Thanks for that Dan.
I was thinking along the same lines after seeing Martin's post.
What I would gladly do is share the framework that we finally settled upon
in the project that you mentioned.
After much deliberation we defined 13 unique themes, relevant to
evidence-based change in emergency medicine (KT) and then got down to the
work of developing recommendations and a research agenda for moving forward
in each area. I've pasted all 13 below but am unsure whether this listserve
will support the table.
As was mentioned all 13 themes have now completed the work of publishing
their proceedings papers and you can access at least the work from the
Public health, pre-hospital and Health Policy group for the time being on
the AEM website as work in press and as free access publications at:
http://www.aemj.org/papbyrecent.shtml
Hope this helps and sorry not to be able to join you in Sicily,
Eddy
Theme
Global Question
Ia. Guideline implementation
and clinical pathways
How can emergency medicine optimize evidence implementation and uptake
through the use of clinical practice guideline (CPG) implementation
strategies and critical pathways?
Ib. Evidence syntheses and other
promising KT methods
What are the most effective pre-appraised and synthesized evidence
formats available in emergency medicine and what supplemental techniques
(e.g., academic detailing, audit and feedback, reminders) will enhance this
KT?
IIa. Continuing Medical
Education
and self improvement
What self improvement strategies and continuing professional
development initiatives are most conducive to the incorporation of
evidence-based interventions into the individual emergency physician's
practice?
IIb. Cognitive, Social and
Behavioral Perspectives
How can cognitive, social, and behavioral issues inform the study of KT
in emergency medicine?
IIIa. Graduate Medical
Education
How can medical education strategies both at the graduate level promote
evidence implementation in graduating and future emergency physicians?
IIIb. Informatics and KT
What are the characteristics of an ED-based informatics and decision
support system that can most effectively facilitate KT?
IVa. Health Policy and KT
What are the characteristics of health policy programs that promote the
incorporation of research evidence into the clinical practice of emegency
medicine and what recommendations will improve KT through health care
policy?
IVb. Medicolegal and Ethical
Considerations in KT
At the macro level, what are the contributions that Bioethics can make
toward closing the evidence to practice gap?
Va. International Emergency
Medicine
What are the most promising avenues to pursue in approximating the gap
between knowledge and practice in the delivery of emergency medical care
within the context of countries developing their emergency medical care
services capacity?
Vb. Emergency Medical
Services
What are the most promising avenues to pursue in approximating the gap
between knowledge and practice in the delivery of emergency medical care in
the pre-hospital setting?
Vc. Public Health
What are the unique contextual elements that need to be addressed in
order to bring proven preventative and other public health initiatives into
the ED setting?
VIa. Research principles and
Methodology of KT
Research
What research directions and methodologies should be employed to
identify the most effective strategies for approximating the research to
practice gap in emergency medicine?
VIb. Capacity development and
Research Networks
What approaches should be emphasized in order to develop capacity and
multi-center consortiums that will promote KT research in emergency
medicine?
----- Original Message -----
From: "Dan Mayer" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, September 21, 2007 12:51 PM
Subject: Re: Evidence based change
> Hi all,
>
> This sounds a lot like the problem of Knowledge Transfer that we
> addressed at the recent Consensus Conference sponsored by "Academic
> Emergency Medicine" journal and held in conjunction with the Society of
> Academic Emergency Medicine annual meeting Eddy Lang, Peter Wyer and
> Barney Eskin were the leaders of that group. The proceedings are being
> pubilshed in the November issue of the "Academic Emergency Medicine"
> journal. Perhaps they can share some of the results of the various
> theme deliberations with the Sicily group.
>
> Best wishes,
>
> Dan
>
> ****************************************************************************
> Dan Mayer, MD
> Professor of Emergency Medicine
> Albany Medical College
> 47 New Scotland Ave.
> Albany, NY, 12208
> Ph; 518-262-6180
> FAX; 518-262-5029
> E-mail; [log in to unmask]
> ****************************************************************************
>
>>>> brnbaum <[log in to unmask]> 9/21/2007 12:13:31 PM >>>
> You posted:
>> For the Sicily EBHC meeting in November we are discussing several
>> "themes". One is "Change Management"...
>> So I'd like to get your suggestions on a framework
>> To get this going I have a little discussion starter...
>>
>> ...You can't audit everything in practice - how do you know what to
>> start with? Is there a process or model for selecting the primary
> issue
>> within a given setting?...
>
> A few years ago, I moderated discussion at another virtual forum that
> struggled with the similar problem of identifying a validated,
> evidence-based, open process for selecting quality improvement
> projects/objectives - one that would be practical within any given
> healthcare setting. My suggestion is ABNA, and a pertinent reference
> is:
>
> Birnbaum D, Konieczna M, Ratner P. Williamson's ABNA revisited.
> CLINICAL GOVERNANCE 2006;11(4):326-334. Full text should be available at
> www.emeraldinsight.com/1477-7274.htm & DOI for this article is
> 10.1108/14777270610708869.
>
> Regards,
> David.
>
> --
> David Birnbaum, PhD, MPH
> Adjunct Professor
> School of Nursing
> University of British Columbia
> Principal, Applied Epidemiology
> British Columbia, Canada
>
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