SlideShare a Scribd company logo
1 of 30
Download to read offline
Knowledge Management in
  Emergency Medicine



                  Chatchai Kraysubun, MD
           Head of Emergency Department
          Chaophaya abhaibhubejhr Hospital
Think I’d Like to Share

• All about Knowledge
• What is knowledge management ?
• What is knowledge translation ?
• How to apply KM & KT in ED
Knowledge Spiral : SECI model
Knowledge management


“The process through which organizations
generate value from their intellectual and
       knowledge-based assets.”


                   Knowledge Management Research Center
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
Why KM ?
• The world is flat ……
• Information Overload
• High competition
KM Value Chain
KM tool
Knowledge Spiral : SECI model
Knowledge Translation
Knowledge Translation is the bridge
          between discovery and impact
Research      (KT research and
outputs       practice)



                                Research impacts




       It’s is about making a difference
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
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
Knowledge Translation
Knowledge Translation

Type of activity      Objective        Process


   Diffusion          Awareness        Passive

 Dissemination      Awareness +         Active
                   Attitude change

Implementation     Attitude change +   Active+++
                   Behavior change
Glasziou P, Haynes B. ACP J Club. 2005 Mar-Apr;142(2):A8-10.
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
Implementation Strategies



• Multifaceted interventions
• interactive education
• clinical reminder systems
How to Approach People
Change Management
• Barrier
Knowledge Translation
Chaophayaabhaibhubejhr Experience
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
Scenario 1: Inhaler with Spacer

           Percentage of Use
35.86

                64.14




  Nebulizer
  Spacer
Scenario 2 :ISBAR

• Objectives
  – Improve
    communication
    process in ED
• Goal
  – 80% of RN adhere
    to ISBAR
Scenario 2 :ISBAR
• Implementation Strategies

   – Multifaceted interventions

       • Interactive education

       • Audit/Feedback

       • Reminder system

       • Financial incentive
Scenario 3 : Prachinburi Triage Scale

• Implementation Strategies
   – Multifaceted interventions

       • Guideline content and

         construction

       • Traditional Education

       • Audit/Feedback/Peer review

       • Local opinion leader
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

More Related Content

What's hot

Neale Chumbler Regenstrief 2007 Presentation
Neale Chumbler Regenstrief 2007 Presentation Neale Chumbler Regenstrief 2007 Presentation
Neale Chumbler Regenstrief 2007 Presentation ShawnHoke
 
The National Center on Response to Intervention and Implementation Science: B...
The National Center on Response to Intervention and Implementation Science: B...The National Center on Response to Intervention and Implementation Science: B...
The National Center on Response to Intervention and Implementation Science: B...National Center on Response to Intervention
 
Ian Graham Regenstrief Conference Slides October 4 2007
Ian Graham  Regenstrief Conference Slides October 4 2007Ian Graham  Regenstrief Conference Slides October 4 2007
Ian Graham Regenstrief Conference Slides October 4 2007ShawnHoke
 
Benjamin Crabtree Regenstreif Conference Slides
Benjamin Crabtree Regenstreif Conference SlidesBenjamin Crabtree Regenstreif Conference Slides
Benjamin Crabtree Regenstreif Conference SlidesShawnHoke
 
Mulaz Bustani Regenstrief Conference Slides
Mulaz Bustani Regenstrief Conference SlidesMulaz Bustani Regenstrief Conference Slides
Mulaz Bustani Regenstrief Conference SlidesShawnHoke
 
Jeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference SlidesJeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference SlidesShawnHoke
 
David Haggstrom Regenstrief Conference Slides
David Haggstrom Regenstrief Conference SlidesDavid Haggstrom Regenstrief Conference Slides
David Haggstrom Regenstrief Conference SlidesShawnHoke
 
Marshall Chin Regenstrief Qi Disparities Slides
Marshall Chin Regenstrief Qi Disparities SlidesMarshall Chin Regenstrief Qi Disparities Slides
Marshall Chin Regenstrief Qi Disparities SlidesShawnHoke
 
Power point presentation EBP
Power point presentation EBPPower point presentation EBP
Power point presentation EBPlorenej8
 
Evidence based practice for nurses, diabetics, and learning institutions
Evidence based practice for nurses, diabetics, and learning institutionsEvidence based practice for nurses, diabetics, and learning institutions
Evidence based practice for nurses, diabetics, and learning institutionsForward Thinking, LLC
 
