Power of sharing the patient journey in implementation of evidence-based care in emergency departments

摘要

Dear Editor, There are limited data about the factors determining successful implementation of evidence in EDs. Based on its 2011 and 2012 evidence-based practice implementation projects, the Emergency Care Improvement and Innovation Clinical Network, a unit within the Victorian Department of Health, had the opportunity to explore this question via a survey of EDs that undertook the project 'Nerve block as adjuvant analgesia for fractured hip'. Eight EDs participated, achieving an overall proportion of 64% of patients with fractured hip receiving a nerve block in the EDs from a pre-project base of approximately 25%. Four EDs achieved a successful implementation (>60% of patients receiving a block) and four were less successful.