Knowledge into Action for HAI Improvement Facilitators Suzanne

Bridging the Knowledge-Practice Gap • 45% defect rate in US healthcare system – patients

What is Knowledge into Action? know ledg e tra nsla tion “The move beyond

From Accessing to Applying Knowledge in NHS Scotland Knowing • 66 libraries • 116

Knowledge into Action review • help practitioners to apply knowledge to frontline practice. •

Knowledge as process Practice Know-how: Know-what • Journals Research Know-where • Systems • Processes

Knowledge as process Relational use of knowledge • Communities of Practice Know-how: Actionable knowledge

Discussion How do you find, use and combine different types of knowledge in your

Example – Sepsis Sourcing and presenting ‘know what’ and ‘know where’ in an actionable

Example – pressure ulcers Shared experience Tools and bundles to support implementation What does

Example – Enquiry service http: //www. clear. scot. nhs. uk/

QI Hub resources Take the knowledge management module on the QI Hub http: //www.

QI Hub resources http: //www. qihub. scot. nhs. uk/safe/healthcare-associated-infections. aspx http: //www. qihub. scot.

Discussion How could these Knowledge into Action approaches support improvement initiatives in your area?

Summary • Knowledge into Action is a national strategy which aims to develop the

“Knowing is not enough; we must apply. Willing is not enough; we must do.

References 1. 2. 3. 4. 5. Mc. Glynn EA, et al. The quality of

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Knowledge into Action for HAI Improvement Facilitators Suzanne Wilson Improvement Manager (Knowledge into Action) NHS Education for Scotland

Bridging the Knowledge-Practice Gap • 45% defect rate in US healthcare system – patients not receiving care as recommended in guidelines. (Mc. Glynn et al, 2003) • 17 years to get research recommendations into practice. (Balas et al, 2000; Morris et al, 2011)

What is Knowledge into Action? know ledg e tra nsla tion “The move beyond simple dissemination knowledge implementation of knowledge to actual use of knowledge” e c i t c a r p Straus, et al (2009) d e s a b e c n e evid implementation science

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, personcentred care?

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, personcentred, efficient care.

Knowledge as process Practice Know-how: Know-what • Journals Research Know-where • Systems • Processes • Variation • Actionable • Relational • Organisational • MEDLINE Know-who • Cochrane Experience • Service user • Practitioner • Teams

Knowledge as process Relational use of knowledge • Communities of Practice Know-how: Actionable knowledge • Checklists • Actionable • Relational • Organisational • Social networking • Social learning Organisational enablers • Knowledge broker • Pathways • Mobile apps • Sourcing and combining different types of knowledge • Building workforce capabilities • Tests of change to demonstrate impact

Discussion How do you find, use and combine different types of knowledge in your practice? • Know-what • Know-where • Know-who • Know-how

Example – Sepsis Sourcing and presenting ‘know what’ and ‘know where’ in an actionable format to inform the ‘know how’ Providing actionable, mobile solutions to make it easy to do the right thing Sharing experience and knowledge via a community of practice

Example – pressure ulcers Shared experience Tools and bundles to support implementation What does best practice look like? http: //www. healthcareimprovementscotland. org/our_work/patient_safety/tissue_viability. aspx

Example – Enquiry service http: //www. clear. scot. nhs. uk/

QI Hub resources Take the knowledge management module on the QI Hub http: //www. qihub. scot. nhs. uk/education-andlearning/qi-e-learning. aspx

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

Discussion How could these Knowledge into Action approaches support improvement initiatives in your area? What could you try tomorrow?

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.

“Knowing is not enough; we must apply. Willing is not enough; we must do. ” - J. W. Goethe (1749 – 1832)?

References 1. 2. 3. 4. 5. Mc. Glynn EA, et al. The quality of health care delivered to adults in the United States. NEJM. 2003. 348: 2635 -2645. 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/Managingclinicalknowledg eforhealthcareimprovement. aspx 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. Straus SE, Tetroe J, Graham ID. Knowledge Translation in Health Care: Moving from Evidence to Practice. Oxford: Blackwell Publishing Ltd. 2009. NHS Education for Scotland Healthcare Improvement Scotland. Getting Knowledge into Action to Improve Healthcare Quality: Report of Strategic Review and Recommendations. 2012.