SlideShare a Scribd company logo
1 of 30
Download to read offline
Knowledge Management in
  Emergency Medicine



                  Chatchai Kraysubun, MD
           Head of Emergency Department
          Chaophaya abhaibhubejhr Hospital
Think I’d Like to Share

• All about Knowledge
• What is knowledge management ?
• What is knowledge translation ?
• How to apply KM & KT in ED
Knowledge Spiral : SECI model
Knowledge management


“The process through which organizations
generate value from their intellectual and
       knowledge-based assets.”


                   Knowledge Management Research Center
Knowledge management

“A systematic process of connecting people to
  people…and people to the knowledge and
  information they need to effectively act and
           create new knowledge.”

                  American Productivity and Quality Center
Why KM ?
• The world is flat ……
• Information Overload
• High competition
KM Value Chain
KM tool
Knowledge Spiral : SECI model
Knowledge Translation
Knowledge Translation is the bridge
          between discovery and impact
Research      (KT research and
outputs       practice)



                                Research impacts




       It’s is about making a difference
Why Knowledge Translation?

• 30-45 % of patient do not received optimizing
  care
• 20%–25% of the care provided may actually be
  unneeded or even harmful


        McGlynn E, Asch SM, Adams J, et al. The quality of health care
        delivered to adults in the United State. N Engl J Med. 2003; 348:2635–45
What is Knowledge Translation?

Knowledge translation is about:
• Apply knowledge to improve health care
• Closing the gap between what we know and what we do
  (reducing the know-do gap)
• Moving knowledge into action
Knowledge Translation
Knowledge Translation

Type of activity      Objective        Process


   Diffusion          Awareness        Passive

 Dissemination      Awareness +         Active
                   Attitude change

Implementation     Attitude change +   Active+++
                   Behavior change
Glasziou P, Haynes B. ACP J Club. 2005 Mar-Apr;142(2):A8-10.
Implementation Strategies


•   Educational strategies (CME)
•   Traditional educational (Lecture)
•   Educational meetings/Interactive educational
•   Educational outreach
•   Audit/Feedback/Peer review
•   Multifaceted interventions
•   Mass media and distribution strategies
•   Guideline content and construction
•   Reminder and Decision Support System
•   Financial incentives
•   Local opinion leader
Implementation Strategies



• Multifaceted interventions
• interactive education
• clinical reminder systems
How to Approach People
Change Management
• Barrier
Knowledge Translation
Chaophayaabhaibhubejhr Experience
Scenario 1: Inhaler with Spacer
Nebulizer Versus Inhaler with Spacer in Acute Asthmatic Attack




     Holding chambers versus nebulisers for beta-agonist treatment of acute asthma
     Cates CCJ, Bara A, Crilly JA, Rowe BH. Cochrane Library March 2003
Scenario 1: Inhaler with Spacer

           Percentage of Use
35.86

                64.14




  Nebulizer
  Spacer
Scenario 2 :ISBAR

• Objectives
  – Improve
    communication
    process in ED
• Goal
  – 80% of RN adhere
    to ISBAR
Scenario 2 :ISBAR
• Implementation Strategies

   – Multifaceted interventions

       • Interactive education

       • Audit/Feedback

       • Reminder system

       • Financial incentive
Scenario 3 : Prachinburi Triage Scale

• Implementation Strategies
   – Multifaceted interventions

       • Guideline content and

         construction

       • Traditional Education

       • Audit/Feedback/Peer review

       • Local opinion leader
Scenario 4 : Disease Specified Management


• Implementation Strategies
   – Multifaceted interventions

       • Guideline content and construction

       • Traditional Education

       • Reminder

       • Audit/Feedback/Peer review

       • Financial incentives

       • Local opinion leader

More Related Content

What's hot

Professor Justin Waring - Implementing evidence and improvement
Professor Justin Waring - Implementing evidence and improvementProfessor Justin Waring - Implementing evidence and improvement
Professor Justin Waring - Implementing evidence and improvementCLAHRC-NDL
 
Professor Mike Cooke, CLAHRC East Midlands launch welcome
Professor Mike Cooke, CLAHRC East Midlands launch welcomeProfessor Mike Cooke, CLAHRC East Midlands launch welcome
Professor Mike Cooke, CLAHRC East Midlands launch welcomeCLAHRC-NDL
 
