“…Together, this body of work suggests that expanding local pediatric expertise and resources may reduce both overall transfers and probably avoidable transfers. This is consistent with recognition of the difficulty and uncertainty that emergency physicians phase when risk stratifying children in the ED . Strategies to address this problem may include pediatric physician and nursing champions in nonpediatric EDs and active educational outreach by pediatric ED specialists to community providers to facilitate ongoing pediatric‐specific education and knowledge translation.…”
Section: Discussionsupporting
confidence: 59%
“…This is consistent with recognition of the difficulty and uncertainty that emergency physicians phase when risk stratifying children in the ED . Strategies to address this problem may include pediatric physician and nursing champions in nonpediatric EDs and active educational outreach by pediatric ED specialists to community providers to facilitate ongoing pediatric‐specific education and knowledge translation. Telemedicine offers another potential means of extending pediatric expertise to additional EDs.…”
Among pediatric emergency transfers in a large state Medicaid program with a nearly 20% probably avoidable transfer rate, there was significant hospital-level variation in the proportion of probably avoidable transfers. Transfers from hospitals in large metropolitan areas and transfers from hospitals without pediatric-specific capabilities had increased odds of being probably avoidable transfers, such that these hospitals may represent targets for interventions to reduce these transfers.
“…Together, this body of work suggests that expanding local pediatric expertise and resources may reduce both overall transfers and probably avoidable transfers. This is consistent with recognition of the difficulty and uncertainty that emergency physicians phase when risk stratifying children in the ED . Strategies to address this problem may include pediatric physician and nursing champions in nonpediatric EDs and active educational outreach by pediatric ED specialists to community providers to facilitate ongoing pediatric‐specific education and knowledge translation.…”
Section: Discussionsupporting
confidence: 59%
“…This is consistent with recognition of the difficulty and uncertainty that emergency physicians phase when risk stratifying children in the ED . Strategies to address this problem may include pediatric physician and nursing champions in nonpediatric EDs and active educational outreach by pediatric ED specialists to community providers to facilitate ongoing pediatric‐specific education and knowledge translation. Telemedicine offers another potential means of extending pediatric expertise to additional EDs.…”
Among pediatric emergency transfers in a large state Medicaid program with a nearly 20% probably avoidable transfer rate, there was significant hospital-level variation in the proportion of probably avoidable transfers. Transfers from hospitals in large metropolitan areas and transfers from hospitals without pediatric-specific capabilities had increased odds of being probably avoidable transfers, such that these hospitals may represent targets for interventions to reduce these transfers.
“…66,67 Researchers and research networks have described the importance of online dissemination and their intention to use the internet as an engine for engaging CoPs. 52,53,55,56,62…”
Background: The use of free open-access medical education (FOAM) and other online knowledge dissemination methods has increased over the past decade. However, the role and impact of these tools in the knowledge translation continuum are poorly understood, potentially limiting the ability of knowledge generators to fully harness and exploit their potential. Here, we aim to comprehensively map and synthesize the literature describing the use of online tools for the dissemination of emergency medicine research. Methods: Using scoping review methodology, we searched the traditional literature via PubMed, CINAHL, EMBASE, ERIC, SCOPUS, and the gray literature for publications exploring online methods to disseminate new research findings. We synthesized the results and constructed a conceptual model of current research dissemination methods.
Results:We included 79 out of 655 unique abstracts and articles identified in our search, 62 of which were from the traditional literature. We describe six primary domains: integration with traditional literature, measurement of dissemination, online organizations and communities of practice, professional development, quality assurance tools and techniques, and advantages and disadvantages of FOAM. For each domain we present an exemplar article and prevailing gaps in knowledge. Finally, we propose a current conceptual framework for dissemination of new research findings that describes both traditional and novel methods of dissemination.
Conclusions:This comprehensive review of the literature and current dissemination framework will empower researchers, research networks, and granting organizations to maximize their use of FOAM and other online methods to disseminate new knowledge as well as provide clinicians a better understanding of the tools and methods by which to access and implement new research findings.
“…In a survey of Canadian emergency medicine practitioners, 99.5% of residents described using FOAMed resources for general emergency medicine education. Furthermore, pediatric-specific FOAMed resources have been developed -an important step towards the translation of PEM research [10,11].…”
The increasing prevalence of pediatric mental health presentations in pediatric emergency departments (PED) requires improved integration of evidence-based management strategies. Social media, specifically Twitter, has shown potential to aid in closing the knowledge translation (KT) gap between these evidencebased management strategies and pediatric emergency medicine (PEM) providers.
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