Evaluation of a targeted, theory-informed implementation intervention designed to increase uptake of emergency management recommendations regarding adult patients with mild ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-01-17

AUTHORS

Marije Bosch, Joanne E. McKenzie, Jennie L. Ponsford, Simon Turner, Marisa Chau, Emma J. Tavender, Jonathan C. Knott, Russell L. Gruen, Jill J. Francis, Sue E. Brennan, Andrew Pearce, Denise A. O’Connor, Duncan Mortimer, Jeremy M. Grimshaw, Jeffrey V. Rosenfeld, Susanne Meares, Tracy Smyth, Susan Michie, Sally E. Green

ABSTRACT

BACKGROUND: Evidence-based guidelines for management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available; however, clinical practice remains inconsistent with these guidelines. A targeted, theory-informed implementation intervention (Neurotrauma Evidence Translation (NET) intervention) was designed to increase the uptake of three clinical practice recommendations regarding the management of patients who present to Australian EDs with mild head injuries. The intervention involved local stakeholder meetings, identification and training of nursing and medical local opinion leaders, train-the-trainer workshops and standardised education materials and interactive workshops delivered by the opinion leaders to others within their EDs during a 3 month period. This paper reports on the effects of this intervention. METHODS: EDs (clusters) were allocated to receive either access to a clinical practice guideline (control) or the implementation intervention, using minimisation, a method that allocates clusters to groups using an algorithm to minimise differences in predefined factors between the groups. We measured clinical practice outcomes at the patient level using chart audit. The primary outcome was appropriate screening for post-traumatic amnesia (PTA) using a validated tool until a perfect score was achieved (indicating absence of acute cognitive impairment) before the patient was discharged home. Secondary outcomes included appropriate CT scanning and the provision of written patient information upon discharge. Patient health outcomes (anxiety, primary outcome: Hospital Anxiety and Depression Scale) were also assessed using follow-up telephone interviews. Outcomes were assessed by independent auditors and interviewers, blinded to group allocation. RESULTS: Fourteen EDs were allocated to the intervention and 17 to the control condition; 1943 patients were included in the chart audit. At 2 months follow-up, patients attending intervention EDs (n = 893) compared with control EDs (n = 1050) were more likely to have been appropriately assessed for PTA (adjusted odds ratio (OR) 20.1, 95%CI 6.8 to 59.3; adjusted absolute risk difference (ARD) 14%, 95%CI 8 to 19). The odds of compliance with recommendations for CT scanning and provision of written patient discharge information were small (OR 1.2, 95%CI 0.8 to 1.6; ARD 3.2, 95%CI - 3.7 to 10 and OR 1.2, 95%CI 0.8 to 1.8; ARD 3.1, 95%CI - 3.0 to 9.3 respectively). A total of 343 patients at ten interventions and 14 control sites participated in follow-up interviews at 4.3 to 10.7 months post-ED presentation. The intervention had a small effect on anxiety levels (adjusted mean difference - 0.52, 95%CI - 1.34 to 0.30; scale 0-21, with higher scores indicating greater anxiety). CONCLUSIONS: Our intervention was effective in improving the uptake of the PTA recommendation; however, it did not appreciably increase the uptake of the other two practice recommendations. Improved screening for PTA may be clinically important as it leads to appropriate periods of observation prior to safe discharge. The estimated intervention effect on anxiety was of limited clinical significance. We were not able to compare characteristics of EDs who declined trial participation with those of participating sites, which may limit the generalizability of the results. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ACTRN12612001286831), date registered 12 December 2012. More... »

PAGES

4

References to SciGraph publications

  • 2014-05-01. Towards a common terminology: a simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies in IMPLEMENTATION SCIENCE
  • 2013-03-15. Refining a taxonomy for guideline implementation: results of an exercise in abstract classification in IMPLEMENTATION SCIENCE
  • 2014-10-06. Are multifaceted interventions more effective than single-component interventions in changing health-care professionals’ behaviours? An overview of systematic reviews in IMPLEMENTATION SCIENCE
  • 2011-06-09. Instrument development, data collection, and characteristics of practices, staff, and measures in the Improving Quality of Care in Diabetes (iQuaD) Study in IMPLEMENTATION SCIENCE
  • 2013-11-13. Defining traumatic brain injury in children and youth using International Classification of Diseases version 10 codes: a systematic review protocol in SYSTEMATIC REVIEWS
  • 2005-08. Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D in QUALITY OF LIFE RESEARCH
  • 2013-03-20. The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques: Building an International Consensus for the Reporting of Behavior Change Interventions in ANNALS OF BEHAVIORAL MEDICINE
  • 2012-05-31. Knowledge translation of research findings in IMPLEMENTATION SCIENCE
  • 2018-12-05. Economic evaluation of the NET intervention versus guideline dissemination for management of mild head injury in hospital emergency departments in IMPLEMENTATION SCIENCE
  • 2014-07-11. Implementing evidence-based recommended practices for the management of patients with mild traumatic brain injuries in Australian emergency care departments: study protocol for a cluster randomised controlled trial in TRIALS
  • 2009-07-03. Are there valid proxy measures of clinical behaviour? a systematic review in IMPLEMENTATION SCIENCE
  • 1995-09. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability in JOURNAL OF NEUROLOGY
  • 2014-01-13. Understanding practice: the factors that influence management of mild traumatic brain injury in the emergency department-a qualitative study using the Theoretical Domains Framework in IMPLEMENTATION SCIENCE
  • 2011-05-15. Defining neurotrauma in administrative data using the International Classification of Diseases Tenth Revision in EMERGING THEMES IN EPIDEMIOLOGY
  • 2015-12. Sustainability of knowledge translation interventions in healthcare decision-making: a scoping review in IMPLEMENTATION SCIENCE
  • 2012-08-07. Improving the care of people with traumatic brain injury through the Neurotrauma Evidence Translation (NET) program: protocol for a program of research in IMPLEMENTATION SCIENCE
  • 2015-05-25. Developing a targeted, theory-informed implementation intervention using two theoretical frameworks to address health professional and organisational factors: a case study to improve the management of mild traumatic brain injury in the emergency department in IMPLEMENTATION SCIENCE
  • Journal