Knowledge translation model, tools and strategies for success
Knowledge translation model, tools and strategies for successKnowledge translation model, tools and strategies for success
Knowledge translation model, tools and strategies for successImad Hassan
 
Jms power point readmission rate of the elderly after stroke final
Jms power point readmission rate of the elderly after stroke finalJms power point readmission rate of the elderly after stroke final
Jms power point readmission rate of the elderly after stroke finalJudith Shaffer
 
Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)ALNAP
 
Evidence Aid: who and why
Evidence Aid: who and whyEvidence Aid: who and why
Evidence Aid: who and whyALNAP
 
Implementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the ScienceImplementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the ScienceHopkinsCFAR
 
Construction of an Implementation Science for Scaling Out Interventions
Construction of an Implementation Science for Scaling Out Interventions Construction of an Implementation Science for Scaling Out Interventions
Construction of an Implementation Science for Scaling Out Interventions HopkinsCFAR
 

What's hot (20)

Implementation science and learning health systems: Pieces of a puzzle
Implementation science and learning health systems: Pieces of a puzzle Implementation science and learning health systems: Pieces of a puzzle
Implementation science and learning health systems: Pieces of a puzzle
 
Neale Chumbler Regenstrief 2007 Presentation
Neale Chumbler Regenstrief 2007 Presentation Neale Chumbler Regenstrief 2007 Presentation
Neale Chumbler Regenstrief 2007 Presentation
 
The National Center on Response to Intervention and Implementation Science: B...
The National Center on Response to Intervention and Implementation Science: B...The National Center on Response to Intervention and Implementation Science: B...
The National Center on Response to Intervention and Implementation Science: B...
 
Ian Graham Regenstrief Conference Slides October 4 2007
Ian Graham  Regenstrief Conference Slides October 4 2007Ian Graham  Regenstrief Conference Slides October 4 2007
Ian Graham Regenstrief Conference Slides October 4 2007
 
Benjamin Crabtree Regenstreif Conference Slides
Benjamin Crabtree Regenstreif Conference SlidesBenjamin Crabtree Regenstreif Conference Slides
Benjamin Crabtree Regenstreif Conference Slides
 
Mulaz Bustani Regenstrief Conference Slides
Mulaz Bustani Regenstrief Conference SlidesMulaz Bustani Regenstrief Conference Slides
Mulaz Bustani Regenstrief Conference Slides
 
Jeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference SlidesJeff Alexander Regenstrief Conference Slides
Jeff Alexander Regenstrief Conference Slides
 
Evidence based approach
Evidence based approachEvidence based approach
Evidence based approach
 
David Haggstrom Regenstrief Conference Slides
David Haggstrom Regenstrief Conference SlidesDavid Haggstrom Regenstrief Conference Slides
David Haggstrom Regenstrief Conference Slides
 
Third variable
Third variableThird variable
Third variable
 
Marshall Chin Regenstrief Qi Disparities Slides
Marshall Chin Regenstrief Qi Disparities SlidesMarshall Chin Regenstrief Qi Disparities Slides
Marshall Chin Regenstrief Qi Disparities Slides
 
Power point presentation EBP
Power point presentation EBPPower point presentation EBP
Power point presentation EBP
 
Evidence based practice for nurses, diabetics, and learning institutions
Evidence based practice for nurses, diabetics, and learning institutionsEvidence based practice for nurses, diabetics, and learning institutions
Evidence based practice for nurses, diabetics, and learning institutions
 
Chapter5
Chapter5Chapter5
Chapter5
 
Knowledge translation model, tools and strategies for success
Knowledge translation model, tools and strategies for successKnowledge translation model, tools and strategies for success
Knowledge translation model, tools and strategies for success
 
Jms power point readmission rate of the elderly after stroke final
Jms power point readmission rate of the elderly after stroke finalJms power point readmission rate of the elderly after stroke final
Jms power point readmission rate of the elderly after stroke final
 
Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)
 
Evidence Aid: who and why
Evidence Aid: who and whyEvidence Aid: who and why
Evidence Aid: who and why
 
Implementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the ScienceImplementation Strategies & Outcomes: Advancing the Science
Implementation Strategies & Outcomes: Advancing the Science
 
Construction of an Implementation Science for Scaling Out Interventions
Construction of an Implementation Science for Scaling Out Interventions Construction of an Implementation Science for Scaling Out Interventions
Construction of an Implementation Science for Scaling Out Interventions
 

