Informatics and Knowledge Translation

Abstract

To ensure that the benefits of knowledge translation synthesis are accessible to care providers at the point of decision-making, fast, efficient, usable clinical information systems are required. Medical informatics appears to hold the greatest promise to be able to create systems with the necessary capacity and functionality. Emergency medicine needs to be actively engaged at all levels of the process. This includes driving the development and filtering of emergency-specific synopses and summaries. It requires advocating for hardware and software that suit the needs of the emergency department environment. It is increasingly important to educate and participate on committees with funders and policy-makers to ensure they support this growing evolution. To determine the outcome of these initiatives, careful evaluation is required to inform the discussion. End-users need to be actively involved in the development and usability testing of clinical information retrieval technology and clinical decision-support systems and make certain relevant best evidence is readily accessible and formatted to meet the needs of the working emergency physician. The integration of knowledge translation into clinical practice, and the impact of delivering electronic clinical decision-support, requires methodologically sound studies to confirm or refute its benefits and guide future development of medical informatics.

Improved cardiovascular prevention using best CME practices: A randomized trial

“…GPs who have electronic medical records could also be provided with plug-in software carrying out similar functions after CME. [35][36][37] These results are consistent with CME and knowledgetranslation literature about most effective strategies for practice change. [22][23][24]38,39 We designed a clinical intervention to address barriers associated with lack of time, lack of patient detection systems, and lack of reminders, which are most frequently mentioned by GPs as barriers to preventive care.…”

Four Sensitive Screening Tools to Detect Cognitive Dysfunction in Geriatric Emergency Department Patients: Brief Alzheimer’s Screen, Short Blessed Test, Ottawa 3DY, and the Caregiver-completed AD8

“…Unfortunately, both the SBT and the BAS are somewhat onerous to remember, and each requires computations that limit their usefulness in the busy ED 30. One solution to offset the laborious calculations and need to memorize the individual components of the screening tests would be to incorporate them into handheld devices or electronic medical records 63. Future trials will need to explore the cost-effectiveness of different implementation strategies once the optimal screening tools have been validated and accepted.…”

Evaluation of Knowledge Transfer Practices From a Leibniz Perspective

“…Regardless of this, literature does not identify a perspective position of the definition or what role specific psychological elements may play in the social interactions needed to start a new business. Authors such as ; (Bullard, Emond, Graham, Ho, & Holroyd, 2007;Copus, Skuras, & Tsegenidi, 2008) suggests that the quality of the innovation from the factors of interaction and recipients' perception is 'important', thus, the social identity of the innovation to be utilised is equated as having value and therefore an evaluation of the usefulness of the Innovation is supposed by each.…”