AHRQ EPC Series on Improving Translation of Evidence: Use of a Clinical Pathway for C. Difficile Treatment to Facilitate the Translation of Research Findings into Practice
| Autor: | Gina Giradi, Craig A Umscheid, J. Jane Jue, Karen M Schoelles, Nikhil K. Mull, Emilia J Flores |
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| Rok vydání: | 2019 |
| Předmět: |
Process management
Evidence-based practice Leadership and Management MEDLINE Pilot Projects Clinical decision support system 03 medical and health sciences 0302 clinical medicine Clinical pathway United States Agency for Healthcare Research and Quality Health care Medicine Electronic Health Records 030212 general & internal medicine health care economics and organizations Cross Infection business.industry Clostridioides difficile 030503 health policy & services Guideline Hyperlink Cloud Computing Quality Improvement United States Systematic review Evidence-Based Practice Clostridium Infections Critical Pathways 0305 other medical science business |
| Zdroj: | Joint Commission journal on quality and patient safety. 45(12) |
| ISSN: | 1938-131X |
| Popis: | Background In 2018 the Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program issued a call for strategies to disseminate AHRQ EPC systematic reviews. In this pilot, findings from the 2016 AHRQ EPC report on Clostridioides difficile infection were translated into a treatment pathway and disseminated via a cloud-based platform and electronic health record (EHR). Methods An existing 10-step framework was used for developing and disseminating evidence-based clinical pathways. The development of the EHR intervention was informed by the Five Rights model for clinical decision support and human-computer interaction design heuristics. The researchers used observations and time measurements to describe the impact of the EPC report on pathway development and examined provider adoption using counts of pathway views. Results Two main themes emerged: (1) discrepancies between the EPC report and existing guidelines prompted critical discussions about available treatments, and (2) lack of guideline and pathway syntheses in the EPC report necessitated a rapid literature review. Pathway development required 340 hours: 205 for the rapid literature review, 63 for pathway development and EHR intervention design, and 5 for technical implementation of the intervention. Pathways were viewed 1,069 times through the cloud-based platform and 47 times through a hyperlink embedded in key EHR ordering screens. Conclusion Pathways can be an approach for disseminating AHRQ EPC report findings within health care systems; however, reports should include guideline and pathway syntheses to meet their full potential. Embedding hyperlinks to pathway content within the EHR may be a viable and low-effort solution for promoting awareness of evidence-based resources. |
| Databáze: | OpenAIRE |
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