Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol
BackgroundTrauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the qual...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2015-02-01
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| Series: | JMIR Research Protocols |
| Online Access: | http://www.researchprotocols.org/2015/1/e21/ |
| _version_ | 1818385977678233600 |
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| author | Archambault, Patrick M Turgeon, Alexis F Witteman, Holly O Lauzier, François Moore, Lynne Lamontagne, François Horsley, Tanya Gagnon, Marie-Pierre Droit, Arnaud Weiss, Matthew Tremblay, Sébastien Lachaine, Jean Le Sage, Natalie Émond, Marcel Berthelot, Simon Plaisance, Ariane Lapointe, Jean Razek, Tarek van de Belt, Tom H Brand, Kevin Bérubé, Mélanie Clément, Julien Grajales III, Francisco Jose Eysenbach, Gunther Kuziemsky, Craig Friedman, Debbie Lang, Eddy Muscedere, John Rizoli, Sandro Roberts, Derek J Scales, Damon C Sinuff, Tasnim Stelfox, Henry T Gagnon, Isabelle Chabot, Christian Grenier, Richard Légaré, France |
| author_facet | Archambault, Patrick M Turgeon, Alexis F Witteman, Holly O Lauzier, François Moore, Lynne Lamontagne, François Horsley, Tanya Gagnon, Marie-Pierre Droit, Arnaud Weiss, Matthew Tremblay, Sébastien Lachaine, Jean Le Sage, Natalie Émond, Marcel Berthelot, Simon Plaisance, Ariane Lapointe, Jean Razek, Tarek van de Belt, Tom H Brand, Kevin Bérubé, Mélanie Clément, Julien Grajales III, Francisco Jose Eysenbach, Gunther Kuziemsky, Craig Friedman, Debbie Lang, Eddy Muscedere, John Rizoli, Sandro Roberts, Derek J Scales, Damon C Sinuff, Tasnim Stelfox, Henry T Gagnon, Isabelle Chabot, Christian Grenier, Richard Légaré, France |
| author_sort | Archambault, Patrick M |
| collection | DOAJ |
| description | BackgroundTrauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the quality of care across Canada exists. Accordingly, our goal is to lead a research project in which stakeholders themselves will adapt evidence-based trauma care knowledge tools to their own varied institutional contexts and cultures. We will do this by developing and assessing the combined impact of WikiTrauma, a free collaborative database of clinical decision support tools, and Wiki101, a training course teaching participants how to use WikiTrauma. WikiTrauma has the potential to ensure that all stakeholders (eg, patients, clinicians, and decision makers) can all contribute to, and benefit from, evidence-based clinical knowledge about trauma care that is tailored to their own needs and clinical setting.
ObjectiveOur main objective will be to study the combined effect of WikiTrauma and Wiki101 on the quality of care in four trauma centers in Quebec.
MethodsFirst, we will pilot-test the wiki with potential users to create a version ready to test in practice. A rapid, iterative prototyping process with 15 health professionals from nonparticipating centers will allow us to identify and resolve usability issues prior to finalizing the definitive version for the interrupted time series. Second, we will conduct an interrupted time series to measure the impact of our combined intervention on the quality of care in four trauma centers that will be selected—one level I, one level II, and two level III centers. Participants will be health care professionals working in the selected trauma centers. Also, five patient representatives will be recruited to participate in the creation of knowledge tools destined for their use (eg, handouts). All participants will be invited to complete the Wiki101 training and then use, and contribute to, WikiTrauma for 12 months. The primary outcome will be the change over time of a validated, composite, performance indicator score based on 15 process performance indicators found in the Quebec Trauma Registry.
ResultsThis project was funded in November 2014 by the Canadian Medical Protective Association. We expect to start this trial in early 2015 and preliminary results should be available in June 2016. Two trauma centers have already agreed to participate and two more will be recruited in the next months.