    TITLE

    Implementation Science

    ISSUE

    1

    VOLUME

    14

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s13012-018-0841-7

    DOI

    http://dx.doi.org/10.1186/s13012-018-0841-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1111500531

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30654826


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Public Health and Health Services", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Adult", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Aged", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Australia", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Brain Concussion", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Brain Injuries, Traumatic", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Cluster Analysis", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Emergency Service, Hospital", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Emergency Treatment", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Evidence-Based Practice", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Facilities and Services Utilization", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Female", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Guideline Adherence", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Humans", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Implementation Science", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Male", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Middle Aged", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Practice Guidelines as Topic", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Practice Patterns, Physicians'", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Translational Medical Research", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Treatment Outcome", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Young Adult", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands", 
              "id": "http://www.grid.ac/institutes/grid.4830.f", 
              "name": [
                "Department of Surgery, Monash University, Melbourne, Australia", 
                "National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia", 
                "Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Bosch", 
            "givenName": "Marije", 
            "id": "sg:person.0634170114.29", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0634170114.29"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "McKenzie", 
            "givenName": "Joanne E.", 
            "id": "sg:person.0745735371.00", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0745735371.00"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Psychological Sciences, Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "Monash-Epworth Rehabilitation Research Centre, Epworth Hospital, Melbourne, Australia", 
                "School of Psychological Sciences, Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Ponsford", 
            "givenName": "Jennie L.", 
            "id": "sg:person.0777163621.63", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0777163621.63"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Turner", 
            "givenName": "Simon", 
            "id": "sg:person.014753021073.25", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014753021073.25"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "Department of Surgery, Monash University, Melbourne, Australia", 
                "National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Chau", 
            "givenName": "Marisa", 
            "id": "sg:person.01213667347.39", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01213667347.39"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "Department of Surgery, Monash University, Melbourne, Australia", 
                "National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Tavender", 
            "givenName": "Emma J.", 
            "id": "sg:person.01261331624.21", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01261331624.21"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Emergency Medicine, Royal Melbourne Hospital, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.416153.4", 
              "name": [
                "Melbourne Medical School, The University of Melbourne, Melbourne, Australia", 
                "Department of Emergency Medicine, Royal Melbourne Hospital, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Knott", 
            "givenName": "Jonathan C.", 
            "id": "sg:person.01165226236.05", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01165226236.05"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore", 
              "id": "http://www.grid.ac/institutes/grid.59025.3b", 
              "name": [
                "National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia", 
                "Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Gruen", 
            "givenName": "Russell L.", 
            "id": "sg:person.0767053447.55", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0767053447.55"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Health Sciences, City University of London, London, UK", 
              "id": "http://www.grid.ac/institutes/grid.28577.3f", 
              "name": [
                "School of Health Sciences, City University of London, London, UK"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Francis", 
            "givenName": "Jill J.", 
            "id": "sg:person.010767532457.83", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010767532457.83"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Brennan", 
            "givenName": "Sue E.", 
            "id": "sg:person.01353243012.78", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01353243012.78"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Royal Adelaide Hospital Emergency Department, Adelaide, Australia", 
              "id": "http://www.grid.ac/institutes/grid.416075.1", 
              "name": [
                "MedSTAR Emergency Medical Retrieval Service, Adelaide, Australia", 
                "Royal Adelaide Hospital Emergency Department, Adelaide, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Pearce", 
            "givenName": "Andrew", 
            "id": "sg:person.01216532370.21", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01216532370.21"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "O\u2019Connor", 
            "givenName": "Denise A.", 
            "id": "sg:person.01062163771.25", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01062163771.25"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Centre for Health Economics, Monash Business School, Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "Centre for Health Economics, Monash Business School, Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Mortimer", 
            "givenName": "Duncan", 
            "id": "sg:person.01360061677.00", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01360061677.00"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Medicine, University of Ottawa, Ottawa, ON Canada", 
              "id": "http://www.grid.ac/institutes/grid.28046.38", 
              "name": [
                "Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON Canada", 
                "Department of Medicine, University of Ottawa, Ottawa, ON Canada"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Grimshaw", 
            "givenName": "Jeremy M.", 
            "id": "sg:person.010022375202.95", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010022375202.95"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Neurosurgery, The Alfred Hospital, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1623.6", 
              "name": [
                "Department of Surgery, Monash University, Melbourne, Australia", 
                "National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia", 
                "Department of Neurosurgery, The Alfred Hospital, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Rosenfeld", 
            "givenName": "Jeffrey V.", 
            "id": "sg:person.01325377135.23", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01325377135.23"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Psychology, Macquarie University, Sydney, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1004.5", 
              "name": [
                "Department of Psychology, Macquarie University, Sydney, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Meares", 
            "givenName": "Susanne", 
            "id": "sg:person.0666014454.00", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0666014454.00"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Emergency Department, Westmead Hospital, Sydney, Australia", 
              "id": "http://www.grid.ac/institutes/grid.413252.3", 
              "name": [
                "Emergency Department, Westmead Hospital, Sydney, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Smyth", 
            "givenName": "Tracy", 
            "id": "sg:person.0623216731.25", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0623216731.25"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Clinical, Educational and Health Psychology, University College London, London, UK", 
              "id": "http://www.grid.ac/institutes/grid.83440.3b", 
              "name": [
                "Department of Clinical, Educational and Health Psychology, University College London, London, UK"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Michie", 
            "givenName": "Susan", 
            "id": "sg:person.01067023110.81", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01067023110.81"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia", 
              "id": "http://www.grid.ac/institutes/grid.1002.3", 
              "name": [
                "School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Green", 
            "givenName": "Sally E.", 
            "id": "sg:person.0652321524.72", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0652321524.72"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "sg:pub.10.1186/1748-5908-6-61", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1016025364", 
              "https://doi.org/10.1186/1748-5908-6-61"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-7-74", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041655579", 
              "https://doi.org/10.1186/1748-5908-7-74"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-7-50", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1016377106", 
              "https://doi.org/10.1186/1748-5908-7-50"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s11136-004-7713-0", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1050041047", 
              "https://doi.org/10.1007/s11136-004-7713-0"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s13012-016-0421-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1039779249", 
              "https://doi.org/10.1186/s13012-016-0421-7"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s13012-015-0264-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1022761784", 
              "https://doi.org/10.1186/s13012-015-0264-7"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-8-32", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1049398676", 
