An easy to follow step-wise road-map for a Knowledge Translation Intervention

1. KT2 Knowledge Translation Actions Template at the Micro Level
Knowledge Translation Template
1. Identify the
Knowledge-ToAction Gap
(Process Change
Skills)
________________
(Sources of
Information for
Pin-pointing the
Gap)
Organization
level:
{ } Health records
{ } Chart audits
e.g. M&M reports
Provider level:
{ } Direct
observation
{ } Questionnaires
Patient initiated:
{} Complaints
{} Questionnaires
2. Measure the
Magnitude of the
Defect
(Process Change
Skills)
_____________
(Audit e.g. Chart
Review)
Baseline for
future
comparison-postIntervention.
3. Pass the
Information to
the KT Team
(Process Change
Skills)
_____________
(Flow Chart a
Patient Journey
to Identify the
Team Members)
Multidisciplinary
a. Clinicians
b. Pharmacists
c. Nursing
d. Trainees
e. Quality Mgt
staff
f. Monitors
g. Statistician
h. Librarian (EBM)
i. Patient
representative
4. Search for &
Appraise the
Evidence
(EBM skills)
________________
1. For Identifying
‘New”
Evidence:
a. Secondary
Sources e.g.
Guidelines
Clearinghouse,
Cochrane etc
b. Primary Sources
e.g. Pubmed etc
2. For
Publications on
KT
Interventions
for a Similar
KT Gap e.g. in
a. AHRQ website
b. NICE website
c. Guidelines
websites
d. Pubmed
5. Assess Barriers
to Knowledge
Use: Identify the
Cause(s) e.g. Root
Cause Analysis,
Fish-bone
Diagram
Analysis etc
(Process Change
Skills)
___________
a. Organizational
(Structure e.g. no
policy, poor
staffing/training
program etc &
Process e.g. no
reminder tools,
no monitoring
etc)
b. Individual
[ ] Knowledge
[ ] Attitude
[ ] Skills
c. Social
(acceptability by
society &
patients)
1. AHRQ Agency for Healthcare Research and Quality http://www.ahrq.gov/
6. Adapt
Knowledge to
Local Context
(Adaptability)
(EBM skills)
(Process
Change
Skills)
___________
Presence or
Absence of
Adequate
Resources:
a. Manpower
b. Financial
c. Equipment
d. Etc
(The ADAPT
Tool).
7.
8.
5. ICSI Institute for Clinical Systems Improvements https://www.icsi.org/
6.
Society of Hospital Medicine: http://www.hospitalmedicine.org/
d. System Redesign/ Talent
Profiling e.g. Care Teams,
Monitors etc
2. Healthcare Provider
Directed
a. Training Program
b. CompetencyCertification
3. Patient Directed:
a. Education
b. Partnership agreements
etc
4. Community Directed
a. Education
b. Integrated Care (e.g.
Home Health Care)
-Knowledge use
by providers.
-Knowledge use
by patients.
8b. Monitor
Outcomes
(Process
Change Skills)
_____________
[ ] Outcome
Variance
(Audit)
Impact on:
- Patients
- Providers
- Organization
9. Sustained
Knowledge Use
(Process Change
Skills)
_____________
a. Regular Audit
b. Regular Update
c. Incentives
d. Accredit/Certify
[ ] Balancing
Variance
Impact on other
unrelated
outcomes/
services
Innovations Exchange for New Ideas of Care
NHS Improvement: http://www.institute.nhs.uk/,
http://www.nhsiq.nhs.uk/
4. Institute for Healthcare Improvement:
http://www.ihi.org/IHI/Topics/LeadingSystemImprovement/
Clinical Pathways, Protocols,
Order Sets, Check-lists etc
8a. Monitor
Knowledge Use
(Process
Change Skills)
_____________
[ ] Process
Variance
(Audit)
http://innovations.ahrq.gov/
2. National Guidelines Clearinghouse™ : http://www.guideline.gov/
3. NICE National Institute for Health and Clinical Excellence: www.nice.org.uk
7. Select, Tailor,
Implement Interventions
(EBM skills)
(Process Change Skills)
(System Redesign Skills)
________________
1. Organization Directed:
a. Leadership/Legislation
b. Policies & Procedures c.
c. Reminder Systems:
9.
Google: www.google.com
10. Pubmed: www.pubmed.org
11. Clinical Improvement
Skills: http://www.improvementskills.org/index.cfm
Useful Websites for KT
12. Knowledge Translation Clearinghouse: http://ktclearinghouse.ca/