An Evironmental Scan of Interprofessional Collaborative Practice and Education
An Evironmental Scan of Interprofessional Collaborative Practice and EducationAn Evironmental Scan of Interprofessional Collaborative Practice and Education
An Evironmental Scan of Interprofessional Collaborative Practice and EducationEvan C. Marlatt
 
Stewart Mercer: Evaluation of primary care integration and transformation in ...
Stewart Mercer: Evaluation of primary care integration and transformation in ...Stewart Mercer: Evaluation of primary care integration and transformation in ...
Stewart Mercer: Evaluation of primary care integration and transformation in ...STN IMPRO
 
2016 Veronicah Change Poster
2016 Veronicah Change Poster2016 Veronicah Change Poster
2016 Veronicah Change PosterVeronicah Chweya
 
Evidence Aid: who and why
Evidence Aid: who and whyEvidence Aid: who and why
Evidence Aid: who and whyALNAP
 
Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)ALNAP
 
Safe, quality care symposium
Safe, quality care symposium Safe, quality care symposium
Safe, quality care symposium Geetanjli Kalyan
 
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...'Demystifying Knowledge Transfer- an introduction to Implementation Science M...
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...NEQOS
 
Barrier to implementing Quality improvement initiatives in low resource limit...
Barrier to implementing Quality improvement initiatives in low resource limit...Barrier to implementing Quality improvement initiatives in low resource limit...
Barrier to implementing Quality improvement initiatives in low resource limit...Geetanjli Kalyan
 
Critical thinking: a crisis in the Social Sciences - Angus Nurse (Middlesex U...
Critical thinking: a crisis in the Social Sciences - Angus Nurse (Middlesex U...Critical thinking: a crisis in the Social Sciences - Angus Nurse (Middlesex U...
Critical thinking: a crisis in the Social Sciences - Angus Nurse (Middlesex U...The Higher Education Academy
 
Bottlenecks, barriers, and solutions: Results from multicountry consultations...
Bottlenecks, barriers, and solutions: Results from multicountry consultations...Bottlenecks, barriers, and solutions: Results from multicountry consultations...
Bottlenecks, barriers, and solutions: Results from multicountry consultations...WaterAid
 
Dissemination and Implementation Research - Getting Funded
Dissemination and Implementation Research - Getting FundedDissemination and Implementation Research - Getting Funded
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
 
Strengthen Dissemination, Implementation and Improvement Science
Strengthen Dissemination, Implementation and Improvement ScienceStrengthen Dissemination, Implementation and Improvement Science
Strengthen Dissemination, Implementation and Improvement ScienceUCLA CTSI
 

What's hot (20)

Professor Justin Waring - Implementing evidence and improvement
Professor Justin Waring - Implementing evidence and improvementProfessor Justin Waring - Implementing evidence and improvement
Professor Justin Waring - Implementing evidence and improvement
 
Professor Mike Cooke, CLAHRC East Midlands launch welcome
Professor Mike Cooke, CLAHRC East Midlands launch welcomeProfessor Mike Cooke, CLAHRC East Midlands launch welcome
Professor Mike Cooke, CLAHRC East Midlands launch welcome
 
An Evironmental Scan of Interprofessional Collaborative Practice and Education
An Evironmental Scan of Interprofessional Collaborative Practice and EducationAn Evironmental Scan of Interprofessional Collaborative Practice and Education
An Evironmental Scan of Interprofessional Collaborative Practice and Education
 
Stewart Mercer: Evaluation of primary care integration and transformation in ...
Stewart Mercer: Evaluation of primary care integration and transformation in ...Stewart Mercer: Evaluation of primary care integration and transformation in ...
Stewart Mercer: Evaluation of primary care integration and transformation in ...
 
2016 Veronicah Change Poster
2016 Veronicah Change Poster2016 Veronicah Change Poster
2016 Veronicah Change Poster
 
Evidence Aid: who and why
Evidence Aid: who and whyEvidence Aid: who and why
Evidence Aid: who and why
 
Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)Systematic reviews and trials (Claire Allen, Evidence Aid)
Systematic reviews and trials (Claire Allen, Evidence Aid)
 
How Health Psychology can contribute to environmental health
How Health Psychology can contribute to environmental healthHow Health Psychology can contribute to environmental health
How Health Psychology can contribute to environmental health
 
Safe, quality care symposium
Safe, quality care symposium Safe, quality care symposium
Safe, quality care symposium
 
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...'Demystifying Knowledge Transfer- an introduction to Implementation Science M...
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...
 