              "https://doi.org/10.1186/1748-5908-8-32"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1745-6215-15-281", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1044669019", 
              "https://doi.org/10.1186/1745-6215-15-281"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-4-37", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1004950226", 
              "https://doi.org/10.1186/1748-5908-4-37"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-9-8", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1036210687", 
              "https://doi.org/10.1186/1748-5908-9-8"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1748-5908-9-51", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1048547816", 
              "https://doi.org/10.1186/1748-5908-9-51"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s13012-018-0834-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1110396642", 
              "https://doi.org/10.1186/s13012-018-0834-6"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1742-7622-8-4", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1013112651", 
              "https://doi.org/10.1186/1742-7622-8-4"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/s13012-014-0152-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041762055", 
              "https://doi.org/10.1186/s13012-014-0152-6"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/bf00868811", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1002350019", 
              "https://doi.org/10.1007/bf00868811"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/2046-4053-2-102", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1032794307", 
              "https://doi.org/10.1186/2046-4053-2-102"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s12160-013-9486-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1045811160", 
              "https://doi.org/10.1007/s12160-013-9486-6"
            ], 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2019-01-17", 
        "datePublishedReg": "2019-01-17", 
        "description": "BACKGROUND: Evidence-based guidelines for management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available; however, clinical practice remains inconsistent with these guidelines. A targeted, theory-informed implementation intervention (Neurotrauma Evidence Translation (NET) intervention) was designed to increase the uptake of three clinical practice recommendations regarding the management of patients who present to Australian EDs with mild head injuries. The intervention involved local stakeholder meetings, identification and training of nursing and medical local opinion leaders, train-the-trainer workshops and standardised education materials and interactive workshops delivered by the opinion leaders to others within their EDs during a 3\u2009month period. This paper reports on the effects of this intervention.\nMETHODS: EDs (clusters) were allocated to receive either access to a clinical practice guideline (control) or the implementation intervention, using minimisation, a method that allocates clusters to groups using an algorithm to minimise differences in predefined factors between the groups. We measured clinical practice outcomes at the patient level using chart audit. The primary outcome was appropriate screening for post-traumatic amnesia (PTA) using a validated tool until a perfect score was achieved (indicating absence of acute cognitive impairment) before the patient was discharged home. Secondary outcomes included appropriate CT scanning and the provision of written patient information upon discharge. Patient health outcomes (anxiety, primary outcome: Hospital Anxiety and Depression Scale) were also assessed using follow-up telephone interviews. Outcomes were assessed by independent auditors and interviewers, blinded to group allocation.\nRESULTS: Fourteen EDs were allocated to the intervention and 17 to the control condition; 1943 patients were included in the chart audit. At 2\u00a0months follow-up, patients attending intervention EDs (n\u2009=\u2009893) compared with control EDs (n\u2009=\u20091050) were more likely to have been appropriately assessed for PTA (adjusted odds ratio (OR) 20.1, 95%CI 6.8 to 59.3; adjusted absolute risk difference (ARD) 14%, 95%CI 8 to 19). The odds of compliance with recommendations for CT scanning and provision of written patient discharge information were small (OR 1.2, 95%CI 0.8 to 1.6; ARD 3.2, 95%CI -\u20093.7 to 10 and OR 1.2, 95%CI 0.8 to 1.8; ARD 3.1, 95%CI -\u20093.0 to 9.3 respectively). A total of 343 patients at ten interventions and 14 control sites participated in follow-up interviews at 4.3 to 10.7\u2009months post-ED presentation. The intervention had a small effect on anxiety levels (adjusted mean difference -\u20090.52, 95%CI -\u20091.34 to 0.30; scale 0-21, with higher scores indicating greater anxiety).\nCONCLUSIONS: Our intervention was effective in improving the uptake of the PTA recommendation; however, it did not appreciably increase the uptake of the other two practice recommendations. Improved screening for PTA may be clinically important as it leads to appropriate periods of observation prior to safe discharge. The estimated intervention effect on anxiety was of limited clinical significance. We were not able to compare characteristics of EDs who declined trial participation with those of participating sites, which may limit the generalizability of the results.\nTRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ACTRN12612001286831), date registered 12 December 2012.", 
        "genre": "article", 
        "id": "sg:pub.10.1186/s13012-018-0841-7", 
        "inLanguage": "en", 
        "isAccessibleForFree": true, 
        "isPartOf": [
          {
            "id": "sg:journal.1036000", 
            "issn": [
              "1748-5908"
            ], 
            "name": "Implementation Science", 
            "publisher": "Springer Nature", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "1", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "14"
          }
        ], 
        "keywords": [
          "mild traumatic brain injury", 
          "post-traumatic amnesia", 
          "emergency department", 
          "traumatic brain injury", 
          "theory-informed implementation intervention", 
          "implementation interventions", 
          "chart audit", 
          "brain injury", 
          "Australian New Zealand Clinical Trials Registry", 
          "New Zealand Clinical Trials Registry", 
          "characteristics of EDs", 
          "CT scanning", 
          "practice recommendations", 
          "intervention EDs", 
          "patient discharge information", 
          "clinical practice recommendations", 
          "Clinical Trials Registry", 
          "management of patients", 
          "clinical practice guidelines", 
          "evidence-based guidelines", 
          "mild head injury", 
          "limited clinical significance", 
          "patient health outcomes", 
          "odds of compliance", 
          "Australian emergency departments", 
          "local opinion leaders", 
          "Secondary outcomes", 
          "Trials Registry", 
          "clinical practice outcomes", 
          "primary outcome", 
          "adult patients", 
          "trial participation", 
          "head injury", 
          "patient level", 
          "practice guidelines", 
          "clinical significance", 
          "group allocation", 
          "patients", 
          "clinical practice", 
          "health outcomes", 
          "training of nursing", 
          "discharge information", 
          "telephone interviews", 
          "intervention effects", 
          "safe discharge", 
          "injury", 
          "local stakeholder meetings", 
          "patient information", 
          "intervention", 
          "outcomes", 
          "month period", 
          "anxiety levels", 
          "practice outcomes", 
          "trainer workshop", 
          "education materials", 
          "stakeholder meetings", 
          "control condition", 
          "perfect score", 
          "opinion leaders", 
          "guidelines", 
          "management recommendations", 
          "uptake", 
          "net clusters", 
          "interactive workshop", 
          "recommendations", 
          "audit", 
          "appropriate period", 
          "group", 
          "registry", 
          "follow", 
          "trials", 
          "months", 
          "control sites", 
          "odds", 
          "management", 
          "nursing", 
          "period", 
          "levels", 
          "discharge", 
          "scores", 
          "total", 
          "effect", 
          "amnesia", 
          "presentation", 
          "anxiety", 
          "interviews", 
          "scanning", 
          "Department", 
          "interviewers", 
          "small effect", 
          "compliance", 
          "factors", 
          "differences", 
          "significance", 
          "provision", 
          "sites", 
          "evaluation", 
          "generalizability", 
          "training", 
          "date", 
          "results", 
          "meeting", 
          "workshop", 
          "practice", 
          "information", 
          "identification", 
          "access", 
          "participation", 
          "characteristics", 
          "tool", 
          "observations", 
          "conditions", 
          "clusters", 
          "method", 
          "train", 
          "materials", 
          "leaders", 
          "allocation", 
          "minimisation", 
          "independent auditors", 
          "paper", 
          "algorithm", 
          "auditors", 
          "medical local opinion leaders", 
          "minimise differences", 
          "appropriate CT scanning", 
          "control EDs", 
          "months post-ED presentation", 
          "post-ED presentation", 
          "PTA recommendation", 
          "Zealand Clinical Trials Registry", 
          "emergency management recommendations"
        ], 
        "name": "Evaluation of a targeted, theory-informed implementation intervention designed to increase uptake of emergency management recommendations regarding adult patients with mild traumatic brain injury: results of the NET cluster randomised trial", 
        "pagination": "4", 
        "productId": [
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1111500531"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1186/s13012-018-0841-7"
            ]
          }, 
          {
            "name": "pubmed_id", 
            "type": "PropertyValue", 
            "value": [
              "30654826"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1186/s13012-018-0841-7", 
          "https://app.dimensions.ai/details/publication/pub.1111500531"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2021-12-01T19:43", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-springernature-scigraph/baseset/20211201/entities/gbq_results/article/article_797.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "https://doi.org/10.1186/s13012-018-0841-7"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s13012-018-0841-7'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s13012-018-0841-7'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s13012-018-0841-7'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s13012-018-0841-7'


