Prioritizing evidence-based practices for acute respiratory distress syndrome using digital data: an iterative multi-stakeholder process

Sales, AE (通讯作者),Univ Michigan, Inst Healthcare Policy & Innovat, Ann Arbor, MI 48109 USA.;Sales, AE (通讯作者),Univ Michigan, Dept Learning Hlth Sci, Ann Arbor, MI 48109 USA.;Sales, AE (通讯作者),Univ Missouri, Sinclair Sch Nursing, Dept Family & Community Med, Columbia, MO 65211 USA.;Sales, AE (通讯作者),Univ Missouri, Dept Family & Community Med, Columbia, MO 65211 USA.;Sales, AE (通讯作者),VA Ann Arbor Healthcare Syst, VA Ctr Clin Management Res, Ann Arbor, MI 48105 USA.
2022-12-16
Background: Evidence-based practices (EBPs) for patients receiving invasive mechanical ventilation vary in the quality of their underlying evidence and ease of implementation. Research question: How do researchers and clinicians prioritize EBPs to help guide clinical decision-making and focus implementation efforts to improve patient care using existing, validated measures? Study design and methods: We developed a 4-step rapid method using existing criteria to prioritize EBPs associated with lower mortality and/or shorter duration of invasive mechanical ventilation for patients suffering from acute respiratory failure or acute respiratory distress syndrome. Using different types of data including surveys, we (1) identified relevant EBPs, (2) rated EBPs using the Guideline Implementability Appraisal (GLIA) tool, (3) surveyed practicing ICU clinicians from different hospital systems using a subset of GLIA criteria, and (4) developed metrics to assess EBP performance. In this paper, we describe steps 2 and 3. Result: sIn step 2, we prioritized 11 EBPs from an initial list of 30, using surveys and ratings among a small group of clinician researchers. In step 3, 42 clinicians from 8 different hospital systems provided assessments of these 11 EBPs which inform the final step of metric development. Interpretation: Our prioritization process allowed us to identify 11 EBPs out of a larger group that clinicians perceive is most likely to help optimize invasive mechanical ventilation and improve the outcomes of this vulnerable patient population. While this method was developed in critical care related to adults receiving invasive mechanical ventilation, it is adaptable to other health contexts.
IMPLEMENTATION SCIENCE
卷号:17|期号:1
ISSN:1748-5908|收录类别:SCIE
语种
英语
来源机构
West Virginia University; University of Michigan System; University of Michigan; University of Michigan System; University of Michigan; University of Michigan System; University of Michigan; Yeshiva University; Albert Einstein College of Medicine; Oregon Health & Science University; Johns Hopkins University; Johns Hopkins University; University of Missouri System; University of Missouri Columbia; University of Missouri System; University of Missouri Columbia; US Department of Veterans Affairs; Veterans Health Administration (VHA); VA Ann Arbor Healthcare System
资助信息
This project was supported by U01HL143453 and K12HL138039 from the National Heart, Lung, and Blood Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute.
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
2
2013以来使用计数
2
出版年
2022-12-16
DOI
10.1186/s13012-022-01255-y
学科领域
循证公共卫生
关键词
Implementation science Prioritization Evidence-based practices Clinical quality improvement Healthcare providers
资助机构
National Heart, Lung, and Blood Institute(United States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Heart Lung & Blood Institute (NHLBI))
WOS学科分类
Health Care Sciences & Services Health Policy & Services