Nursing innovation
Nursing innovationNursing innovation
Nursing innovation
 
Innovations in nursing
Innovations in nursingInnovations in nursing
Innovations in nursing
 
Barrier to implementing Quality improvement initiatives in low resource limit...
Barrier to implementing Quality improvement initiatives in low resource limit...Barrier to implementing Quality improvement initiatives in low resource limit...
Barrier to implementing Quality improvement initiatives in low resource limit...
 
Critical thinking: a crisis in the Social Sciences - Angus Nurse (Middlesex U...
Critical thinking: a crisis in the Social Sciences - Angus Nurse (Middlesex U...Critical thinking: a crisis in the Social Sciences - Angus Nurse (Middlesex U...
Critical thinking: a crisis in the Social Sciences - Angus Nurse (Middlesex U...
 
Bottlenecks, barriers, and solutions: Results from multicountry consultations...
Bottlenecks, barriers, and solutions: Results from multicountry consultations...Bottlenecks, barriers, and solutions: Results from multicountry consultations...
Bottlenecks, barriers, and solutions: Results from multicountry consultations...
 
Dissemination and Implementation Research - Getting Funded
Dissemination and Implementation Research - Getting FundedDissemination and Implementation Research - Getting Funded
Dissemination and Implementation Research - Getting Funded
 
Innovation in nsg
Innovation in nsgInnovation in nsg
Innovation in nsg
 
Creating value – but for whom?
Creating value – but for whom?Creating value – but for whom?
Creating value – but for whom?
 
Controlling3
Controlling3Controlling3
Controlling3
 
Strengthen Dissemination, Implementation and Improvement Science
Strengthen Dissemination, Implementation and Improvement ScienceStrengthen Dissemination, Implementation and Improvement Science
Strengthen Dissemination, Implementation and Improvement Science
 

Viewers also liked

Hypothermic resuscitation sombat
Hypothermic resuscitation sombatHypothermic resuscitation sombat
Hypothermic resuscitation sombatAimmary
 
Traditional Herbal Medicine To Increased Hemoglobin : HEALTH-FOREVER.COM
Traditional Herbal Medicine To Increased Hemoglobin : HEALTH-FOREVER.COMTraditional Herbal Medicine To Increased Hemoglobin : HEALTH-FOREVER.COM
Traditional Herbal Medicine To Increased Hemoglobin : HEALTH-FOREVER.COMHealth Forever
 
Cpg cancer pain_2556
Cpg cancer pain_2556Cpg cancer pain_2556
Cpg cancer pain_2556Aimmary
 
Immunology and Detection of Acute HIV-1 Infection
Immunology and Detection of Acute HIV-1 InfectionImmunology and Detection of Acute HIV-1 Infection
Immunology and Detection of Acute HIV-1 InfectionRongpong Plongla
 
Thai hiv guideline2010
Thai hiv guideline2010Thai hiv guideline2010
Thai hiv guideline2010Aimmary
 
Prasit acute abdomen
Prasit acute abdomenPrasit acute abdomen
Prasit acute abdomenAimmary
 

Viewers also liked (8)

Hypothermic resuscitation sombat
Hypothermic resuscitation sombatHypothermic resuscitation sombat
Hypothermic resuscitation sombat
 
Traditional Herbal Medicine To Increased Hemoglobin : HEALTH-FOREVER.COM
Traditional Herbal Medicine To Increased Hemoglobin : HEALTH-FOREVER.COMTraditional Herbal Medicine To Increased Hemoglobin : HEALTH-FOREVER.COM
Traditional Herbal Medicine To Increased Hemoglobin : HEALTH-FOREVER.COM
 
Cpg cancer pain_2556
Cpg cancer pain_2556Cpg cancer pain_2556
Cpg cancer pain_2556
 
Immunology and Detection of Acute HIV-1 Infection
Immunology and Detection of Acute HIV-1 InfectionImmunology and Detection of Acute HIV-1 Infection
Immunology and Detection of Acute HIV-1 Infection
 
