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Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol

BACKGROUND: Canada is among the most prosperous nations in the world, yet the health and wellness outcomes of Canadian children are surprisingly poor. There is some evidence to suggest that these poor health outcomes are partly due to clinical practice variation, which can stem from failure to apply...

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Autores principales: Scott, Shannon D, Grimshaw, Jeremy, Klassen, Terry P, Nettel-Aguirre, Alberto, Johnson, David W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268729/
https://www.ncbi.nlm.nih.gov/pubmed/22204440
http://dx.doi.org/10.1186/1748-5908-6-133
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author Scott, Shannon D
Grimshaw, Jeremy
Klassen, Terry P
Nettel-Aguirre, Alberto
Johnson, David W
author_facet Scott, Shannon D
Grimshaw, Jeremy
Klassen, Terry P
Nettel-Aguirre, Alberto
Johnson, David W
author_sort Scott, Shannon D
collection PubMed
description BACKGROUND: Canada is among the most prosperous nations in the world, yet the health and wellness outcomes of Canadian children are surprisingly poor. There is some evidence to suggest that these poor health outcomes are partly due to clinical practice variation, which can stem from failure to apply the best available research evidence in clinical practice, otherwise known as knowledge translation (KT). Surprisingly, clinical practice variation, even for common acute paediatric conditions, is pervasive. Clinical practice variation results in unnecessary medical treatments, increased suffering, and increased healthcare costs. This study focuses on improving health outcomes for common paediatric acute health concerns by evaluating strategies that improve KT and reduce clinical practice variation. DESIGN/METHODS: Using a multiple case study design, qualitative and quantitative data will be collected from four emergency departments in western Canada. Data sources will include: pre- and post-implementation focus group data from multidisciplinary healthcare professionals; individual interviews with the local champions, KT intervention providers, and unit/site leaders/managers; Alberta Context Tool (ACT) survey data; and aggregated patient outcome data. Qualitative and quantitative data will be systematically triangulated, and matrices will be built to do cross-case comparison. Explanations will be built about the success or lack of success of the clinical practice guidelines (CPG) and clinical pathways (CPs) uptake based upon the cross-case comparisons. SIGNIFICANCE: This study will generate new knowledge about the potential causal mechanisms and factors which shape implementation. Future studies will track the impact of the CPG/CPs implementation on children's health outcome, and healthcare costs.
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spelling pubmed-32687292012-01-31 Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol Scott, Shannon D Grimshaw, Jeremy Klassen, Terry P Nettel-Aguirre, Alberto Johnson, David W Implement Sci Study Protocol BACKGROUND: Canada is among the most prosperous nations in the world, yet the health and wellness outcomes of Canadian children are surprisingly poor. There is some evidence to suggest that these poor health outcomes are partly due to clinical practice variation, which can stem from failure to apply the best available research evidence in clinical practice, otherwise known as knowledge translation (KT). Surprisingly, clinical practice variation, even for common acute paediatric conditions, is pervasive. Clinical practice variation results in unnecessary medical treatments, increased suffering, and increased healthcare costs. This study focuses on improving health outcomes for common paediatric acute health concerns by evaluating strategies that improve KT and reduce clinical practice variation. DESIGN/METHODS: Using a multiple case study design, qualitative and quantitative data will be collected from four emergency departments in western Canada. Data sources will include: pre- and post-implementation focus group data from multidisciplinary healthcare professionals; individual interviews with the local champions, KT intervention providers, and unit/site leaders/managers; Alberta Context Tool (ACT) survey data; and aggregated patient outcome data. Qualitative and quantitative data will be systematically triangulated, and matrices will be built to do cross-case comparison. Explanations will be built about the success or lack of success of the clinical practice guidelines (CPG) and clinical pathways (CPs) uptake based upon the cross-case comparisons. SIGNIFICANCE: This study will generate new knowledge about the potential causal mechanisms and factors which shape implementation. Future studies will track the impact of the CPG/CPs implementation on children's health outcome, and healthcare costs. BioMed Central 2011-12-28 /pmc/articles/PMC3268729/ /pubmed/22204440 http://dx.doi.org/10.1186/1748-5908-6-133 Text en Copyright ©2011 Scott et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Scott, Shannon D
Grimshaw, Jeremy
Klassen, Terry P
Nettel-Aguirre, Alberto
Johnson, David W
Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol
title Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol
title_full Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol
title_fullStr Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol
title_full_unstemmed Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol
title_short Understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol
title_sort understanding implementation processes of clinical pathways and clinical practice guidelines in pediatric contexts: a study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3268729/
https://www.ncbi.nlm.nih.gov/pubmed/22204440
http://dx.doi.org/10.1186/1748-5908-6-133
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