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EBX01000000000000001060146 |
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200523 r ||| eng |
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|a Morrow, Allison S.
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|a Facilitating the implementation of EPC reports in learning health systems engaged in quality initiatives
|h Elektronische Ressource
|b an EPC pilot project on ADHD
|c investigators, Allison S. Morrow, Mary Butler, M. Hassan Murad
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|a Rockville, MD
|b Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services
|c October 2019, 2019
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|a 1 PDF file (various pagings)
|b illustration
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|a Includes bibliographical references
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|a Pilot Projects
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|a Evidence-Based Medicine
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|a Outcome Assessment, Health Care
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|a Attention Deficit Disorder with Hyperactivity / therapy
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| 653 |
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|a Quality Improvement
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| 700 |
1 |
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|a Butler, Mary
|e [author]
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|a Murad, M. Hassan
|e [author]
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|a United States
|b Agency for Healthcare Research and Quality
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|a Mayo Clinic Evidence-based Practice Center
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|a Minnesota Evidence-based Practice Center
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|a eng
|2 ISO 639-2
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| 989 |
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|b NCBI
|a National Center for Biotechnology Information
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|a Methods research report
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|a "Contract No. 290-2015-00013-I; 290-2015-00008-I."
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|u https://www.ncbi.nlm.nih.gov/books/NBK549354
|3 Volltext
|n NLM Bookshelf Books
|3 Volltext
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|a 610
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|a The lessons learned from this pilot project include; (1) Post publication processing of EPC reports is needed to cater to a health system QI needs, (2) A product with narrow focus is critical for QI initiatives, (3) Engagement of stakeholders is essential, (4) Data need to be re-extracted from included studies, and (5) Additional sources of data from outside the report are commonly required. An implementation tool derived from an EPC report and developed with stakeholder feedback may facilitate implementation of evidence in a health system engaged in a quality improvement initiative
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| 520 |
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|a We presented the tool to representatives from two health systems and two parents of children with ADHD to obtain feedback and modify/enhance the product in an iterative fashion. A designer assisted in improving the usability, readability, and presentation of the product. Stakeholders requested practical information to support applying the findings of the evidence report, including a parent and family education guide, resources to recommend for parents, current best practices from leading practitioners, and advise on medication management. We developed a parent and family education guide that included example curricula based on three randomized trials identified by the report. Cost information was explicitly requested but was difficult to obtain. Health system stakeholders and parents of children valued the guide, suggesting possible new products for the EPC program.
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| 520 |
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|a Evidence synthesis reports prepared by the Evidence-based Practice (EPC) program are critical to providing evidence for clinical practice and guideline development. However, from the perspective of a health system focused on quality improvement (QI), such large evidence reports with wide scope are difficult to implement within a QI initiative. We consulted with two health systems to identify a published EPC report on a topic of interest to future quality initiatives. After identifying the target report on attention deficit hyperactivity disorder (ADHD), we gathered feedback from the health system to determine what information on ADHD treatments is the most relevant to their quality initiatives and the most useful way to deliver this information. We then developed a prototype product derived from the original EPC report, supplemented by newly abstracted contextual material from the included studies as well as outside resources.
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