Thai hiv guideline2010
Thai hiv guideline2010Thai hiv guideline2010
Thai hiv guideline2010
 
Hiv adult
Hiv adultHiv adult
Hiv adult
 
Ped hiv
Ped  hivPed  hiv
Ped hiv
 
Prasit acute abdomen
Prasit acute abdomenPrasit acute abdomen
Prasit acute abdomen
 

Similar to Knowledge management in emergency medicine chatchai

Quality in hospital
Quality in hospitalQuality in hospital
Quality in hospitalMmedsc Hahm
 
Pennine acute trust and aqua celebration event fiona thow
Pennine acute trust and aqua celebration event   fiona thowPennine acute trust and aqua celebration event   fiona thow
Pennine acute trust and aqua celebration event fiona thowNHS Improving Quality
 
Comparing Lessons from Two Health Systems and Two Projects
Comparing Lessons from Two Health Systems and Two ProjectsComparing Lessons from Two Health Systems and Two Projects
Comparing Lessons from Two Health Systems and Two ProjectsHealth Informatics New Zealand
 
Knowledge Translation: Practical Strategies for Success v1
Knowledge Translation: Practical Strategies for Success v1Knowledge Translation: Practical Strategies for Success v1
Knowledge Translation: Practical Strategies for Success v1Imad Hassan
 
Quality improvement and innovation in low resource settings_geetanjli
Quality improvement and innovation in low resource settings_geetanjliQuality improvement and innovation in low resource settings_geetanjli
Quality improvement and innovation in low resource settings_geetanjliGeetanjli Kalyan
 
Presentation 6th issl (1)
Presentation 6th issl (1)Presentation 6th issl (1)
Presentation 6th issl (1)drnach
 
Exploring the Economics of Quality Improvement Education in Healthcare: An A...
Exploring the Economics of Quality Improvement Education in Healthcare:  An A...Exploring the Economics of Quality Improvement Education in Healthcare:  An A...
Exploring the Economics of Quality Improvement Education in Healthcare: An A...Daniel McLinden
 
Person Centered Care through Integrating a Palliative Approach: Lessons from ...
Person Centered Care through Integrating a Palliative Approach: Lessons from ...Person Centered Care through Integrating a Palliative Approach: Lessons from ...
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
 
Getting a GRIP October 2007
Getting a GRIP October 2007Getting a GRIP October 2007
Getting a GRIP October 2007suelb
 
Webinar on Quality Improvement Strategies in a Team-Based Care Environment
Webinar on Quality Improvement Strategies in a Team-Based Care Environment Webinar on Quality Improvement Strategies in a Team-Based Care Environment
Webinar on Quality Improvement Strategies in a Team-Based Care Environment CHC Connecticut
 
Iec cet( b.sc.m ii yr)
Iec  cet( b.sc.m ii yr)Iec  cet( b.sc.m ii yr)
Iec cet( b.sc.m ii yr)Rahul Dhaker
 
Person-centred care -10 years of research and practice
Person-centred care -10 years of research and practicePerson-centred care -10 years of research and practice
Person-centred care -10 years of research and practiceHelen Crisp
 
Self Management Presentation - Patient Centered Medical Home 2011
Self Management Presentation - Patient Centered Medical Home 2011Self Management Presentation - Patient Centered Medical Home 2011
Self Management Presentation - Patient Centered Medical Home 2011pedenton
 
CHernandez DNP Essentials & Organization Systems Leadership.pptx
CHernandez  DNP Essentials & Organization Systems Leadership.pptxCHernandez  DNP Essentials & Organization Systems Leadership.pptx
CHernandez DNP Essentials & Organization Systems Leadership.pptxCamilleHernandez24
 
Dissiminated evidence .pptx
Dissiminated evidence .pptxDissiminated evidence .pptx
Dissiminated evidence .pptxAyatReda3
 
Inova Health System: Developing a patient centered approach to handoffs
Inova Health System: Developing a patient centered approach to handoffsInova Health System: Developing a patient centered approach to handoffs
Inova Health System: Developing a patient centered approach to handoffsPicker Institute, Inc.
 

