Your SlideShare is downloading. ×
Knowledge management in emergency medicine
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Knowledge management in emergency medicine

1,371
views

Published on


0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,371
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
17
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Knowledge Management in Emergency Medicine Chatchai Kraysubun, MD Head of Emergency Department Chaophaya abhaibhubejhr Hospital
  • 2. Think I’d Like to Share • All about Knowledge • What is knowledge management ? • What is knowledge translation ? • How to apply KM & KT in ED
  • 3. Knowledge Spiral : SECI model
  • 4. Knowledge management “The process through which organizations generate value from their intellectual and knowledge-based assets.” Knowledge Management Research Center
  • 5. Knowledge management “A systematic process of connecting people to people…and people to the knowledge and information they need to effectively act and create new knowledge.” American Productivity and Quality Center
  • 6. Why KM ? • The world is flat …… • Information Overload • High competition
  • 7. KM Value Chain
  • 8. KM tool
  • 9. Knowledge Spiral : SECI model
  • 10. Knowledge Translation
  • 11. Knowledge Translation is the bridge between discovery and impact Research (KT research and outputs practice) Research impacts It’s is about making a difference
  • 12. Why Knowledge Translation? • 30-45 % of patient do not received optimizing care • 20%–25% of the care provided may actually be unneeded or even harmful McGlynn E, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United State. N Engl J Med. 2003; 348:2635–45
  • 13. What is Knowledge Translation? Knowledge translation is about: • Apply knowledge to improve health care • Closing the gap between what we know and what we do (reducing the know-do gap) • Moving knowledge into action
  • 14. Knowledge Translation
  • 15. Knowledge Translation Type of activity Objective Process Diffusion Awareness Passive Dissemination Awareness + Active Attitude change Implementation Attitude change + Active+++ Behavior change
  • 16. Glasziou P, Haynes B. ACP J Club. 2005 Mar-Apr;142(2):A8-10.
  • 17. Implementation Strategies • Educational strategies (CME) • Traditional educational (Lecture) • Educational meetings/Interactive educational • Educational outreach • Audit/Feedback/Peer review • Multifaceted interventions • Mass media and distribution strategies • Guideline content and construction • Reminder and Decision Support System • Financial incentives • Local opinion leader
  • 18. Implementation Strategies • Multifaceted interventions • interactive education • clinical reminder systems
  • 19. How to Approach People
  • 20. Change Management
  • 21. • Barrier
  • 22. Knowledge Translation Chaophayaabhaibhubejhr Experience
  • 23. Scenario 1: Inhaler with Spacer Nebulizer Versus Inhaler with Spacer in Acute Asthmatic Attack Holding chambers versus nebulisers for beta-agonist treatment of acute asthma Cates CCJ, Bara A, Crilly JA, Rowe BH. Cochrane Library March 2003
  • 24. Scenario 1: Inhaler with Spacer Percentage of Use 35.86 64.14 Nebulizer Spacer
  • 25. Scenario 2 :ISBAR • Objectives – Improve communication process in ED • Goal – 80% of RN adhere to ISBAR
  • 26. Scenario 2 :ISBAR • Implementation Strategies – Multifaceted interventions • Interactive education • Audit/Feedback • Reminder system • Financial incentive
  • 27. Scenario 3 : Prachinburi Triage Scale • Implementation Strategies – Multifaceted interventions • Guideline content and construction • Traditional Education • Audit/Feedback/Peer review • Local opinion leader
  • 28. Scenario 4 : Disease Specified Management • Implementation Strategies – Multifaceted interventions • Guideline content and construction • Traditional Education • Reminder • Audit/Feedback/Peer review • Financial incentives • Local opinion leader

×