Similar to Knowledge management in emergency medicine

Quality in hospital
Quality in hospitalQuality in hospital
Quality in hospitalMmedsc Hahm
 
Pennine acute trust and aqua celebration event fiona thow
Pennine acute trust and aqua celebration event   fiona thowPennine acute trust and aqua celebration event   fiona thow
Pennine acute trust and aqua celebration event fiona thowNHS Improving Quality
 
Comparing Lessons from Two Health Systems and Two Projects
Comparing Lessons from Two Health Systems and Two ProjectsComparing Lessons from Two Health Systems and Two Projects
Comparing Lessons from Two Health Systems and Two ProjectsHealth Informatics New Zealand
 
Knowledge Translation: Practical Strategies for Success v1
Knowledge Translation: Practical Strategies for Success v1Knowledge Translation: Practical Strategies for Success v1
Knowledge Translation: Practical Strategies for Success v1Imad Hassan
 
Quality improvement and innovation in low resource settings_geetanjli
Quality improvement and innovation in low resource settings_geetanjliQuality improvement and innovation in low resource settings_geetanjli
Quality improvement and innovation in low resource settings_geetanjliGeetanjli Kalyan
 
Presentation 6th issl (1)
Presentation 6th issl (1)Presentation 6th issl (1)
Presentation 6th issl (1)drnach
 
Exploring the Economics of Quality Improvement Education in Healthcare: An A...
Exploring the Economics of Quality Improvement Education in Healthcare:  An A...Exploring the Economics of Quality Improvement Education in Healthcare:  An A...
Exploring the Economics of Quality Improvement Education in Healthcare: An A...Daniel McLinden
 
Person Centered Care through Integrating a Palliative Approach: Lessons from ...
Person Centered Care through Integrating a Palliative Approach: Lessons from ...Person Centered Care through Integrating a Palliative Approach: Lessons from ...
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
 
Getting a GRIP October 2007
Getting a GRIP October 2007Getting a GRIP October 2007
Getting a GRIP October 2007suelb
 
Webinar on Quality Improvement Strategies in a Team-Based Care Environment
Webinar on Quality Improvement Strategies in a Team-Based Care Environment Webinar on Quality Improvement Strategies in a Team-Based Care Environment
Webinar on Quality Improvement Strategies in a Team-Based Care Environment CHC Connecticut
 
Iec cet( b.sc.m ii yr)
Iec  cet( b.sc.m ii yr)Iec  cet( b.sc.m ii yr)
Iec cet( b.sc.m ii yr)Rahul Dhaker
 
Person-centred care -10 years of research and practice
Person-centred care -10 years of research and practicePerson-centred care -10 years of research and practice
Person-centred care -10 years of research and practiceHelen Crisp
 
Self Management Presentation - Patient Centered Medical Home 2011
Self Management Presentation - Patient Centered Medical Home 2011Self Management Presentation - Patient Centered Medical Home 2011
Self Management Presentation - Patient Centered Medical Home 2011pedenton
 
CHernandez DNP Essentials & Organization Systems Leadership.pptx
CHernandez  DNP Essentials & Organization Systems Leadership.pptxCHernandez  DNP Essentials & Organization Systems Leadership.pptx
CHernandez DNP Essentials & Organization Systems Leadership.pptxCamilleHernandez24
 
Dissiminated evidence .pptx
Dissiminated evidence .pptxDissiminated evidence .pptx
Dissiminated evidence .pptxAyatReda3
 
Inova Health System: Developing a patient centered approach to handoffs
Inova Health System: Developing a patient centered approach to handoffsInova Health System: Developing a patient centered approach to handoffs
Inova Health System: Developing a patient centered approach to handoffsPicker Institute, Inc.
 

Similar to Knowledge management in emergency medicine (20)

Quality in hospital
Quality in hospitalQuality in hospital
Quality in hospital
 
Pennine acute trust and aqua celebration event fiona thow
Pennine acute trust and aqua celebration event   fiona thowPennine acute trust and aqua celebration event   fiona thow
Pennine acute trust and aqua celebration event fiona thow
 
Comparing Lessons from Two Health Systems and Two Projects
Comparing Lessons from Two Health Systems and Two ProjectsComparing Lessons from Two Health Systems and Two Projects
Comparing Lessons from Two Health Systems and Two Projects
 
