KT2 Knowledge Translation Actions Template at the Micro Level

Knowledge Translation Template

1. Identify the Knowledge-To- Action 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-post- Intervention.

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)

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. 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: Clinical Pathways, Protocols, Order Sets, Check-lists etc d. System Redesign/ Talent Profiling e.g. Care Teams, Monitors etc 2. Healthcare Provider Directed a. Training Program b. Competency- Certification 3. Patient Directed: a. Education b. Partnership agreements etc 4. Community Directed a. Education b. Integrated Care (e.g. Home Health Care)

8a. Monitor Knowledge Use (Process Change Skills)

_____________ [ ] Process Variance (Audit) -Knowledge use by providers. -Knowledge use by patients.

8b. Monitor Outcomes (Process Change Skills)

_____________ [ ] Outcome Variance (Audit) Impact on: - Patients - Providers - Organization [ ] Balancing Variance Impact on other unrelated outcomes/ services

9. Sustained Knowledge Use (Process Change Skills)

_____________ a. Regular Audit b. Regular Update

c. Incentives

d. Accredit/Certify

1. AHRQ Agency for Healthcare Research and Quality http://www.ahrq.gov/

2. National Guidelines Clearinghouse™ : http://www.guideline.gov/

3. NICE National Institute for Health and Clinical Excellence: www.nice.org.uk

4. Institute for Healthcare Improvement:

http://www.ihi.org/IHI/Topics/LeadingSystemImprovement/

5. ICSI Institute for Clinical Systems Improvements https://www.icsi.org/

6. Society of Hospital Medicine: http://www.hospitalmedicine.org/

7. Innovations Exchange for New Ideas of Care

http://innovations.ahrq.gov/

8. NHS Improvement: http://www.institute.nhs.uk/,

http://www.nhsiq.nhs.uk/

9. Google: www.google.com

10. Pubmed: www.pubmed.org

11. Clinical Improvement

Skills: http://www.improvementskills.org/index.cfm

12. Knowledge Translation Clearinghouse: http://ktclearinghouse.ca/

Useful Websites for KT