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SOURCE: Vascular Health Sciences
New approaches in learning could lead to more effective patient care.
Edison, NJ (PRWEB) February 04, 2013
A Learning Healthcare System (LHS) is vital to healthcare; however, an adequate LHS calls for new approaches to research, and currently data collected in the researched clinical trial is often costly and not applicable to routine patient care, according to recent comments Vascular Health Sciences Medical Advisor Dr. Derrick DeSilva, M.D.
"Although the rigorous researched clinical trial is the gold-standard of evidenced-based learning for clinical care, trials are most often conducted outside actual healthcare situations, resulting in substantial evidentiary gaps and slow entrance into patient-care guidelines," said Dr. DeSilva.
Dr. DeSilva, M. D. is a practicing internist and Senior Attending Staff at Raritan Bay Medical Center and is on the teaching faculty at JFK Medical Center in New Jersey.
Limitations of the researched clinical trial have prompted researchers and clinical practioners to put forward new research methods in order to enhance learning in the Learning Healthcare System. Two of these new research methods are Point-of-Care Research (POC-R) and Collaborative Research to Enhance and Advance Transformation and Excellence (CREATE).
Both of these new research methods are being piloted by the Department of Veteran Affairs (VA) at the Boston and Providence Medical Centers. The VA is using Point-of-Care Research is to investigate weight-based versus sliding-scale insulin administration for improved glycemic control in hospital in-patients.
Using the patients' own doctors and electronic healthcare records, the Point-of-Care Research becomes integral to pragmatic patient care. The expected result of the Point-of-Care Research is to fill in evidence gaps and translate data in order to reduce number and length of hospital stays because of poor glycemic control.
The second research method piloted by the VA is the Collaborative Research to Enhance and Advance Transformation and Excellence. This method enables healthcare partners to work together through formal agreements with one another. The design of this research method requires group members to participate in the analysis and implementation of research results around three, four, or five similar research projects grouped together.
"Since clinicians are members of the research team, this collaborative method allows for the inclusion of pressing clinical questions into the project research design and more immediate implementation of appropriate findings," said Dr. DeSilva.
Adopting new, yet rigorous, research methods like CREATE and POC-R and are expected to contribute to learning in such a way that the Learning Healthcare System can optimize relevancy and translate to efficient, effective patient care in more timely ways.
About Vascular Health Sciences
Founded in 2010, Vascular Health Sciences explores technologies, develops products and disseminates information to increase awareness and promote the proper care of the endothelial glycocalyx. Vascular Health Sciences is committed to increasing awareness of the glycocalyx and its role in vascular health, and to providing products supporting the care of this essential system. For more information, visit VascularHealthSciences.com.
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