Journal article
Knowledge Translation and Barriers to Imaging Optimization in the Emergency Department: A Research Agenda
Academic emergency medicine, v 22(12), pp 1455-1464
Dec 2015
PMID: 26568148
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Researchers have attempted to optimize imaging utilization by describing which clinical variables are more predictive of acute disease and, conversely, what combination of variables can obviate the need for imaging. These results are then used to develop evidence-based clinical pathways, clinical decision instruments, and clinical practice guidelines. Despite the validation of these results in subsequent studies, with some demonstrating improved outcomes, their actual use is often limited. This article outlines a research agenda to promote the dissemination and implementation (also known as knowledge translation) of evidence-based interventions for emergency department (ED) imaging, i.e., clinical pathways, clinical decision instruments, and clinical practice guidelines. We convened a multidisciplinary group of stakeholders and held online and telephone discussions over a 6-month period culminating in an in-person meeting at the 2015 Academic Emergency Medicine consensus conference. We identified the following four overarching research questions: 1) what determinants (barriers and facilitators) influence emergency physicians' use of evidence-based interventions when ordering imaging in the ED; 2) what implementation strategies at the institutional level can improve the use of evidence-based interventions for ED imaging; 3) what interventions at the health care policy level can facilitate the adoption of evidence-based interventions for ED imaging; and 4) how can health information technology, including electronic health records, clinical decision support, and health information exchanges, be used to increase awareness, use, and adherence to evidence-based interventions for ED imaging? Advancing research that addresses these questions will provide valuable information as to how we can use evidence-based interventions to optimize imaging utilization and ultimately improve patient care.
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Details
- Title
- Knowledge Translation and Barriers to Imaging Optimization in the Emergency Department: A Research Agenda
- Creators
- Marc A Probst - Icahn School of Medicine at Mount SinaiPeter S Dayan - Columbia UniversityAli S Raja - Massachusetts General HospitalBenjamin H Slovis - Icahn School of Medicine at Mount SinaiKabir Yadav - University of California, Los AngelesSamuel H Lam - Advocate Christ Medical CenterJason S Shapiro - Icahn School of Medicine at Mount SinaiCoreen Farris - RAND CorporationCharlene I Babcock - St. John Hospital & Medical CenterRichard T Griffey - Washington University in St. LouisThomas E Robey - Waterbury HospitalEmily M Fortin - Central Michigan UniversityJamlik O Johnson - Emory HealthcareSuzanne T Chong - Michigan MedicineMoira Davenport - Allegheny General HospitalDaniel W Grigat - Alberta HealthEddy L Lang - University of Calgary
- Publication Details
- Academic emergency medicine, v 22(12), pp 1455-1464
- Publisher
- Wiley
- Grant note
- 1 R13 EB 019813-01 / NIBIB NIH HHS 1R13HS023498-01 / AHRQ HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Emergency Medicine
- Web of Science ID
- WOS:000367828900012
- Scopus ID
- 2-s2.0-84956668592
- Other Identifier
- 991021903296304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Emergency Medicine