Clinical spotlight intervention to accelerate translation of evidence-based practices in primary care

BMJ Open Quality

article

Kavita Chawla¹  Richard Furlong¹  Norris Kamo¹  Ingrid Gerbino¹  Donna Smith¹  Craig Blackmore² 

[1] Primary Care , Virginia Mason Medical Center;Center for Health Care Improvement Science , Virginia Mason Franciscan Health;Department of Radiology , University of Washington

关键词: Chronic disease management;    Educational outreach;    academic detialing;    Healthcare quality improvement;    Primary care;   

DOI  :  10.1136/bmjoq-2022-002032

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Evidence-based medical practice is often slow to diffuse into widespread clinical practice. To accelerate translation of updated best practices into clinical care, we developed a quality improvement intervention called the ‘Clinical Spotlight’. This programme was based on a knowledge translation model of four steps: education on evidence-based practices, using Lean for incorporation into patient care flow, support of implementation and sustainability, and measurement of outcomes. Using the Clinical Spotlight intervention for addressing the care of patients with type 2 diabetes was associated with appropriate increases in the use of newer classes of glycaemic control medications. We demonstrate statistically significant increases in the use of promoted glycaemic control agents (sodium-glucose cotransporter-2 inhibitor and glucagon-like peptide-1 receptor agonist classes of drugs) at the time of intervention. We conclude that translation of evidence-based practices into clinical care can be enhanced through an educational intervention linked to Lean process improvement and with supported implementation. We are currently expanding our programme to additional clinical areas in primary care.Chronic disease managementEducational outreach, academic detialingHealthcare quality improvementPrimary careData availability statementData are available on reasonable request. All data relevant to the study are included in the article or uploaded as online supplemental information. Further information can be made available upon reasonable request to the corresponding author.http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND