Implementing knowledge management practices in hospital-in-the-home units.

摘要

IN the current healthcare system, scientific knowledge about best care is not applied systematically or expeditiously in practice.1 An average of 17 years is required for new knowledge generated by randomized controlled trials to be incorporated into practice, and even then application is highly uneven.The extreme variability in practice in clinical areas in which there is strong scientific evidence and a high degree of expert consensus about efficient practices indicates that current dissemination efforts fail to reach many clinicians and patients, and that there are insufficient tools and incentives to promote the rapid adoption of practices. Research conducted in 2003 found that American healthcare gets it right 54.9% of the time.