     

    This table displays all metadata directly associated to this object as RDF triples.

    517 TRIPLES      22 PREDICATES      196 URIs      171 LITERALS      28 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1186/s13012-018-0841-7 schema:about N21e480fe54354ec08a7aff78b59c5cf8
    2 N241044e6f39e4e5aad2d71520cb43cfd
    3 N29dfcca2f94b49c6b6ae881988128eeb
    4 N35cfeee24e2e4211aa2aea1a128b615c
    5 N4aa25baafb724032bf1be7503dbadc23
    6 N71f2f24b9a834f37878b11dbff96b9ec
    7 N7f8a8c4a17cb4ab2ae6141bbaa453016
    8 N824cf10dfd0344339404ca2032973d4d
    9 N850f8ff09b844c62aa45e20ffc4d3980
    10 N8784820847844f0b9451b463e6fcbe31
    11 N8bbea48a11a74a18be2fb6234885d476
    12 N8d82d1def6c444a09cd451f248ecb047
    13 N9ab6413c2bff4c3c8f6e7cc4f8be2fba
    14 Na0675cf6bd66417dacde8b859831a78c
    15 Na18fefa3989f4a77ae9db2efe83b4c16
    16 Nb41d0fbce302431d90f5cb03fb62e75e
    17 Nc24b0013486a46c8abe2fc36e3b0b147
    18 Ncd12523a98a14713be8f7ae42dd84a31
    19 Nd8c651a242e64343bcae9a2514492c19
    20 Nea4ee9b0c398493a8335b8aedd5d9241
    21 Nfb2144713509414bb3de1212d9f49326
    22 anzsrc-for:11
    23 anzsrc-for:1117
    24 schema:author N7b8faed6e42547a08aaad9ac5902e9bb
    25 schema:citation sg:pub.10.1007/bf00868811
    26 sg:pub.10.1007/s11136-004-7713-0
    27 sg:pub.10.1007/s12160-013-9486-6
    28 sg:pub.10.1186/1742-7622-8-4
    29 sg:pub.10.1186/1745-6215-15-281
    30 sg:pub.10.1186/1748-5908-4-37
    31 sg:pub.10.1186/1748-5908-6-61
    32 sg:pub.10.1186/1748-5908-7-50
    33 sg:pub.10.1186/1748-5908-7-74
    34 sg:pub.10.1186/1748-5908-8-32
    35 sg:pub.10.1186/1748-5908-9-51
    36 sg:pub.10.1186/1748-5908-9-8
    37 sg:pub.10.1186/2046-4053-2-102
    38 sg:pub.10.1186/s13012-014-0152-6
    39 sg:pub.10.1186/s13012-015-0264-7
    40 sg:pub.10.1186/s13012-016-0421-7
    41 sg:pub.10.1186/s13012-018-0834-6
    42 schema:datePublished 2019-01-17
    43 schema:datePublishedReg 2019-01-17
    44 schema:description BACKGROUND: Evidence-based guidelines for management of mild traumatic brain injury (mTBI) in the emergency department (ED) are now widely available; however, clinical practice remains inconsistent with these guidelines. A targeted, theory-informed implementation intervention (Neurotrauma Evidence Translation (NET) intervention) was designed to increase the uptake of three clinical practice recommendations regarding the management of patients who present to Australian EDs with mild head injuries. The intervention involved local stakeholder meetings, identification and training of nursing and medical local opinion leaders, train-the-trainer workshops and standardised education materials and interactive workshops delivered by the opinion leaders to others within their EDs during a 3 month period. This paper reports on the effects of this intervention. METHODS: EDs (clusters) were allocated to receive either access to a clinical practice guideline (control) or the implementation intervention, using minimisation, a method that allocates clusters to groups using an algorithm to minimise differences in predefined factors between the groups. We measured clinical practice outcomes at the patient level using chart audit. The primary outcome was appropriate screening for post-traumatic amnesia (PTA) using a validated tool until a perfect score was achieved (indicating absence of acute cognitive impairment) before the patient was discharged home. Secondary outcomes included appropriate CT scanning and the provision of written patient information upon discharge. Patient health outcomes (anxiety, primary outcome: Hospital Anxiety and Depression Scale) were also assessed using follow-up telephone interviews. Outcomes were assessed by independent auditors and interviewers, blinded to group allocation. RESULTS: Fourteen EDs were allocated to the intervention and 17 to the control condition; 1943 patients were included in the chart audit. At 2 months follow-up, patients attending intervention EDs (n = 893) compared with control EDs (n = 1050) were more likely to have been appropriately assessed for PTA (adjusted odds ratio (OR) 20.1, 95%CI 6.8 to 59.3; adjusted absolute risk difference (ARD) 14%, 95%CI 8 to 19). The odds of compliance with recommendations for CT scanning and provision of written patient discharge information were small (OR 1.2, 95%CI 0.8 to 1.6; ARD 3.2, 95%CI - 3.7 to 10 and OR 1.2, 95%CI 0.8 to 1.8; ARD 3.1, 95%CI - 3.0 to 9.3 respectively). A total of 343 patients at ten interventions and 14 control sites participated in follow-up interviews at 4.3 to 10.7 months post-ED presentation. The intervention had a small effect on anxiety levels (adjusted mean difference - 0.52, 95%CI - 1.34 to 0.30; scale 0-21, with higher scores indicating greater anxiety). CONCLUSIONS: Our intervention was effective in improving the uptake of the PTA recommendation; however, it did not appreciably increase the uptake of the other two practice recommendations. Improved screening for PTA may be clinically important as it leads to appropriate periods of observation prior to safe discharge. The estimated intervention effect on anxiety was of limited clinical significance. We were not able to compare characteristics of EDs who declined trial participation with those of participating sites, which may limit the generalizability of the results. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ACTRN12612001286831), date registered 12 December 2012.
    45 schema:genre article
    46 schema:inLanguage en
    47 schema:isAccessibleForFree true
    48 schema:isPartOf N069e81dc62514a869c7cdf6f3d02db3c
    49 Nd6f541dcc05140b78ee7c66d556537c3
    50 sg:journal.1036000
    51 schema:keywords Australian New Zealand Clinical Trials Registry
    52 Australian emergency departments
    53 CT scanning
