8, 2010
Source:
University of Cincinnati Academic Health Center
Summary:
Though guidelines for best treatment practices are common, they are only partially effective without standardized, routine exposure to them in clinical practice, according to a new study.

Though 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.

Related Articles


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 patient -- but 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."


Story Source:

The above story is based on materials provided by University of Cincinnati Academic Health Center. Note: Materials may be edited for content and length.


Cite This Page:

University of Cincinnati Academic Health Center. "'Knowledge translation' keeps treatment current." ScienceDaily. ScienceDaily, 8 June 2010. <www.sciencedaily.com/releases/2010/06/100608135112.htm>.
University of Cincinnati Academic Health Center. (2010, June 8). 'Knowledge translation' keeps treatment current. ScienceDaily. Retrieved March 26, 2015 from www.sciencedaily.com/releases/2010/06/100608135112.htm
University of Cincinnati Academic Health Center. "'Knowledge translation' keeps treatment current." ScienceDaily. www.sciencedaily.com/releases/2010/06/100608135112.htm (accessed March 26, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Thursday, March 26, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

House Ready to Pass Medicare Doc Bill

House Ready to Pass Medicare Doc Bill

AP (Mar. 26, 2015) In rare bipartisan harmony, congressional leaders pushed a $214 billion bill permanently blocking physician Medicare cuts toward House passage Thursday, moving lawmakers closer to resolving a problem that has plagued them for years. (March 26) Video provided by AP
Powered by NewsLook.com
HIV Outbreak Prompts Public Health Emergency In Indiana

HIV Outbreak Prompts Public Health Emergency In Indiana

Newsy (Mar. 26, 2015) Indiana Gov. Mike Pence says he will bring additional state resources to help stop the epidemic. Video provided by Newsy
Powered by NewsLook.com
Indiana Permits Needle Exchange as HIV Cases Skyrocket

Indiana Permits Needle Exchange as HIV Cases Skyrocket

Reuters - US Online Video (Mar. 26, 2015) Governor Mike Pence declares the recent HIV outbreak in rural Indiana a "public health emergency" and authorizes a short-term needle-exchange program. Rough Cut (no reporter narration) Video provided by Reuters
Powered by NewsLook.com
AAA: Distracted Driving a Serious Teen Problem

AAA: Distracted Driving a Serious Teen Problem

AP (Mar. 25, 2015) While distracted driving is not a new problem for teens, new research from the AAA Foundation for Traffic Safety says it&apos;s much more serious than previously thought. (March 25) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins