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Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol
BACKGROUND: Trauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the qu...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376233/ https://www.ncbi.nlm.nih.gov/pubmed/25699546 http://dx.doi.org/10.2196/resprot.4024 |
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author | Archambault, Patrick M Turgeon, Alexis F Witteman, Holly O Lauzier, François Moore, Lynne Lamontagne, François Horsley, Tanya Gagnon, Marie-Pierre Droit, Arnaud Weiss, Matthew Tremblay, Sébastien Lachaine, Jean Le Sage, Natalie Émond, Marcel Berthelot, Simon Plaisance, Ariane Lapointe, Jean Razek, Tarek van de Belt, Tom H Brand, Kevin Bérubé, Mélanie Clément, Julien Grajales III, Francisco Jose Eysenbach, Gunther Kuziemsky, Craig Friedman, Debbie Lang, Eddy Muscedere, John Rizoli, Sandro Roberts, Derek J Scales, Damon C Sinuff, Tasnim Stelfox, Henry T Gagnon, Isabelle Chabot, Christian Grenier, Richard Légaré, France |
author_facet | Archambault, Patrick M Turgeon, Alexis F Witteman, Holly O Lauzier, François Moore, Lynne Lamontagne, François Horsley, Tanya Gagnon, Marie-Pierre Droit, Arnaud Weiss, Matthew Tremblay, Sébastien Lachaine, Jean Le Sage, Natalie Émond, Marcel Berthelot, Simon Plaisance, Ariane Lapointe, Jean Razek, Tarek van de Belt, Tom H Brand, Kevin Bérubé, Mélanie Clément, Julien Grajales III, Francisco Jose Eysenbach, Gunther Kuziemsky, Craig Friedman, Debbie Lang, Eddy Muscedere, John Rizoli, Sandro Roberts, Derek J Scales, Damon C Sinuff, Tasnim Stelfox, Henry T Gagnon, Isabelle Chabot, Christian Grenier, Richard Légaré, France |
author_sort | Archambault, Patrick M |
collection | PubMed |
description | BACKGROUND: Trauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the quality of care across Canada exists. Accordingly, our goal is to lead a research project in which stakeholders themselves will adapt evidence-based trauma care knowledge tools to their own varied institutional contexts and cultures. We will do this by developing and assessing the combined impact of WikiTrauma, a free collaborative database of clinical decision support tools, and Wiki101, a training course teaching participants how to use WikiTrauma. WikiTrauma has the potential to ensure that all stakeholders (eg, patients, clinicians, and decision makers) can all contribute to, and benefit from, evidence-based clinical knowledge about trauma care that is tailored to their own needs and clinical setting. OBJECTIVE: Our main objective will be to study the combined effect of WikiTrauma and Wiki101 on the quality of care in four trauma centers in Quebec. METHODS: First, we will pilot-test the wiki with potential users to create a version ready to test in practice. A rapid, iterative prototyping process with 15 health professionals from nonparticipating centers will allow us to identify and resolve usability issues prior to finalizing the definitive version for the interrupted time series. Second, we will conduct an interrupted time series to measure the impact of our combined intervention on the quality of care in four trauma centers that will be selected—one level I, one level II, and two level III centers. Participants will be health care professionals working in the selected trauma centers. Also, five patient representatives will be recruited to participate in the creation of knowledge tools destined for their use (eg, handouts). All participants will be invited to complete the Wiki101 training and then use, and contribute to, WikiTrauma for 12 months. The primary outcome will be the change over time of a validated, composite, performance indicator score based on 15 process performance indicators found in the Quebec Trauma Registry. RESULTS: This project was funded in November 2014 by the Canadian Medical Protective Association. We expect to start this trial in early 2015 and preliminary results should be available in June 2016. Two trauma centers have already agreed to participate and two more will be recruited in the next months. CONCLUSIONS: We expect that this study will add important and unique evidence about the effectiveness, safety, and cost savings of using collaborative platforms to adapt knowledge implementation tools across jurisdictions. |
format | Online Article Text |