    54 Clinical Trials Registry
    55 Department
    56 New Zealand Clinical Trials Registry
    57 PTA recommendation
    58 Secondary outcomes
    59 Trials Registry
    60 Zealand Clinical Trials Registry
    61 access
    62 adult patients
    63 algorithm
    64 allocation
    65 amnesia
    66 anxiety
    67 anxiety levels
    68 appropriate CT scanning
    69 appropriate period
    70 audit
    71 auditors
    72 brain injury
    73 characteristics
    74 characteristics of EDs
    75 chart audit
    76 clinical practice
    77 clinical practice guidelines
    78 clinical practice outcomes
    79 clinical practice recommendations
    80 clinical significance
    81 clusters
    82 compliance
    83 conditions
    84 control EDs
    85 control condition
    86 control sites
    87 date
    88 differences
    89 discharge
    90 discharge information
    91 education materials
    92 effect
    93 emergency department
    94 emergency management recommendations
    95 evaluation
    96 evidence-based guidelines
    97 factors
    98 follow
    99 generalizability
    100 group
    101 group allocation
    102 guidelines
    103 head injury
    104 health outcomes
    105 identification
    106 implementation interventions
    107 independent auditors
    108 information
    109 injury
    110 interactive workshop
    111 intervention
    112 intervention EDs
    113 intervention effects
    114 interviewers
    115 interviews
    116 leaders
    117 levels
    118 limited clinical significance
    119 local opinion leaders
    120 local stakeholder meetings
    121 management
    122 management of patients
    123 management recommendations
    124 materials
    125 medical local opinion leaders
    126 meeting
    127 method
    128 mild head injury
    129 mild traumatic brain injury
    130 minimisation
    131 minimise differences
    132 month period
    133 months
    134 months post-ED presentation
    135 net clusters
    136 nursing
    137 observations
    138 odds
    139 odds of compliance
    140 opinion leaders
    141 outcomes
    142 paper
    143 participation
    144 patient discharge information
    145 patient health outcomes
    146 patient information
    147 patient level
    148 patients
    149 perfect score
    150 period
    151 post-ED presentation
    152 post-traumatic amnesia
    153 practice
    154 practice guidelines
    155 practice outcomes
    156 practice recommendations
    157 presentation
    158 primary outcome
    159 provision
    160 recommendations
    161 registry
    162 results
    163 safe discharge
    164 scanning
    165 scores
    166 significance
    167 sites
    168 small effect
    169 stakeholder meetings
    170 telephone interviews
    171 theory-informed implementation intervention
    172 tool
    173 total
    174 train
    175 trainer workshop
    176 training
    177 training of nursing
    178 traumatic brain injury
    179 trial participation
    180 trials
    181 uptake
    182 workshop
    183 schema:name Evaluation of a targeted, theory-informed implementation intervention designed to increase uptake of emergency management recommendations regarding adult patients with mild traumatic brain injury: results of the NET cluster randomised trial
    184 schema:pagination 4
    185 schema:productId N3680b15812eb4a71acf64aa7f5bdf15a
    186 N4c8c220a6fa64e159ffad124c8850507
    187 Nc3a0a58006ab439da9a2cda77990663f
    188 schema:sameAs https://app.dimensions.ai/details/publication/pub.1111500531
    189 https://doi.org/10.1186/s13012-018-0841-7
    190 schema:sdDatePublished 2021-12-01T19:43
    191 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    192 schema:sdPublisher N72e089938fb6419586b3ef6f74a7f23f
    193 schema:url https://doi.org/10.1186/s13012-018-0841-7
    194 sgo:license sg:explorer/license/
    195 sgo:sdDataset articles
    196 rdf:type schema:ScholarlyArticle
    197 N069e81dc62514a869c7cdf6f3d02db3c schema:issueNumber 1
    198 rdf:type schema:PublicationIssue
    199 N1a589032539247cf92e2a5b168cb6e5f rdf:first sg:person.014753021073.25
    200 rdf:rest N4c361528f53d4805a62eea52de7b07ea
    201 N21e480fe54354ec08a7aff78b59c5cf8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    202 schema:name Female
    203 rdf:type schema:DefinedTerm
    204 N241044e6f39e4e5aad2d71520cb43cfd schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    205 schema:name Practice Guidelines as Topic
    206 rdf:type schema:DefinedTerm
    207 N2610677d2b2e4debbea2ba9d70ad12f5 rdf:first sg:person.01360061677.00
    208 rdf:rest N81fd1723ad9941ef831881ac30a11fe1
    209 N29dfcca2f94b49c6b6ae881988128eeb schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    210 schema:name Evidence-Based Practice
    211 rdf:type schema:DefinedTerm
    212 N30a8ae901c394026ab5dc66f591b9f14 rdf:first sg:person.0745735371.00
    213 rdf:rest Ne998c32199ca4b4ca4c3efbee775db8f
    214 N32e4f809c18a4a47b8017b1783d4e5bd rdf:first sg:person.0767053447.55
    215 rdf:rest Nc431b6c1b32840db94d758b1234659ef
    216 N35cfeee24e2e4211aa2aea1a128b615c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    217 schema:name Humans
    218 rdf:type schema:DefinedTerm
    219 N3680b15812eb4a71acf64aa7f5bdf15a schema:name doi
    220 schema:value 10.1186/s13012-018-0841-7
    221 rdf:type schema:PropertyValue
    222 N4568f5b7c0f840be9d8edb06ef42e8f3 rdf:first sg:person.01325377135.23
    223 rdf:rest N75dd75591b9a4a018cbd525227e3648d
    224 N4aa25baafb724032bf1be7503dbadc23 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    225 schema:name Implementation Science
    226 rdf:type schema:DefinedTerm
    227 N4c361528f53d4805a62eea52de7b07ea rdf:first sg:person.01213667347.39
    228 rdf:rest N9f70d0a8feb6495889e720e4c7208349
