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A Simplified Knowledge Translation Template

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An easy to follow step-wise road-map for a Knowledge Translation Intervention

An easy to follow step-wise road-map for a Knowledge Translation Intervention

Published in Health & Medicine
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  • 1. KT2 Knowledge Translation Actions Template at the Micro Level Knowledge Translation Template 1. Identify the Knowledge-ToAction Gap (Process Change Skills) ________________ (Sources of Information for Pin-pointing the Gap) Organization level: { } Health records { } Chart audits e.g. M&M reports Provider level: { } Direct observation { } Questionnaires Patient initiated: {} Complaints {} Questionnaires 2. Measure the Magnitude of the Defect (Process Change Skills) _____________ (Audit e.g. Chart Review) Baseline for future comparison-postIntervention. 3. Pass the Information to the KT Team (Process Change Skills) _____________ (Flow Chart a Patient Journey to Identify the Team Members) Multidisciplinary a. Clinicians b. Pharmacists c. Nursing d. Trainees e. Quality Mgt staff f. Monitors g. Statistician h. Librarian (EBM) i. Patient representative 4. Search for & Appraise the Evidence (EBM skills) ________________ 1. For Identifying ‘New” Evidence: a. Secondary Sources e.g. Guidelines Clearinghouse, Cochrane etc b. Primary Sources e.g. Pubmed etc 2. For Publications on KT Interventions for a Similar KT Gap e.g. in a. AHRQ website b. NICE website c. Guidelines websites d. Pubmed 5. Assess Barriers to Knowledge Use: Identify the Cause(s) e.g. Root Cause Analysis, Fish-bone Diagram Analysis etc (Process Change Skills) ___________ a. Organizational (Structure e.g. no policy, poor staffing/training program etc & Process e.g. no reminder tools, no monitoring etc) b. Individual [ ] Knowledge [ ] Attitude [ ] Skills c. Social (acceptability by society & patients) 1. AHRQ Agency for Healthcare Research and Quality http://www.ahrq.gov/ 6. Adapt Knowledge to Local Context (Adaptability) (EBM skills) (Process Change Skills) ___________ Presence or Absence of Adequate Resources: a. Manpower b. Financial c. Equipment d. Etc (The ADAPT Tool). 7. 8. 5. ICSI Institute for Clinical Systems Improvements https://www.icsi.org/ 6. Society of Hospital Medicine: http://www.hospitalmedicine.org/ d. System Redesign/ Talent Profiling e.g. Care Teams, Monitors etc 2. Healthcare Provider Directed a. Training Program b. CompetencyCertification 3. Patient Directed: a. Education b. Partnership agreements etc 4. Community Directed a. Education b. Integrated Care (e.g. Home Health Care) -Knowledge use by providers. -Knowledge use by patients. 8b. Monitor Outcomes (Process Change Skills) _____________ [ ] Outcome Variance (Audit) Impact on: - Patients - Providers - Organization 9. Sustained Knowledge Use (Process Change Skills) _____________ a. Regular Audit b. Regular Update c. Incentives d. Accredit/Certify [ ] Balancing Variance Impact on other unrelated outcomes/ services Innovations Exchange for New Ideas of Care NHS Improvement: http://www.institute.nhs.uk/, http://www.nhsiq.nhs.uk/ 4. Institute for Healthcare Improvement: http://www.ihi.org/IHI/Topics/LeadingSystemImprovement/ Clinical Pathways, Protocols, Order Sets, Check-lists etc 8a. Monitor Knowledge Use (Process Change Skills) _____________ [ ] Process Variance (Audit) http://innovations.ahrq.gov/ 2. National Guidelines Clearinghouse™ : http://www.guideline.gov/ 3. NICE National Institute for Health and Clinical Excellence: www.nice.org.uk 7. Select, Tailor, Implement Interventions (EBM skills) (Process Change Skills) (System Redesign Skills) ________________ 1. Organization Directed: a. Leadership/Legislation b. Policies & Procedures c. c. Reminder Systems: 9. Google: www.google.com 10. Pubmed: www.pubmed.org 11. Clinical Improvement Skills: http://www.improvementskills.org/index.cfm Useful Websites for KT 12. Knowledge Translation Clearinghouse: http://ktclearinghouse.ca/