Catherine L Wilson1, David Johnson2, Ed Oakley1,3,4. 1. Departments of Emergency Research, Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne, Victoria, Australia. 2. Departments of Pediatrics and Physiology and Pharmacology, Cummings School of Medicine, University of Calgary, Calgary, Alberta, Canada. 3. Department of Emergency Medicine, Royal Children's Hospital, Melbourne, Victoria, Australia. 4. Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
Abstract
AIM: Systematic review of knowledge translation studies focused on paediatric emergency care to describe and assess the interventions used in emergency department settings. METHODS: Electronic databases were searched for knowledge translation studies conducted in the emergency department that included the care of children. Two researchers independently reviewed the studies. RESULTS: From 1305 publications identified, 15 studies of varied design were included. Four were cluster-controlled trials, two patient-level randomised controlled trials, two interrupted time series, one descriptive study and six before and after intervention studies. Knowledge translation interventions were predominantly aimed at the treating clinician, with some targeting the organisation. Studies assessed effectiveness of interventions over 6-12 months in before and after studies, and 3-28 months in cluster or patient level controlled trials. Changes in clinical practice were variable, with studies on single disease and single treatments in a single site showing greater improvement. CONCLUSIONS: Evidence for effective methods to translate knowledge into practice in paediatric emergency medicine is fairly limited. More optimal study designs with more explicit descriptions of interventions are needed to facilitate other groups to effectively apply these procedures in their own setting.
AIM: Systematic review of knowledge translation studies focused on paediatric emergency care to describe and assess the interventions used in emergency department settings. METHODS: Electronic databases were searched for knowledge translation studies conducted in the emergency department that included the care of children. Two researchers independently reviewed the studies. RESULTS: From 1305 publications identified, 15 studies of varied design were included. Four were cluster-controlled trials, two patient-level randomised controlled trials, two interrupted time series, one descriptive study and six before and after intervention studies. Knowledge translation interventions were predominantly aimed at the treating clinician, with some targeting the organisation. Studies assessed effectiveness of interventions over 6-12 months in before and after studies, and 3-28 months in cluster or patient level controlled trials. Changes in clinical practice were variable, with studies on single disease and single treatments in a single site showing greater improvement. CONCLUSIONS: Evidence for effective methods to translate knowledge into practice in paediatric emergency medicine is fairly limited. More optimal study designs with more explicit descriptions of interventions are needed to facilitate other groups to effectively apply these procedures in their own setting.
Authors: Libby Haskell; Emma J Tavender; Catherine Wilson; Sharon O'Brien; Franz E Babl; Meredith L Borland; Liz Cotterell; Tibor Schuster; Francesca Orsini; Nicolette Sheridan; David Johnson; Ed Oakley; Stuart R Dalziel Journal: BMC Pediatr Date: 2018-07-06 Impact factor: 2.125
Authors: Libby Haskell; Emma J Tavender; Catherine Wilson; Franz E Babl; Ed Oakley; Nicolette Sheridan; Stuart R Dalziel Journal: BMC Pediatr Date: 2020-05-01 Impact factor: 2.125
Authors: Claude Bernard Uwizeye; Hervé Tchala Vignon Zomahoun; André Bussières; Aliki Thomas; Dahlia Kairy; José Massougbodji; Nathalie Rheault; Sébastien Tchoubi; Leonel Philibert; Serigne Abib Gaye; Lobna Khadraoui; Ali Ben Charif; Ella Diendéré; Léa Langlois; Michèle Dugas; France Légaré Journal: Interact J Med Res Date: 2022-07-11
Authors: Victoria Ramsden; Franz E Babl; Stuart R Dalziel; Sandy Middleton; Ed Oakley; Libby Haskell; Anna Lithgow; Francesca Orsini; Rachel Schembri; Alexandra Wallace; Catherine L Wilson; Elizabeth McInnes; Peter H Wilson; Emma Tavender Journal: BMC Health Serv Res Date: 2022-08-29 Impact factor: 2.908
Authors: Libby Haskell; Emma J Tavender; Catherine L Wilson; Sharon O'Brien; Franz E Babl; Meredith L Borland; Elizabeth Cotterell; Nicolette Sheridan; Ed Oakley; Stuart R Dalziel Journal: BMC Health Serv Res Date: 2021-08-03 Impact factor: 2.655