Literature DB >> 19305649

Kafka, New Orleans, the OARs and the KT boundary: reverse the flow of Kafka's fable of the Imperial Message and you have the problem of Knowledge Transfer--the message is not getting through.

Robert G Evans1.   

Abstract

The dying emperor in Kafka's tale has sent you a message of great importance, entrusted to his strongest herald. But the throne room, the palace, the city are so huge and so crowded with people that the message can never reach you. Reverse the tale and you have the problem of Knowledge Transfer (KT)--brutally illustrated by the fate of New Orleans. Important information, of unquestioned validity, soundly based in research and easy to understand, simply does not get through to practice. A recent evaluation of the Ottawa Ankle Rules makes the point all too clearly. Indeed, the KT problem is worse than Kafka's. Economically motivated people and organizations actively distort the messages--and try to trip the herald--while grossly oversimplified frameworks of understanding include no language in which the messages can be expressed. "More research" is not the answer.

Entities:  

Year:  2006        PMID: 19305649      PMCID: PMC2585332     

Source DB:  PubMed          Journal:  Healthc Policy        ISSN: 1715-6572


  7 in total

1.  Do Canadian civil servants care about the health of populations?

Authors:  John N Lavis; Suzanne E Ross; Gregory L Stoddart; Joanne M Hohenadel; Christopher B McLeod; Robert G Evans
Journal:  Am J Public Health       Date:  2003-04       Impact factor: 9.308

2.  Ottawa ankle rules for the injured ankle.

Authors:  John Heyworth
Journal:  BMJ       Date:  2003-02-22

3.  Clinical decision rules "in the real world": how a widely disseminated rule is used in everyday practice.

Authors:  Jamie C Brehaut; Ian G Stiell; Laura Visentin; Ian D Graham
Journal:  Acad Emerg Med       Date:  2005-09-15       Impact factor: 3.451

Review 4.  Do practice guidelines guide practice? The effect of a consensus statement on the practice of physicians.

Authors:  J Lomas; G M Anderson; K Domnick-Pierre; E Vayda; M W Enkin; W J Hannah
Journal:  N Engl J Med       Date:  1989-11-09       Impact factor: 91.245

5.  A study to develop clinical decision rules for the use of radiography in acute ankle injuries.

Authors:  I G Stiell; G H Greenberg; R D McKnight; R C Nair; I McDowell; J R Worthington
Journal:  Ann Emerg Med       Date:  1992-04       Impact factor: 5.721

6.  No impact from active dissemination of the Ottawa Ankle Rules: further evidence of the need for local implementation of practice guidelines.

Authors:  C Cameron; C D Naylor
Journal:  CMAJ       Date:  1999-04-20       Impact factor: 8.262

7.  Implementation of the Ottawa ankle rules.

Authors:  I G Stiell; R D McKnight; G H Greenberg; I McDowell; R C Nair; G A Wells; C Johns; J R Worthington
Journal:  JAMA       Date:  1994-03-16       Impact factor: 56.272

  7 in total

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