ConclusionsWe expect that this study will add important and unique evidence about the effectiveness, safety, and cost savings of using collaborative platforms to adapt knowledge implementation tools across jurisdictions. |
| first_indexed | 2024-12-14T03:46:44Z |
| format | Article |
| id | doaj.art-eeb5c83e8f95455f9a3b04cfe5a86646 |
| institution | Directory Open Access Journal |
| issn | 1929-0748 |
| language | English |
| last_indexed | 2024-12-14T03:46:44Z |
| publishDate | 2015-02-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Research Protocols |
| spelling | doaj.art-eeb5c83e8f95455f9a3b04cfe5a866462022-12-21T23:18:20ZengJMIR PublicationsJMIR Research Protocols1929-07482015-02-0141e2110.2196/resprot.4024Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series ProtocolArchambault, Patrick MTurgeon, Alexis FWitteman, Holly OLauzier, FrançoisMoore, LynneLamontagne, FrançoisHorsley, TanyaGagnon, Marie-PierreDroit, ArnaudWeiss, MatthewTremblay, SébastienLachaine, JeanLe Sage, NatalieÉmond, MarcelBerthelot, SimonPlaisance, ArianeLapointe, JeanRazek, Tarekvan de Belt, Tom HBrand, KevinBérubé, MélanieClément, JulienGrajales III, Francisco JoseEysenbach, GuntherKuziemsky, CraigFriedman, DebbieLang, EddyMuscedere, JohnRizoli, SandroRoberts, Derek JScales, Damon CSinuff, TasnimStelfox, Henry TGagnon, IsabelleChabot, ChristianGrenier, RichardLégaré, FranceBackgroundTrauma is the most common cause of mortality among people between the ages of 1 and 45 years, costing Canadians 19.8 billion dollars a year (2004 data), yet half of all patients with major traumatic injuries do not receive evidence-based care, and significant regional variation in the quality of care across Canada exists. Accordingly, our goal is to lead a research project in which stakeholders themselves will adapt evidence-based trauma care knowledge tools to their own varied institutional contexts and cultures. We will do this by developing and assessing the combined impact of WikiTrauma, a free collaborative database of clinical decision support tools, and Wiki101, a training course teaching participants how to use WikiTrauma. WikiTrauma has the potential to ensure that all stakeholders (eg, patients, clinicians, and decision makers) can all contribute to, and benefit from, evidence-based clinical knowledge about trauma care that is tailored to their own needs and clinical setting. ObjectiveOur main objective will be to study the combined effect of WikiTrauma and Wiki101 on the quality of care in four trauma centers in Quebec. MethodsFirst, we will pilot-test the wiki with potential users to create a version ready to test in practice. A rapid, iterative prototyping process with 15 health professionals from nonparticipating centers will allow us to identify and resolve usability issues prior to finalizing the definitive version for the interrupted time series. Second, we will conduct an interrupted time series to measure the impact of our combined intervention on the quality of care in four trauma centers that will be selected—one level I, one level II, and two level III centers. Participants will be health care professionals working in the selected trauma centers. Also, five patient representatives will be recruited to participate in the creation of knowledge tools destined for their use (eg, handouts). All participants will be invited to complete the Wiki101 training and then use, and contribute to, WikiTrauma for 12 months. The primary outcome will be the change over time of a validated, composite, performance indicator score based on 15 process performance indicators found in the Quebec Trauma Registry. ResultsThis project was funded in November 2014 by the Canadian Medical Protective Association. We expect to start this trial in early 2015 and preliminary results should be available in June 2016. Two trauma centers have already agreed to participate and two more will be recruited in the next months. ConclusionsWe expect that this study will add important and unique evidence about the effectiveness, safety, and cost savings of using collaborative platforms to adapt knowledge implementation tools across jurisdictions.http://www.researchprotocols.org/2015/1/e21/ |
| spellingShingle | Archambault, Patrick M Turgeon, Alexis F Witteman, Holly O Lauzier, François Moore, Lynne Lamontagne, François Horsley, Tanya Gagnon, Marie-Pierre Droit, Arnaud Weiss, Matthew Tremblay, Sébastien Lachaine, Jean Le Sage, Natalie Émond, Marcel Berthelot, Simon Plaisance, Ariane Lapointe, Jean Razek, Tarek van de Belt, Tom H Brand, Kevin Bérubé, Mélanie Clément, Julien Grajales III, Francisco Jose Eysenbach, Gunther Kuziemsky, Craig Friedman, Debbie Lang, Eddy Muscedere, John Rizoli, Sandro Roberts, Derek J Scales, Damon C Sinuff, Tasnim Stelfox, Henry T Gagnon, Isabelle Chabot, Christian Grenier, Richard Légaré, France Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol JMIR Research Protocols |
| title | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
| title_full | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
| title_fullStr | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
| title_full_unstemmed | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
| title_short | Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol |
| title_sort | implementation and evaluation of a wiki involving multiple stakeholders including patients in the promotion of best practices in trauma care the wikitrauma interrupted time series protocol |
| url | http://www.researchprotocols.org/2015/1/e21/ |
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