Knowledge Translation: Practical Strategies for Success v1
Knowledge Translation: Practical Strategies for Success v1Knowledge Translation: Practical Strategies for Success v1
Knowledge Translation: Practical Strategies for Success v1
 
Quality improvement and innovation in low resource settings_geetanjli
Quality improvement and innovation in low resource settings_geetanjliQuality improvement and innovation in low resource settings_geetanjli
Quality improvement and innovation in low resource settings_geetanjli
 
Presentation 6th issl (1)
Presentation 6th issl (1)Presentation 6th issl (1)
Presentation 6th issl (1)
 
Exploring the Economics of Quality Improvement Education in Healthcare: An A...
Exploring the Economics of Quality Improvement Education in Healthcare:  An A...Exploring the Economics of Quality Improvement Education in Healthcare:  An A...
Exploring the Economics of Quality Improvement Education in Healthcare: An A...
 
Person Centered Care through Integrating a Palliative Approach: Lessons from ...
Person Centered Care through Integrating a Palliative Approach: Lessons from ...Person Centered Care through Integrating a Palliative Approach: Lessons from ...
Person Centered Care through Integrating a Palliative Approach: Lessons from ...
 
Getting a GRIP October 2007
Getting a GRIP October 2007Getting a GRIP October 2007
Getting a GRIP October 2007
 
Webinar on Quality Improvement Strategies in a Team-Based Care Environment
Webinar on Quality Improvement Strategies in a Team-Based Care Environment Webinar on Quality Improvement Strategies in a Team-Based Care Environment
Webinar on Quality Improvement Strategies in a Team-Based Care Environment
 
Health service executive
Health service executiveHealth service executive
Health service executive
 
Iec cet( b.sc.m ii yr)
Iec  cet( b.sc.m ii yr)Iec  cet( b.sc.m ii yr)
Iec cet( b.sc.m ii yr)
 
Webinar: Patient Engagement
Webinar: Patient EngagementWebinar: Patient Engagement
Webinar: Patient Engagement
 
Person-centred care -10 years of research and practice
Person-centred care -10 years of research and practicePerson-centred care -10 years of research and practice
Person-centred care -10 years of research and practice
 
Nc live 8 3-10 presentation
Nc live 8 3-10 presentationNc live 8 3-10 presentation
Nc live 8 3-10 presentation
 
Self Management Presentation - Patient Centered Medical Home 2011
Self Management Presentation - Patient Centered Medical Home 2011Self Management Presentation - Patient Centered Medical Home 2011
Self Management Presentation - Patient Centered Medical Home 2011
 
CHernandez DNP Essentials & Organization Systems Leadership.pptx
CHernandez  DNP Essentials & Organization Systems Leadership.pptxCHernandez  DNP Essentials & Organization Systems Leadership.pptx
CHernandez DNP Essentials & Organization Systems Leadership.pptx
 
Dissiminated evidence .pptx
Dissiminated evidence .pptxDissiminated evidence .pptx
Dissiminated evidence .pptx
 
clinical teaching methods
clinical teaching methodsclinical teaching methods
clinical teaching methods
 
Inova Health System: Developing a patient centered approach to handoffs
Inova Health System: Developing a patient centered approach to handoffsInova Health System: Developing a patient centered approach to handoffs
Inova Health System: Developing a patient centered approach to handoffs
 

More from taem

ประชุมใหญ่สามัญประจำปี วิทยาลัยแพทย์ฉุกเฉินแห่งประเทศไทย 2562-2563
ประชุมใหญ่สามัญประจำปี วิทยาลัยแพทย์ฉุกเฉินแห่งประเทศไทย 2562-2563ประชุมใหญ่สามัญประจำปี วิทยาลัยแพทย์ฉุกเฉินแห่งประเทศไทย 2562-2563
ประชุมใหญ่สามัญประจำปี วิทยาลัยแพทย์ฉุกเฉินแห่งประเทศไทย 2562-2563taem
 
Thai EMS legislation
Thai EMS legislationThai EMS legislation
Thai EMS legislationtaem
 
ACTEP2014 Agenda
ACTEP2014 AgendaACTEP2014 Agenda
ACTEP2014 Agendataem
 
ACTEP2014: What's new in endocrine emergency
ACTEP2014: What's new in endocrine emergencyACTEP2014: What's new in endocrine emergency
ACTEP2014: What's new in endocrine emergencytaem
 
ACTEP2014: What is simulation
ACTEP2014: What is simulationACTEP2014: What is simulation
ACTEP2014: What is simulationtaem
 