    229 N4c8c220a6fa64e159ffad124c8850507 schema:name pubmed_id
    230 schema:value 30654826
    231 rdf:type schema:PropertyValue
    232 N54bc340cb4094485a2675a7a59b997de rdf:first sg:person.0623216731.25
    233 rdf:rest Nd75bd1c710d74dcb94f08798e9e86bd8
    234 N712d4a6aa0fa49878107421920af8aa0 rdf:first sg:person.01216532370.21
    235 rdf:rest N744a740ef01943449fcefb7b6a2444d8
    236 N71f2f24b9a834f37878b11dbff96b9ec schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    237 schema:name Treatment Outcome
    238 rdf:type schema:DefinedTerm
    239 N72e089938fb6419586b3ef6f74a7f23f schema:name Springer Nature - SN SciGraph project
    240 rdf:type schema:Organization
    241 N744a740ef01943449fcefb7b6a2444d8 rdf:first sg:person.01062163771.25
    242 rdf:rest N2610677d2b2e4debbea2ba9d70ad12f5
    243 N75dd75591b9a4a018cbd525227e3648d rdf:first sg:person.0666014454.00
    244 rdf:rest N54bc340cb4094485a2675a7a59b997de
    245 N7b8faed6e42547a08aaad9ac5902e9bb rdf:first sg:person.0634170114.29
    246 rdf:rest N30a8ae901c394026ab5dc66f591b9f14
    247 N7f8a8c4a17cb4ab2ae6141bbaa453016 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    248 schema:name Middle Aged
    249 rdf:type schema:DefinedTerm
    250 N81fd1723ad9941ef831881ac30a11fe1 rdf:first sg:person.010022375202.95
    251 rdf:rest N4568f5b7c0f840be9d8edb06ef42e8f3
    252 N824cf10dfd0344339404ca2032973d4d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    253 schema:name Cluster Analysis
    254 rdf:type schema:DefinedTerm
    255 N850f8ff09b844c62aa45e20ffc4d3980 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    256 schema:name Translational Medical Research
    257 rdf:type schema:DefinedTerm
    258 N8784820847844f0b9451b463e6fcbe31 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    259 schema:name Practice Patterns, Physicians'
    260 rdf:type schema:DefinedTerm
    261 N8bbea48a11a74a18be2fb6234885d476 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    262 schema:name Male
    263 rdf:type schema:DefinedTerm
    264 N8d82d1def6c444a09cd451f248ecb047 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    265 schema:name Australia
    266 rdf:type schema:DefinedTerm
    267 N96e8177e1af141548d781899dfa64fdf rdf:first sg:person.01353243012.78
    268 rdf:rest N712d4a6aa0fa49878107421920af8aa0
    269 N9ab6413c2bff4c3c8f6e7cc4f8be2fba schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    270 schema:name Emergency Treatment
    271 rdf:type schema:DefinedTerm
    272 N9f70d0a8feb6495889e720e4c7208349 rdf:first sg:person.01261331624.21
    273 rdf:rest Nd60814f6005e4f269671557826820400
    274 Na0675cf6bd66417dacde8b859831a78c schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    275 schema:name Young Adult
    276 rdf:type schema:DefinedTerm
    277 Na18fefa3989f4a77ae9db2efe83b4c16 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    278 schema:name Facilities and Services Utilization
    279 rdf:type schema:DefinedTerm
    280 Nb41d0fbce302431d90f5cb03fb62e75e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    281 schema:name Aged
    282 rdf:type schema:DefinedTerm
    283 Nc24b0013486a46c8abe2fc36e3b0b147 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    284 schema:name Guideline Adherence
    285 rdf:type schema:DefinedTerm
    286 Nc3a0a58006ab439da9a2cda77990663f schema:name dimensions_id
    287 schema:value pub.1111500531
    288 rdf:type schema:PropertyValue
    289 Nc431b6c1b32840db94d758b1234659ef rdf:first sg:person.010767532457.83
    290 rdf:rest N96e8177e1af141548d781899dfa64fdf
    291 Ncd12523a98a14713be8f7ae42dd84a31 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    292 schema:name Adult
    293 rdf:type schema:DefinedTerm
    294 Nd60814f6005e4f269671557826820400 rdf:first sg:person.01165226236.05
    295 rdf:rest N32e4f809c18a4a47b8017b1783d4e5bd
    296 Nd6f541dcc05140b78ee7c66d556537c3 schema:volumeNumber 14
    297 rdf:type schema:PublicationVolume
    298 Nd75bd1c710d74dcb94f08798e9e86bd8 rdf:first sg:person.01067023110.81
    299 rdf:rest Ne88f982a643d42dbaba297d472128703
    300 Nd8c651a242e64343bcae9a2514492c19 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    301 schema:name Emergency Service, Hospital
    302 rdf:type schema:DefinedTerm
    303 Ne88f982a643d42dbaba297d472128703 rdf:first sg:person.0652321524.72
    304 rdf:rest rdf:nil
    305 Ne998c32199ca4b4ca4c3efbee775db8f rdf:first sg:person.0777163621.63
    306 rdf:rest N1a589032539247cf92e2a5b168cb6e5f
    307 Nea4ee9b0c398493a8335b8aedd5d9241 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    308 schema:name Brain Concussion
    309 rdf:type schema:DefinedTerm
    310 Nfb2144713509414bb3de1212d9f49326 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    311 schema:name Brain Injuries, Traumatic
    312 rdf:type schema:DefinedTerm
    313 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    314 schema:name Medical and Health Sciences
    315 rdf:type schema:DefinedTerm
    316 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
    317 schema:name Public Health and Health Services
    318 rdf:type schema:DefinedTerm
    319 sg:journal.1036000 schema:issn 1748-5908
    320 schema:name Implementation Science
    321 schema:publisher Springer Nature
    322 rdf:type schema:Periodical
    323 sg:person.010022375202.95 schema:affiliation grid-institutes:grid.28046.38
    324 schema:familyName Grimshaw
    325 schema:givenName Jeremy M.
    326 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010022375202.95
    327 rdf:type schema:Person
    328 sg:person.01062163771.25 schema:affiliation grid-institutes:grid.1002.3
    329 schema:familyName O’Connor
    330 schema:givenName Denise A.
    331 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01062163771.25
