Article type
Abstract
Background: More than a 20-fold increase in systematic reviews (SRs) indexed in PubMed has been observed over the last 20 years, resulting in an estimated 80 SRs published each day. Although the general objective of published SRs is to influence evidence-based clinical practice, strategies used by healthcare organizations to implement the findings of SRs are less well understood.
Objectives: To describe the knowledge translation and implementation strategies used by Kaiser Permanente Southern California’s Evidence Scanning for Clinical and Operational Practice Efficiencies (E-SCOPE) program to integrate high-quality SRs into clinical practice.
Methods: E-SCOPE staff identify published SRs through searches of key sources, including PubMed, the Cochrane Library, BMJ Rapid Recs, and other scientific databases. A priority is placed on identifying high-quality SRs of diagnostic and therapeutic interventions that yield improved health outcomes, quality, and/or efficiency of care delivery. Once SRs are identified, E-SCOPE staff then work closely with clinical and operational stakeholders to interpret and translate evidence into recommendations and a feasible implementation plan, leveraging existing organizational processes and resources. To ensure successful implementation and sustainability, E-SCOPE project managers oversee implementation efforts, facilitate practice owner identification and, as needed, create measurement plans using data drawn from electronic health systems and other data sources.
Results: The E-SCOPE program has implemented 83 practices based on results from high-quality published SRs, including 19 Cochrane SRs and 4 BMJ/MAGIC Rapid Recs, to improve the overall quality of care provided to more than 4.8 million members. Using a knowledge translation and use model, the time from review publication to implementation averages 16 months (ranging from 4 to 36 months).
Conclusions: E-SCOPE enhances SR translation processes by making optimal use of published SRs, translating the evidence findings to clinical stakeholders, developing clinical recommendations, and leveraging existing organizational channels for practice implementation. Prioritizing identification of practices with an established, high-quality evidence base is generalizable and can efficiently and effectively promote adoption of SRs within healthcare systems. Approaches to knowledge translation prioritizing published SRs has the capacity to significantly improve the quality and delivery of patient care. Examples of E-SCOPE initiatives based on published SRs will be discussed.
Objectives: To describe the knowledge translation and implementation strategies used by Kaiser Permanente Southern California’s Evidence Scanning for Clinical and Operational Practice Efficiencies (E-SCOPE) program to integrate high-quality SRs into clinical practice.
Methods: E-SCOPE staff identify published SRs through searches of key sources, including PubMed, the Cochrane Library, BMJ Rapid Recs, and other scientific databases. A priority is placed on identifying high-quality SRs of diagnostic and therapeutic interventions that yield improved health outcomes, quality, and/or efficiency of care delivery. Once SRs are identified, E-SCOPE staff then work closely with clinical and operational stakeholders to interpret and translate evidence into recommendations and a feasible implementation plan, leveraging existing organizational processes and resources. To ensure successful implementation and sustainability, E-SCOPE project managers oversee implementation efforts, facilitate practice owner identification and, as needed, create measurement plans using data drawn from electronic health systems and other data sources.
Results: The E-SCOPE program has implemented 83 practices based on results from high-quality published SRs, including 19 Cochrane SRs and 4 BMJ/MAGIC Rapid Recs, to improve the overall quality of care provided to more than 4.8 million members. Using a knowledge translation and use model, the time from review publication to implementation averages 16 months (ranging from 4 to 36 months).
Conclusions: E-SCOPE enhances SR translation processes by making optimal use of published SRs, translating the evidence findings to clinical stakeholders, developing clinical recommendations, and leveraging existing organizational channels for practice implementation. Prioritizing identification of practices with an established, high-quality evidence base is generalizable and can efficiently and effectively promote adoption of SRs within healthcare systems. Approaches to knowledge translation prioritizing published SRs has the capacity to significantly improve the quality and delivery of patient care. Examples of E-SCOPE initiatives based on published SRs will be discussed.