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

项目主任/首席调查员：LaGrone，Lacey N. 项目摘要/摘要 伤害占1-46岁美国人死亡的47%，每年造成6720亿美元的损失 在医疗费用和生产力损失方面。伤害的患病率超过了癌症、糖尿病和心脏病 和成本(1-2)。在获得高质量的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留下了许多 创伤提供者无法获得最新的、资源相关的、用户友好的、值得信赖的临床 指导。公共领域包含现有临床实践指南中的冗余和空白，即 主要由学术一级创伤中心开发，通常主要为这些中心开发，没有代表 地理、学科或文化在起源或适用性上的多样性。2016年美国国家科学院， 一份关于国家创伤护理系统的工程和医学报告承认，“缺乏正规、 为创伤护理的协调、沟通和翻译提供资金的机制有…贡献的…至 在美国，受伤患者的结局并不理想(5)。 为期三年的系列会议，为实施而设计：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，让利益相关者参与进来，以便更好地理解用户需求，并最终 制定临床指导发展和传播的国家战略。这次会议将充分利用 在传播和传播方面拥有全球专业知识的领导者和最终用户的专业知识、观点和地位 实施科学、医院管理、开发、临床护理、信息学和患者体验。 会议系列将在结构上遵循执行科学原则，每年都有一个 教育、数据获取和执行重点。第一年的重点将是背景调查和利益相关者 参与度，其次是可感知的执行结果(可接受性、适当性、可行性)，以及 关于行为实施结果(采用、保真度、可持续性)的最后一年。系列会议 旨在为国家计划的制定提供信息，为此提供额外资金，如传播 实践资助金，将被申请。 页面续订格式页面

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