Similar to Knowledge management in emergency medicine chatchai (20)

Quality in hospital
Quality in hospitalQuality in hospital
Quality in hospital
 
Pennine acute trust and aqua celebration event fiona thow
Pennine acute trust and aqua celebration event   fiona thowPennine acute trust and aqua celebration event   fiona thow
Pennine acute trust and aqua celebration event fiona thow
 
Comparing Lessons from Two Health Systems and Two Projects
Comparing Lessons from Two Health Systems and Two ProjectsComparing Lessons from Two Health Systems and Two Projects
Comparing Lessons from Two Health Systems and Two Projects
 
Knowledge Translation: Practical Strategies for Success v1
Knowledge Translation: Practical Strategies for Success v1Knowledge Translation: Practical Strategies for Success v1
Knowledge Translation: Practical Strategies for Success v1
 
Quality improvement and innovation in low resource settings_geetanjli
Quality improvement and innovation in low resource settings_geetanjliQuality improvement and innovation in low resource settings_geetanjli
Quality improvement and innovation in low resource settings_geetanjli
 
Presentation 6th issl (1)
Presentation 6th issl (1)Presentation 6th issl (1)
Presentation 6th issl (1)
 
Exploring the Economics of Quality Improvement Education in Healthcare: An A...
Exploring the Economics of Quality Improvement Education in Healthcare:  An A...Exploring the Economics of Quality Improvement Education in Healthcare:  An A...
Exploring the Economics of Quality Improvement Education in Healthcare: An A...
 
Person Centered Care through Integrating a Palliative Approach: Lessons from ...
Person Centered Care through Integrating a Palliative Approach: Lessons from ...Person Centered Care through Integrating a Palliative Approach: Lessons from ...
Person Centered Care through Integrating a Palliative Approach: Lessons from ...
 
Getting a GRIP October 2007
Getting a GRIP October 2007Getting a GRIP October 2007
Getting a GRIP October 2007
 
Webinar on Quality Improvement Strategies in a Team-Based Care Environment
Webinar on Quality Improvement Strategies in a Team-Based Care Environment Webinar on Quality Improvement Strategies in a Team-Based Care Environment
Webinar on Quality Improvement Strategies in a Team-Based Care Environment
 
Health service executive
Health service executiveHealth service executive
Health service executive
 
Iec cet( b.sc.m ii yr)
Iec  cet( b.sc.m ii yr)Iec  cet( b.sc.m ii yr)
Iec cet( b.sc.m ii yr)
 
Webinar: Patient Engagement
Webinar: Patient EngagementWebinar: Patient Engagement
Webinar: Patient Engagement
 
Person-centred care -10 years of research and practice
Person-centred care -10 years of research and practicePerson-centred care -10 years of research and practice
Person-centred care -10 years of research and practice
 
Nc live 8 3-10 presentation
Nc live 8 3-10 presentationNc live 8 3-10 presentation
Nc live 8 3-10 presentation
 
Self Management Presentation - Patient Centered Medical Home 2011
Self Management Presentation - Patient Centered Medical Home 2011Self Management Presentation - Patient Centered Medical Home 2011
Self Management Presentation - Patient Centered Medical Home 2011
 
CHernandez DNP Essentials & Organization Systems Leadership.pptx
CHernandez  DNP Essentials & Organization Systems Leadership.pptxCHernandez  DNP Essentials & Organization Systems Leadership.pptx
CHernandez DNP Essentials & Organization Systems Leadership.pptx
 
Dissiminated evidence .pptx
Dissiminated evidence .pptxDissiminated evidence .pptx
Dissiminated evidence .pptx
 
clinical teaching methods
clinical teaching methodsclinical teaching methods
clinical teaching methods
 
Inova Health System: Developing a patient centered approach to handoffs
Inova Health System: Developing a patient centered approach to handoffsInova Health System: Developing a patient centered approach to handoffs
Inova Health System: Developing a patient centered approach to handoffs
 

More from Aimmary

งานเยี่ยมบ้าน
งานเยี่ยมบ้านงานเยี่ยมบ้าน
งานเยี่ยมบ้านAimmary
 
Smoking cessation1
Smoking cessation1Smoking cessation1
Smoking cessation1Aimmary
 
Heal the mind_while_facing_sickness
Heal the mind_while_facing_sicknessHeal the mind_while_facing_sickness
Heal the mind_while_facing_sicknessAimmary
 