ACTEP2014: Upcoming trend of lung ultrasound
ACTEP2014: Upcoming trend of lung ultrasoundACTEP2014: Upcoming trend of lung ultrasound
ACTEP2014: Upcoming trend of lung ultrasoundtaem
 
ACTEP2014: The routine to research R2R concept your way out of a research dea...
ACTEP2014: The routine to research R2R concept your way out of a research dea...ACTEP2014: The routine to research R2R concept your way out of a research dea...
ACTEP2014: The routine to research R2R concept your way out of a research dea...taem
 
ACTEP2014: Therapeutic hypothermia for ACTEP 2014
ACTEP2014: Therapeutic hypothermia for ACTEP 2014ACTEP2014: Therapeutic hypothermia for ACTEP 2014
ACTEP2014: Therapeutic hypothermia for ACTEP 2014taem
 
ACTEP2014: Sepsis marker in clinical use
ACTEP2014: Sepsis marker in clinical useACTEP2014: Sepsis marker in clinical use
ACTEP2014: Sepsis marker in clinical usetaem
 
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...taem
 
ACTEP2014: Sepsis management has anything change
ACTEP2014: Sepsis management has anything change ACTEP2014: Sepsis management has anything change
ACTEP2014: Sepsis management has anything change taem
 
ACTEP2014: Patient safety & risk management
ACTEP2014: Patient safety & risk managementACTEP2014: Patient safety & risk management
ACTEP2014: Patient safety & risk managementtaem
 
ACTEP2014: How to set up guideline for MCI
ACTEP2014: How to set up guideline for MCIACTEP2014: How to set up guideline for MCI
ACTEP2014: How to set up guideline for MCItaem
 
ACTEP2014: How to maximise resuscitation in trauma 2014
ACTEP2014: How to maximise resuscitation in trauma 2014ACTEP2014: How to maximise resuscitation in trauma 2014
ACTEP2014: How to maximise resuscitation in trauma 2014taem
 
ACTEP2014: Hot zone
ACTEP2014: Hot zoneACTEP2014: Hot zone
ACTEP2014: Hot zonetaem
 
ACTEP2014: Hemodynamic US in critical care
ACTEP2014: Hemodynamic US in critical careACTEP2014: Hemodynamic US in critical care
ACTEP2014: Hemodynamic US in critical caretaem
 
ACTEP2014: Fast track
ACTEP2014: Fast trackACTEP2014: Fast track
ACTEP2014: Fast tracktaem
 
ACTEP2014 ED director
ACTEP2014 ED directorACTEP2014 ED director
ACTEP2014 ED directortaem
 
ACTEP2014: ED design
ACTEP2014: ED designACTEP2014: ED design
ACTEP2014: ED designtaem
 
ACTEP2014: ED accreditation HA JCI TQA
ACTEP2014: ED accreditation HA JCI TQAACTEP2014: ED accreditation HA JCI TQA
ACTEP2014: ED accreditation HA JCI TQAtaem
 

More from taem (20)

ประชุมใหญ่สามัญประจำปี วิทยาลัยแพทย์ฉุกเฉินแห่งประเทศไทย 2562-2563
ประชุมใหญ่สามัญประจำปี วิทยาลัยแพทย์ฉุกเฉินแห่งประเทศไทย 2562-2563ประชุมใหญ่สามัญประจำปี วิทยาลัยแพทย์ฉุกเฉินแห่งประเทศไทย 2562-2563
ประชุมใหญ่สามัญประจำปี วิทยาลัยแพทย์ฉุกเฉินแห่งประเทศไทย 2562-2563
 
Thai EMS legislation
Thai EMS legislationThai EMS legislation
Thai EMS legislation
 
ACTEP2014 Agenda
ACTEP2014 AgendaACTEP2014 Agenda
ACTEP2014 Agenda
 
ACTEP2014: What's new in endocrine emergency
ACTEP2014: What's new in endocrine emergencyACTEP2014: What's new in endocrine emergency
ACTEP2014: What's new in endocrine emergency
 
ACTEP2014: What is simulation
ACTEP2014: What is simulationACTEP2014: What is simulation
ACTEP2014: What is simulation
 
ACTEP2014: Upcoming trend of lung ultrasound
ACTEP2014: Upcoming trend of lung ultrasoundACTEP2014: Upcoming trend of lung ultrasound
ACTEP2014: Upcoming trend of lung ultrasound
 
ACTEP2014: The routine to research R2R concept your way out of a research dea...
ACTEP2014: The routine to research R2R concept your way out of a research dea...ACTEP2014: The routine to research R2R concept your way out of a research dea...
ACTEP2014: The routine to research R2R concept your way out of a research dea...
 