    332 rdf:type schema:Person
    333 sg:person.01067023110.81 schema:affiliation grid-institutes:grid.83440.3b
    334 schema:familyName Michie
    335 schema:givenName Susan
    336 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01067023110.81
    337 rdf:type schema:Person
    338 sg:person.010767532457.83 schema:affiliation grid-institutes:grid.28577.3f
    339 schema:familyName Francis
    340 schema:givenName Jill J.
    341 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010767532457.83
    342 rdf:type schema:Person
    343 sg:person.01165226236.05 schema:affiliation grid-institutes:grid.416153.4
    344 schema:familyName Knott
    345 schema:givenName Jonathan C.
    346 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01165226236.05
    347 rdf:type schema:Person
    348 sg:person.01213667347.39 schema:affiliation grid-institutes:grid.1002.3
    349 schema:familyName Chau
    350 schema:givenName Marisa
    351 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01213667347.39
    352 rdf:type schema:Person
    353 sg:person.01216532370.21 schema:affiliation grid-institutes:grid.416075.1
    354 schema:familyName Pearce
    355 schema:givenName Andrew
    356 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01216532370.21
    357 rdf:type schema:Person
    358 sg:person.01261331624.21 schema:affiliation grid-institutes:grid.1002.3
    359 schema:familyName Tavender
    360 schema:givenName Emma J.
    361 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01261331624.21
    362 rdf:type schema:Person
    363 sg:person.01325377135.23 schema:affiliation grid-institutes:grid.1623.6
    364 schema:familyName Rosenfeld
    365 schema:givenName Jeffrey V.
    366 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01325377135.23
    367 rdf:type schema:Person
    368 sg:person.01353243012.78 schema:affiliation grid-institutes:grid.1002.3
    369 schema:familyName Brennan
    370 schema:givenName Sue E.
    371 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01353243012.78
    372 rdf:type schema:Person
    373 sg:person.01360061677.00 schema:affiliation grid-institutes:grid.1002.3
    374 schema:familyName Mortimer
    375 schema:givenName Duncan
    376 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01360061677.00
    377 rdf:type schema:Person
    378 sg:person.014753021073.25 schema:affiliation grid-institutes:grid.1002.3
    379 schema:familyName Turner
    380 schema:givenName Simon
    381 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014753021073.25
    382 rdf:type schema:Person
    383 sg:person.0623216731.25 schema:affiliation grid-institutes:grid.413252.3
    384 schema:familyName Smyth
    385 schema:givenName Tracy
    386 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0623216731.25
    387 rdf:type schema:Person
    388 sg:person.0634170114.29 schema:affiliation grid-institutes:grid.4830.f
    389 schema:familyName Bosch
    390 schema:givenName Marije
    391 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0634170114.29
    392 rdf:type schema:Person
    393 sg:person.0652321524.72 schema:affiliation grid-institutes:grid.1002.3
    394 schema:familyName Green
    395 schema:givenName Sally E.
    396 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0652321524.72
    397 rdf:type schema:Person
    398 sg:person.0666014454.00 schema:affiliation grid-institutes:grid.1004.5
    399 schema:familyName Meares
    400 schema:givenName Susanne
    401 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0666014454.00
    402 rdf:type schema:Person
    403 sg:person.0745735371.00 schema:affiliation grid-institutes:grid.1002.3
    404 schema:familyName McKenzie
    405 schema:givenName Joanne E.
    406 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0745735371.00
    407 rdf:type schema:Person
    408 sg:person.0767053447.55 schema:affiliation grid-institutes:grid.59025.3b
    409 schema:familyName Gruen
    410 schema:givenName Russell L.
    411 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0767053447.55
    412 rdf:type schema:Person
    413 sg:person.0777163621.63 schema:affiliation grid-institutes:grid.1002.3
    414 schema:familyName Ponsford
    415 schema:givenName Jennie L.
    416 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0777163621.63
    417 rdf:type schema:Person
    418 sg:pub.10.1007/bf00868811 schema:sameAs https://app.dimensions.ai/details/publication/pub.1002350019
    419 https://doi.org/10.1007/bf00868811
    420 rdf:type schema:CreativeWork
    421 sg:pub.10.1007/s11136-004-7713-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050041047
    422 https://doi.org/10.1007/s11136-004-7713-0
    423 rdf:type schema:CreativeWork
    424 sg:pub.10.1007/s12160-013-9486-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045811160
    425 https://doi.org/10.1007/s12160-013-9486-6
    426 rdf:type schema:CreativeWork
    427 sg:pub.10.1186/1742-7622-8-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013112651
    428 https://doi.org/10.1186/1742-7622-8-4
    429 rdf:type schema:CreativeWork
    430 sg:pub.10.1186/1745-6215-15-281 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044669019
    431 https://doi.org/10.1186/1745-6215-15-281
    432 rdf:type schema:CreativeWork
    433 sg:pub.10.1186/1748-5908-4-37 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004950226
    434 https://doi.org/10.1186/1748-5908-4-37
    435 rdf:type schema:CreativeWork
    436 sg:pub.10.1186/1748-5908-6-61 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016025364
    437 https://doi.org/10.1186/1748-5908-6-61
    438 rdf:type schema:CreativeWork
    439 sg:pub.10.1186/1748-5908-7-50 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016377106
    440 https://doi.org/10.1186/1748-5908-7-50