Healed body healed_mind
Healed body healed_mindHealed body healed_mind
Healed body healed_mindAimmary
 
Narain c-spine injury 2
Narain c-spine injury 2Narain c-spine injury 2
Narain c-spine injury 2Aimmary
 
Ed building-asea ncommunity-2
Ed building-asea ncommunity-2Ed building-asea ncommunity-2
Ed building-asea ncommunity-2Aimmary
 
Chitlada upper gi bleeding 2
Chitlada upper gi bleeding 2Chitlada upper gi bleeding 2
Chitlada upper gi bleeding 2Aimmary
 
การให้ความรู้เรื่องเพศศึกษา
การให้ความรู้เรื่องเพศศึกษาการให้ความรู้เรื่องเพศศึกษา
การให้ความรู้เรื่องเพศศึกษาAimmary
 
Oa knee guideline
Oa knee guidelineOa knee guideline
Oa knee guidelineAimmary
 
Fooddiabe 03334
Fooddiabe 03334Fooddiabe 03334
Fooddiabe 03334Aimmary
 
143.irritable bowel syndrome (guideline 2012)
143.irritable bowel syndrome (guideline 2012)143.irritable bowel syndrome (guideline 2012)
143.irritable bowel syndrome (guideline 2012)Aimmary
 
24.hbv and hcv guideline 2012 (update)
24.hbv and hcv guideline 2012 (update)24.hbv and hcv guideline 2012 (update)
24.hbv and hcv guideline 2012 (update)Aimmary
 
คู่มือประชาชน สำหรับการป้องกันน้ำท่วม54
คู่มือประชาชน สำหรับการป้องกันน้ำท่วม54คู่มือประชาชน สำหรับการป้องกันน้ำท่วม54
คู่มือประชาชน สำหรับการป้องกันน้ำท่วม54Aimmary
 
Vis varicella-zoster
Vis varicella-zosterVis varicella-zoster
Vis varicella-zosterAimmary
 
Update tox 2010 june 2010 summon chomchai
Update tox 2010 june 2010 summon chomchaiUpdate tox 2010 june 2010 summon chomchai
Update tox 2010 june 2010 summon chomchaiAimmary
 
Status epilepticus kong kiat
Status epilepticus kong kiatStatus epilepticus kong kiat
Status epilepticus kong kiatAimmary
 

More from Aimmary (20)

Rdu book
Rdu bookRdu book
Rdu book
 
งานเยี่ยมบ้าน
งานเยี่ยมบ้านงานเยี่ยมบ้าน
งานเยี่ยมบ้าน
 
Smoking cessation1
Smoking cessation1Smoking cessation1
Smoking cessation1
 
Heal the mind_while_facing_sickness
Heal the mind_while_facing_sicknessHeal the mind_while_facing_sickness
Heal the mind_while_facing_sickness
 
Healed body healed_mind
Healed body healed_mindHealed body healed_mind
Healed body healed_mind
 
Narain c-spine injury 2
Narain c-spine injury 2Narain c-spine injury 2
Narain c-spine injury 2
 
Ed building-asea ncommunity-2
Ed building-asea ncommunity-2Ed building-asea ncommunity-2
Ed building-asea ncommunity-2
 
Chitlada upper gi bleeding 2
Chitlada upper gi bleeding 2Chitlada upper gi bleeding 2
Chitlada upper gi bleeding 2
 
การให้ความรู้เรื่องเพศศึกษา
การให้ความรู้เรื่องเพศศึกษาการให้ความรู้เรื่องเพศศึกษา
การให้ความรู้เรื่องเพศศึกษา
 
Oa knee guideline
Oa knee guidelineOa knee guideline
Oa knee guideline
 
Fooddiabe 03334
Fooddiabe 03334Fooddiabe 03334
Fooddiabe 03334
 
143.irritable bowel syndrome (guideline 2012)
143.irritable bowel syndrome (guideline 2012)143.irritable bowel syndrome (guideline 2012)
143.irritable bowel syndrome (guideline 2012)
 
24.hbv and hcv guideline 2012 (update)
24.hbv and hcv guideline 2012 (update)24.hbv and hcv guideline 2012 (update)
24.hbv and hcv guideline 2012 (update)
 