id | pubmed-4376233 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | JMIR Publications Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-43762332015-04-02 Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol Archambault, Patrick M Turgeon, Alexis F Witteman, Holly O Lauzier, François Moore, Lynne Lamontagne, François Horsley, Tanya Gagnon, Marie-Pierre Droit, Arnaud Weiss, Matthew Tremblay, Sébastien Lachaine, Jean Le Sage, Natalie Émond, Marcel Berthelot, Simon Plaisance, Ariane Lapointe, Jean Razek, Tarek van de Belt, Tom H Brand, Kevin Bérubé, Mélanie Clément, Julien Grajales III, Francisco Jose Eysenbach, Gunther Kuziemsky, Craig Friedman, Debbie Lang, Eddy Muscedere, John Rizoli, Sandro Roberts, Derek J Scales, Damon C Sinuff, Tasnim Stelfox, Henry T Gagnon, Isabelle Chabot, Christian Grenier, Richard Légaré, France JMIR Res Protoc Protocol BACKGROUND: Trauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the quality of care across Canada exists. Accordingly, our goal is to lead a research project in which stakeholders themselves will adapt evidence-based trauma care knowledge tools to their own varied institutional contexts and cultures. We will do this by developing and assessing the combined impact of WikiTrauma, a free collaborative database of clinical decision support tools, and Wiki101, a training course teaching participants how to use WikiTrauma. WikiTrauma has the potential to ensure that all stakeholders (eg, patients, clinicians, and decision makers) can all contribute to, and benefit from, evidence-based clinical knowledge about trauma care that is tailored to their own needs and clinical setting. OBJECTIVE: Our main objective will be to study the combined effect of WikiTrauma and Wiki101 on the quality of care in four trauma centers in Quebec. METHODS: First, we will pilot-test the wiki with potential users to create a version ready to test in practice. A rapid, iterative prototyping process with 15 health professionals from nonparticipating centers will allow us to identify and resolve usability issues prior to finalizing the definitive version for the interrupted time series. Second, we will conduct an interrupted time series to measure the impact of our combined intervention on the quality of care in four trauma centers that will be selected—one level I, one level II, and two level III centers. Participants will be health care professionals working in the selected trauma centers. Also, five patient representatives will be recruited to participate in the creation of knowledge tools destined for their use (eg, handouts). All participants will be invited to complete the Wiki101 training and then use, and contribute to, WikiTrauma for 12 months. The primary outcome will be the change over time of a validated, composite, performance indicator score based on 15 process performance indicators found in the Quebec Trauma Registry. RESULTS: This project was funded in November 2014 by the Canadian Medical Protective Association. We expect to start this trial in early 2015 and preliminary results should be available in June 2016. Two trauma centers have already agreed to participate and two more will be recruited in the next months. CONCLUSIONS: We expect that this study will add important and unique evidence about the effectiveness, safety, and cost savings of using collaborative platforms to adapt knowledge implementation tools across jurisdictions. JMIR Publications Inc. 2015-02-19 /pmc/articles/PMC4376233/ /pubmed/25699546 http://dx.doi.org/10.2196/resprot.4024 Text en ©Patrick M Archambault, Alexis F Turgeon, Holly O Witteman, François Lauzier, Lynne Moore, François Lamontagne, Tanya Horsley, Marie-Pierre Gagnon, Arnaud Droit, Matthew Weiss, Sébastien Tremblay, Jean Lachaine, Natalie Le Sage, Marcel Émond, Simon Berthelot, Ariane Plaisance, Jean Lapointe, Tarek Razek, Tom H van de Belt, Kevin Brand, Mélanie Bérubé, Julien Clément, Francisco Jose Grajales III, Gunther Eysenbach, Craig Kuziemsky, Debbie Friedman, Eddy Lang, John Muscedere, Sandro Rizoli, Derek J Roberts, Damon C Scales, Tasnim Sinuff, Henry T Stelfox, Isabelle Gagnon, Christian Chabot, Richard Grenier, France Légaré, Canadian Critical Care Trials Group. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 19.02.2015. 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, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included. |
spellingShingle | Protocol Archambault, Patrick M Turgeon, Alexis F Witteman, Holly O Lauzier, François Moore, Lynne Lamontagne, François Horsley, Tanya Gagnon, Marie-Pierre Droit, Arnaud Weiss, Matthew Tremblay, Sébastien Lachaine, Jean Le Sage, Natalie Émond, Marcel Berthelot, Simon Plaisance, Ariane Lapointe, Jean Razek, Tarek van de Belt, Tom H Brand, Kevin Bérubé, Mélanie Clément, Julien Grajales III, Francisco Jose Eysenbach, Gunther Kuziemsky, Craig Friedman, Debbie Lang, Eddy Muscedere, John Rizoli, Sandro Roberts, Derek J Scales, Damon C Sinuff, Tasnim Stelfox, Henry T Gagnon, Isabelle Chabot, Christian Grenier, Richard Légaré, France Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
title | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
title_full | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
title_fullStr | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
title_full_unstemmed | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
title_short | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
title_sort | implementation and evaluation of a wiki involving multiple stakeholders including patients in the promotion of best practices in trauma care: the wikitrauma interrupted time series protocol |
topic | Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376233/ https://www.ncbi.nlm.nih.gov/pubmed/25699546 http://dx.doi.org/10.2196/resprot.4024 |
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