The Routine-to-Research (R2R) concept: Your way out of a research dead end อ.นพ.อัครินทร์ นิมมานนิตย์

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The two Death Valleys of the clinical
translational continuum
Capacity to translate research results to the next stage, affecting, first, our
ability to commercialize research results (Valley 1), and, second, our
effectiveness at moving results into clinical practice (Valley 2)
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Standardized work (Checklist)
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Benefit of Post PCI Medical Checklist to
Improve Adhering with Best Practice
Guidelines in the Patients with Coronary
artery disease undergoing Percutaneous
Coronary Intervention (PCI)

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42. R2R becomes National Hospital
Accreditation Scoring Criteria
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101. Combined 2.5%
Phenylephrine and
0.75%Tropicamide
Double-blind Randomized controlled trial
Patients
# of Pupil size 7
mm
# of Pupil size 7
mm
40 min and 120 min
Primary Outcome: Number of patients whose pupil
reached 7 mm. within 40 minutes

102. Results
Outcomes
Sequential
drug
(n=18)
Combined
drug (n=22)
p -
value
Number of patients whose pupil
reached 7 mm. within 40 minutes 38.9% 77.3% 0.02
Pupil size: mean ± SD (mm.)
At 40 minutes
At 2 hours
6.0 ± 0.9
6.7 ± 0.8
6.6 ± 0.8
6.8 ± 0.9
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0.44
For the combined drug, Time to pupil size 7 mm = 32 min (mean)
Blood pressure and pulse rate were stable and similar in both
groups.
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107. Medical Institute of the Kingdom
toward International Excellence
Human Capital
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Publication
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Quality Criteria e.g. HA, JCIA TQA
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• Care team: care process
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process, report
• Lean: Value Stream Mapping
• Siriraj Clinical Tracer + (SiCT+)
2. 1%* + -Complaint incidence
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~300 R2R projects
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“Who said the supporting staff can’t conduct research”
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Knowledge assets: website, slides sounds
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“R2R is the Journey, not Destiny” 66
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