    441 rdf:type schema:CreativeWork
    442 sg:pub.10.1186/1748-5908-7-74 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041655579
    443 https://doi.org/10.1186/1748-5908-7-74
    444 rdf:type schema:CreativeWork
    445 sg:pub.10.1186/1748-5908-8-32 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049398676
    446 https://doi.org/10.1186/1748-5908-8-32
    447 rdf:type schema:CreativeWork
    448 sg:pub.10.1186/1748-5908-9-51 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048547816
    449 https://doi.org/10.1186/1748-5908-9-51
    450 rdf:type schema:CreativeWork
    451 sg:pub.10.1186/1748-5908-9-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036210687
    452 https://doi.org/10.1186/1748-5908-9-8
    453 rdf:type schema:CreativeWork
    454 sg:pub.10.1186/2046-4053-2-102 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032794307
    455 https://doi.org/10.1186/2046-4053-2-102
    456 rdf:type schema:CreativeWork
    457 sg:pub.10.1186/s13012-014-0152-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041762055
    458 https://doi.org/10.1186/s13012-014-0152-6
    459 rdf:type schema:CreativeWork
    460 sg:pub.10.1186/s13012-015-0264-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022761784
    461 https://doi.org/10.1186/s13012-015-0264-7
    462 rdf:type schema:CreativeWork
    463 sg:pub.10.1186/s13012-016-0421-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039779249
    464 https://doi.org/10.1186/s13012-016-0421-7
    465 rdf:type schema:CreativeWork
    466 sg:pub.10.1186/s13012-018-0834-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1110396642
    467 https://doi.org/10.1186/s13012-018-0834-6
    468 rdf:type schema:CreativeWork
    469 grid-institutes:grid.1002.3 schema:alternateName Centre for Health Economics, Monash Business School, Monash University, Melbourne, Australia
    470 National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia
    471 School of Psychological Sciences, Monash University, Melbourne, Australia
    472 School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
    473 schema:name Centre for Health Economics, Monash Business School, Monash University, Melbourne, Australia
    474 Department of Surgery, Monash University, Melbourne, Australia
    475 Monash-Epworth Rehabilitation Research Centre, Epworth Hospital, Melbourne, Australia
    476 National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia
    477 School of Psychological Sciences, Monash University, Melbourne, Australia
    478 School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
    479 rdf:type schema:Organization
    480 grid-institutes:grid.1004.5 schema:alternateName Department of Psychology, Macquarie University, Sydney, Australia
    481 schema:name Department of Psychology, Macquarie University, Sydney, Australia
    482 rdf:type schema:Organization
    483 grid-institutes:grid.1623.6 schema:alternateName Department of Neurosurgery, The Alfred Hospital, Melbourne, Australia
    484 schema:name Department of Neurosurgery, The Alfred Hospital, Melbourne, Australia
    485 Department of Surgery, Monash University, Melbourne, Australia
    486 National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia
    487 rdf:type schema:Organization
    488 grid-institutes:grid.28046.38 schema:alternateName Department of Medicine, University of Ottawa, Ottawa, ON Canada
    489 schema:name Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON Canada
    490 Department of Medicine, University of Ottawa, Ottawa, ON Canada
    491 rdf:type schema:Organization
    492 grid-institutes:grid.28577.3f schema:alternateName School of Health Sciences, City University of London, London, UK
    493 schema:name School of Health Sciences, City University of London, London, UK
    494 rdf:type schema:Organization
    495 grid-institutes:grid.413252.3 schema:alternateName Emergency Department, Westmead Hospital, Sydney, Australia
    496 schema:name Emergency Department, Westmead Hospital, Sydney, Australia
    497 rdf:type schema:Organization
    498 grid-institutes:grid.416075.1 schema:alternateName Royal Adelaide Hospital Emergency Department, Adelaide, Australia
    499 schema:name MedSTAR Emergency Medical Retrieval Service, Adelaide, Australia
    500 Royal Adelaide Hospital Emergency Department, Adelaide, Australia
    501 rdf:type schema:Organization
    502 grid-institutes:grid.416153.4 schema:alternateName Department of Emergency Medicine, Royal Melbourne Hospital, Melbourne, Australia
    503 schema:name Department of Emergency Medicine, Royal Melbourne Hospital, Melbourne, Australia
    504 Melbourne Medical School, The University of Melbourne, Melbourne, Australia
    505 rdf:type schema:Organization
    506 grid-institutes:grid.4830.f schema:alternateName Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands
    507 schema:name Department of Surgery, Monash University, Melbourne, Australia
    508 Faculty of Economics and Business, University of Groningen, Groningen, The Netherlands
    509 National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia
    510 rdf:type schema:Organization
    511 grid-institutes:grid.59025.3b schema:alternateName Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
    512 schema:name Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
    513 National Trauma Research Institute, Alfred Hospital and Monash University, Melbourne, Australia
    514 rdf:type schema:Organization
    515 grid-institutes:grid.83440.3b schema:alternateName Department of Clinical, Educational and Health Psychology, University College London, London, UK
    516 schema:name Department of Clinical, Educational and Health Psychology, University College London, London, UK
    517 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...