Study Summary:

Translating research evidence into clinical practice is important if we are to provide patients with the best possible care to save lives and reduce suffering. Yet the lag between the development of scientific evidence through randomized controlled trials and the implementation of that evidence into routine clinical practice remains significant (~ 17 years). Burgeoning emphasis has recently been placed on the advancement of healthcare agendas that preference the removal (i.e. de-adoption) of health technologies and clinical practices that are of low-value. The challenge is to find effective ways to initiate, execute and sustain a process of de-adoption of low-value practices to improve quality and value in healthcare.

Objectives:

(1)To describe the current state of de-adoption practices in Canadian adult general system ICUs, including top barriers and facilitators to initiating, executing and sustaining de-adoption. 
(2)To further characterize de-adoption practices in Canadian general system ICUs, including the structure and process of how decisions around de-adoption are made.
(3)To develop an evidence-informed applied framework that integrates barriers and facilitators with specific KT interventions to guide the process of de-adoption (deliverable).

Principal Investigator: Dr. Jeanna Parsons Leigh

Study Team: Rebecca Brundin-Mather, Chloe de Grood, Dr. Daniel Niven, Jennie Peterson, Liam Whalen-Browne