Knowledge Management in
  Emergency Medicine



                  Chatchai Kraysubun, MD
           Head of Emergency Depa...
Think I’d Like to Share

• All about Knowledge
• What is knowledge management ?
• What is knowledge translation ?
• How to...
Knowledge Spiral : SECI model
Knowledge management


“The process through which organizations
generate value from their intellectual and
       knowledg...
Knowledge management

“A systematic process of connecting people to
  people…and people to the knowledge and
  information...
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       pr...
Why Knowledge Translation?

• 30-45 % of patient do not received optimizing
  care
• 20%–25% of the care provided may actu...
What is Knowledge Translation?

Knowledge translation is about:
• Apply knowledge to improve health care
• Closing the gap...
Knowledge Translation
Knowledge Translation

Type of activity      Objective        Process


   Diffusion          Awareness        Passive

 D...
Glasziou P, Haynes B. ACP J Club. 2005 Mar-Apr;142(2):A8-10.
Implementation Strategies


•   Educational strategies (CME)
•   Traditional educational (Lecture)
•   Educational meeting...
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 v...
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

       • A...
Scenario 3 : Prachinburi Triage Scale

• Implementation Strategies
   – Multifaceted interventions

       • Guideline con...
Scenario 4 : Disease Specified Management


• Implementation Strategies
   – Multifaceted interventions

       • Guidelin...
Knowledge management in emergency medicine
Knowledge management in emergency medicine
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Knowledge management in emergency medicine

  1. 1. Knowledge Management in Emergency Medicine Chatchai Kraysubun, MD Head of Emergency Department Chaophaya abhaibhubejhr Hospital
  2. 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. 3. Knowledge Spiral : SECI model
  4. 4. Knowledge management “The process through which organizations generate value from their intellectual and knowledge-based assets.” Knowledge Management Research Center
  5. 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. 6. Why KM ? • The world is flat …… • Information Overload • High competition
  7. 7. KM Value Chain
  8. 8. KM tool
  9. 9. Knowledge Spiral : SECI model
  10. 10. Knowledge Translation
  11. 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. 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. 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. 14. Knowledge Translation
  15. 15. Knowledge Translation Type of activity Objective Process Diffusion Awareness Passive Dissemination Awareness + Active Attitude change Implementation Attitude change + Active+++ Behavior change
  16. 16. Glasziou P, Haynes B. ACP J Club. 2005 Mar-Apr;142(2):A8-10.
  17. 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. 18. Implementation Strategies • Multifaceted interventions • interactive education • clinical reminder systems
  19. 19. How to Approach People
  20. 20. Change Management
  21. 21. • Barrier
  22. 22. Knowledge Translation Chaophayaabhaibhubejhr Experience
  23. 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. 24. Scenario 1: Inhaler with Spacer Percentage of Use 35.86 64.14 Nebulizer Spacer
  25. 25. Scenario 2 :ISBAR • Objectives – Improve communication process in ED • Goal – 80% of RN adhere to ISBAR
  26. 26. Scenario 2 :ISBAR • Implementation Strategies – Multifaceted interventions • Interactive education • Audit/Feedback • Reminder system • Financial incentive
  27. 27. Scenario 3 : Prachinburi Triage Scale • Implementation Strategies – Multifaceted interventions • Guideline content and construction • Traditional Education • Audit/Feedback/Peer review • Local opinion leader
  28. 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

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