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

实施设计：创伤研究和临床指导的未来

• 批准号: 10616417
• 负责人: Lacey LaGrone
• 金额: $ 5万
• 依托单位: COALITION FOR NATIONAL TRAUMA RESEARCH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-03-01 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10616417
• 关键词: Design; Implementation; Future; Trauma; Research

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

项目总监/首席研究员：LaGrone, Lacey N. 项目概要/摘要 1-46 岁美国人死亡的 47% 是由伤害造成的，每年造成 6,720 亿美元的损失 医疗费用和生产力损失。损伤的患病率超过了癌症、糖尿病和心脏病 和成本（1-2）。在获得优质伤害护理方面仍然存在巨大的不平等，估计有五分之一的人 创伤死亡是可以预防的。创伤知识转移的现状仍存在许多问题 创伤提供者无法充分获得最新的、资源相关的、用户友好的、值得信赖的临床信息 指导。公共领域在现有临床实践指南中存在冗余和空白， 主要由学术一级创伤中心开发，通常主要为其服务，不代表 地理、学科或文化起源或适用性的多样性。 2016 年美国国家科学院， 关于国家创伤护理系统的工程和医学报告承认，“缺乏正式的、 创伤护理中的协调、沟通和翻译资助机制……有助于…… 美国受伤患者的治疗效果不佳 (5)。” 为期三年的会议系列，实施设计：创伤研究和指导的未来 将应用传播和实施科学、敏捷团队促进和成人的最佳实践 学习理论以包容性地吸引利益相关者，以便更好地了解用户需求，并最终 制定临床指导开发和传播的国家战略。会议将利用 具有全球传播和传播专业知识的领导者和最终用户的专业知识、观点和立场 实施科学、医院管理、发展、临床护理、信息学和患者体验。 该系列会议在结构上将遵循实施科学原则，每年都有一个 教育、数据采集和执行重点。第一年将重点关注背景调查和利益相关者 参与度，其次是感知实施结果（可接受性、适当性、可行性），以及 最后一年的行为实施成果（采用、忠诚度、可持续性）。会议系列 旨在为国家计划的制定提供信息，为此需要额外资金，例如传播资金 将寻求实践补助金。 页面延续格式页面