คู่มือประชาชน สำหรับการป้องกันน้ำท่วม54
คู่มือประชาชน สำหรับการป้องกันน้ำท่วม54คู่มือประชาชน สำหรับการป้องกันน้ำท่วม54
คู่มือประชาชน สำหรับการป้องกันน้ำท่วม54
 
Vis varicella-zoster
Vis varicella-zosterVis varicella-zoster
Vis varicella-zoster
 
Vis ipv
Vis ipvVis ipv
Vis ipv
 
Vis hpv
Vis hpvVis hpv
Vis hpv
 
Vis hib
Vis hibVis hib
Vis hib
 
Update tox 2010 june 2010 summon chomchai
Update tox 2010 june 2010 summon chomchaiUpdate tox 2010 june 2010 summon chomchai
Update tox 2010 june 2010 summon chomchai
 
Status epilepticus kong kiat
Status epilepticus kong kiatStatus epilepticus kong kiat
Status epilepticus kong kiat
 

Knowledge management in emergency medicine chatchai

  • 1. Knowledge Management in Emergency Medicine Chatchai Kraysubun, MD Head of Emergency Department Chaophaya abhaibhubejhr Hospital
  • 2. Think I’d Like to Share • All about Knowledge • What is knowledge management ? • What is knowledge translation ? • How to apply KM & KT in ED
  • 3.
  • 4. Knowledge Spiral : SECI model
  • 5. Knowledge management “The process through which organizations generate value from their intellectual and knowledge-based assets.” Knowledge Management Research Center
  • 6. Knowledge management “A systematic process of connecting people to people…and people to the knowledge and information they need to effectively act and create new knowledge.” American Productivity and Quality Center
  • 7. Why KM ? • The world is flat …… • Information Overload • High competition
  • 10. Knowledge Spiral : SECI model
  • 12. Knowledge Translation is the bridge between discovery and impact Research (KT research and outputs practice) Research impacts It’s is about making a difference
  • 13. Why Knowledge Translation? • 30-45 % of patient do not received optimizing care • 20%–25% of the care provided may actually be unneeded or even harmful McGlynn E, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United State. N Engl J Med. 2003; 348:2635–45
  • 14. What is Knowledge Translation? Knowledge translation is about: • Apply knowledge to improve health care • Closing the gap between what we know and what we do (reducing the know-do gap) • Moving knowledge into action
  • 16. Knowledge Translation Type of activity Objective Process Diffusion Awareness Passive Dissemination Awareness + Active Attitude change Implementation Attitude change + Active+++ Behavior change
  • 17. Glasziou P, Haynes B. ACP J Club. 2005 Mar-Apr;142(2):A8-10.
  • 18.
  • 19. Implementation Strategies • Educational strategies (CME) • Traditional educational (Lecture) • Educational meetings/Interactive educational • Educational outreach • Audit/Feedback/Peer review • Multifaceted interventions • Mass media and distribution strategies • Guideline content and construction • Reminder and Decision Support System • Financial incentives • Local opinion leader
  • 20. Implementation Strategies • Multifaceted interventions • interactive education • clinical reminder systems
  • 21. How to Approach People
  • 25. Scenario 1: Inhaler with Spacer Nebulizer Versus Inhaler with Spacer in Acute Asthmatic Attack Holding chambers versus nebulisers for beta-agonist treatment of acute asthma Cates CCJ, Bara A, Crilly JA, Rowe BH. Cochrane Library March 2003
  • 26. Scenario 1: Inhaler with Spacer Percentage of Use 35.86 64.14 Nebulizer Spacer
  • 27. Scenario 2 :ISBAR • Objectives – Improve communication process in ED • Goal – 80% of RN adhere to ISBAR
  • 28. Scenario 2 :ISBAR • Implementation Strategies – Multifaceted interventions • Interactive education • Audit/Feedback • Reminder system • Financial incentive
  • 29. Scenario 3 : Prachinburi Triage Scale • Implementation Strategies – Multifaceted interventions • Guideline content and construction • Traditional Education • Audit/Feedback/Peer review • Local opinion leader
  • 30. Scenario 4 : Disease Specified Management • Implementation Strategies – Multifaceted interventions • Guideline content and construction • Traditional Education • Reminder • Audit/Feedback/Peer review • Financial incentives • Local opinion leader