Knowledge into Action for HAI Improvement Facilitators Suzanne Wilson Improvement Manager (Knowledge...
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![Page 1: Knowledge into Action for HAI Improvement Facilitators Suzanne Wilson Improvement Manager (Knowledge into Action) NHS Education for Scotland.](https://reader035.fdocuments.net/reader035/viewer/2022062422/56649e735503460f94b72f58/html5/thumbnails/1.jpg)
Knowledge into Action for HAI Improvement Facilitators
Suzanne WilsonImprovement Manager (Knowledge into Action)
NHS Education for Scotland
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Bridging the Knowledge-Practice Gap
• 45% defect rate in US healthcare system – patients not receiving care as recommended in guidelines.
(McGlynn et al, 2003)
• 17 years to get research
recommendations into practice.
(Balas et al, 2000; Morris et al, 2011)
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What is Knowledge into Action?
evidence based practice
knowledge translationknowledge implementation
implementation science
“The move beyond simple dissemination of knowledge to actual use of knowledge”
Straus, et al (2009)
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From Accessing to Applying Knowledge in NHS Scotland
Knowing• 66 libraries• 116 library staff• 12 million+ resources
Doing• How much of this gets
used in a meaningful way to improve safe, effective, person-centred care?
![Page 5: Knowledge into Action for HAI Improvement Facilitators Suzanne Wilson Improvement Manager (Knowledge into Action) NHS Education for Scotland.](https://reader035.fdocuments.net/reader035/viewer/2022062422/56649e735503460f94b72f58/html5/thumbnails/5.jpg)
Knowledge into Action review
• help practitioners to apply knowledge to frontline practice.
• embed use of knowledge in healthcare improvement.
• support practitioners and managers to translate knowledge into better health outcomes, i.e. safe, effective, person-centred, efficient care.
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Knowledge as process
Know-what
•Journals
•MEDLINE
•Cochrane
Know-where
•Systems
•Processes
•Variation
Know-who
•Service user
•Practitioner
•Teams
Practice
Experience
Research
Know-how:
•Actionable •Relational
•Organisational
![Page 7: Knowledge into Action for HAI Improvement Facilitators Suzanne Wilson Improvement Manager (Knowledge into Action) NHS Education for Scotland.](https://reader035.fdocuments.net/reader035/viewer/2022062422/56649e735503460f94b72f58/html5/thumbnails/7.jpg)
Knowledge as process
Relational use of knowledge
•Communities of Practice
•Social networking
•Social learning
Organisational enablers
•Knowledge broker
•Building workforce capabilities
•Tests of change to demonstrate impact
Know-how:
•Actionable •Relational
•Organisational
Actionable knowledge•Checklists
•Pathways
•Mobile apps
•Sourcing and combining different types of knowledge
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Discussion
How do you find, use and combine different types of knowledge in your practice?
• Know-what
• Know-where
• Know-who
• Know-how
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Example – Sepsis
Sourcing and presenting ‘know what’ and ‘know where’in an actionable format to inform the ‘know how’ Sharing experience and
knowledge via a communityof practice
Providing actionable, mobile solutions to make it easy to do the right thing
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Example – pressure ulcers
What does best practice look like?
Tools and bundles to support implementation
Sharedexperience
http://www.healthcareimprovementscotland.org/our_work/patient_safety/tissue_viability.aspx
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Example – Enquiry service
http://www.clear.scot.nhs.uk/
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QI Hub resources
Take the knowledge management module on the QI Hub http://www.qihub.scot.nhs.uk/education-and-learning/qi-e-learning.aspx
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QI Hub resources
http://www.qihub.scot.nhs.uk/safe/healthcare-associated-infections.aspx
http://www.qihub.scot.nhs.uk/safe/patient-safety-tools.aspx
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Discussion
How could these Knowledge into Action approaches support improvement initiatives in your area?
What could you try tomorrow?
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Summary
• Knowledge into Action is a national strategy which aims to develop the skills of frontline practitioners for applying knowledge into frontline practice and improvement.
• This is not something new rather about embedding this approach into existing opportunities.
• Tools, resources and people are available to support this.
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“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
- J.W. Goethe (1749 –1832)?
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References
1. McGlynn EA, et al. The quality of health care delivered to adults in the United States. NEJM. 2003. 348:2635-2645.
2. Balas, EA, Boren, SA. Managing clinical knowledge for health care improvement. Yearbook of Medical informatics. 2000. Available via: http://www.ihi.org/resources/Pages/Publications/Managingclinicalknowledgeforhealthcareimprovement.aspx
3. Morris ZS, Wooding, S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. Journal of the Royal Society of Medicine. 2011. 104:510-520.
4. Straus SE, Tetroe J, Graham ID. Knowledge Translation in Health Care: Moving from Evidence to Practice. Oxford: Blackwell Publishing Ltd. 2009.
5. NHS Education for Scotland and Healthcare Improvement Scotland. Getting Knowledge into Action to Improve Healthcare Quality: Report of Strategic Review and Recommendations. 2012.