Design for Implementation: The Future of Trauma Research and Clinical Guidance

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Program Director/Principal Investigator: LaGrone, Lacey N. Project Summary/Abstract Injury accounts for 47% of deaths in Americans ages 1-46, and is associated with an annual $672 billion cost in healthcare expenses and lost productivity. Injury outstrips cancer, diabetes, and heart disease in prevalence and cost (1-2). There remains vast inequity in access to quality injury care, with an estimated one-in-five trauma deaths being preventable. The current state of affairs for trauma knowledge transfer leaves many trauma providers with inadequate access to up-to-date, resource-relevant, user-friendly, trustworthy clinical guidance. The public domain contains redundancy and gaps in the existing clinical practice guidance, which is developed primarily by and often primarily for, academic level I trauma centers, without representation of geography, discipline, or cultural diversity in origin or applicability. The 2016 National Academies of Science, Engineering and Medicine report on a national trauma care system acknowledged that a “lack of formal, funded mechanisms for coordination, communication, and translation in trauma care has…contributed…to suboptimal outcomes for injured patients in the United States (5).” The three-year conference series, Design for Implementation: The Future of Trauma Research and Guidance will apply best practices from dissemination and implementation science, Agile team facilitation, and adult learning theories to inclusively engage stakeholders in order to better understand user needs, and to ultimately develop a national strategy for clinical guidance development and dissemination. The conference will leverage the expertise, perspective, and position of leaders and end-users with global expertise in dissemination and implementation science, hospital administration, development, clinical care, informatics and patient experience. The conference series will follow implementation science principles in structure, with each year having an education, data acquisition, and execution focus. The first year will focus on context inquiry and stakeholder engagement, second on perceptual implementation outcomes (acceptability, appropriateness, feasibility), and the final year on behavioral implementation outcomes (adoption, fidelity, sustainability). The conference series is intended to inform development of a national plan, for which additional funding, such as a Dissemination Practice grant, will be sought. Page Continuation Format Page