ACTEP2014: Therapeutic hypothermia for ACTEP 2014
ACTEP2014: Therapeutic hypothermia for ACTEP 2014ACTEP2014: Therapeutic hypothermia for ACTEP 2014
ACTEP2014: Therapeutic hypothermia for ACTEP 2014
 
ACTEP2014: Sepsis marker in clinical use
ACTEP2014: Sepsis marker in clinical useACTEP2014: Sepsis marker in clinical use
ACTEP2014: Sepsis marker in clinical use
 
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...
 
ACTEP2014: Sepsis management has anything change
ACTEP2014: Sepsis management has anything change ACTEP2014: Sepsis management has anything change
ACTEP2014: Sepsis management has anything change
 
ACTEP2014: Patient safety & risk management
ACTEP2014: Patient safety & risk managementACTEP2014: Patient safety & risk management
ACTEP2014: Patient safety & risk management
 
ACTEP2014: How to set up guideline for MCI
ACTEP2014: How to set up guideline for MCIACTEP2014: How to set up guideline for MCI
ACTEP2014: How to set up guideline for MCI
 
ACTEP2014: How to maximise resuscitation in trauma 2014
ACTEP2014: How to maximise resuscitation in trauma 2014ACTEP2014: How to maximise resuscitation in trauma 2014
ACTEP2014: How to maximise resuscitation in trauma 2014
 
ACTEP2014: Hot zone
ACTEP2014: Hot zoneACTEP2014: Hot zone
ACTEP2014: Hot zone
 
ACTEP2014: Hemodynamic US in critical care
ACTEP2014: Hemodynamic US in critical careACTEP2014: Hemodynamic US in critical care
ACTEP2014: Hemodynamic US in critical care
 
ACTEP2014: Fast track
ACTEP2014: Fast trackACTEP2014: Fast track
ACTEP2014: Fast track
 
ACTEP2014 ED director
ACTEP2014 ED directorACTEP2014 ED director
ACTEP2014 ED director
 
ACTEP2014: ED design
ACTEP2014: ED designACTEP2014: ED design
ACTEP2014: ED design
 
ACTEP2014: ED accreditation HA JCI TQA
ACTEP2014: ED accreditation HA JCI TQAACTEP2014: ED accreditation HA JCI TQA
ACTEP2014: ED accreditation HA JCI TQA
 

Recently uploaded

call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 

Recently uploaded (20)

call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 

Knowledge management in emergency medicine

  • 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.
  • 4. Knowledge Spiral : SECI model
  • 5. Knowledge management “The process through which organizations generate value from their intellectual and knowledge-based assets.” Knowledge Management Research Center
  • 6. 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
  • 7. Why KM ? • The world is flat …… • Information Overload • High competition
  • 10. Knowledge Spiral : SECI model
  • 12. Knowledge Translation is the bridge between discovery and impact Research (KT research and outputs practice) Research impacts It’s is about making a difference
  • 13. 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
  • 14. 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
  • 16. Knowledge Translation Type of activity Objective Process Diffusion Awareness Passive Dissemination Awareness + Active Attitude change Implementation Attitude change + Active+++ Behavior change
  • 17. Glasziou P, Haynes B. ACP J Club. 2005 Mar-Apr;142(2):A8-10.
  • 18.
  • 19. 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
  • 20. Implementation Strategies • Multifaceted interventions • interactive education • clinical reminder systems
  • 21. How to Approach People
  • 25. 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
  • 26. Scenario 1: Inhaler with Spacer Percentage of Use 35.86 64.14 Nebulizer Spacer
  • 27. Scenario 2 :ISBAR • Objectives – Improve communication process in ED • Goal – 80% of RN adhere to ISBAR
  • 28. Scenario 2 :ISBAR • Implementation Strategies – Multifaceted interventions • Interactive education • Audit/Feedback • Reminder system • Financial incentive
  • 29. Scenario 3 : Prachinburi Triage Scale • Implementation Strategies – Multifaceted interventions • Guideline content and construction • Traditional Education • Audit/Feedback/Peer review • Local opinion leader
  • 30. 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