[Background Music] [An animation is shown with the state of Ohio as a background and a circle at the center labeled "QI HUB" that then has additional circles leaving the main circle and traveling across the state. Text on screen: Presents: The History of Evidence-Based Practice in Healthcare Part 3 The Ohio State University - College of Medicine The Ohio State University - Wexner Medical Center] [Text on screen: Catherine Quatman-Yates, PT, DPT, PhD Associate Professor Division of Physical Therapy] [Cartoon images of a doctor, patient, and a researcher] Catherine Quatman-Yates, PT, DPT, PhD: The increase of tools and standards to aid Evidence-Based Practice, or EBP, in the 1990s and early 2000 did not immediately translate into widespread adoption by clinicians and health care systems. [Drawing of a computer is shown on the left with the following logos: Cochrane Library, AHRQ, CNSP, JBI, and PubMed. An arrow is drawn from the computer to a cartoon drawing of three medical professionals. While these tools were welcomed, there remained a substantial gap in understanding how to effectively implement them and the necessary practice needed before their safe usage. By the end of this video, we aim to illustrate some of the barriers to implementing EBP as well as emerging solutions to address these barriers. [A cartoon wall is drawn between the computer and the medical professionals] Let's explore the real-world impact of this issue through case studies. [Text on screen: Case Studies] In one study involving the management of asthma, it was found that when EBP guidelines were appropriately followed, patients experienced fewer asthma attacks and hospital visits, improving their quality of life. [A drawing of an individual using an inhaler is connected to a drawing of a book titled "Clinical Practice Guidelines," a drawing of lungs, and a drawing of a hospital] However, another study showed a major medical breakthroughs, such as a new method of stroke management, took on average 17 years to become an integral part of a clinician's practice. [Drawing of a patient outside of an advanced imaging machine interacting with a doctor is then connected to a drawing of a medical professional] This is often referred to as the 17-year gap. [Text on screen: 17 Year Gap] These case studies illustrate the importance of reducing the time it takes for new evidence to be integrated into practice. [Previous drawings of the person using an inhaler and a patient and doctor with an advanced imaging machine accompany the drawing of a clock and the following text: new EVIDENCE to be INTERGRATED into PRACTICE] The recognition of this gap led to finding ways to support knowledge translation. [Text on screen: Knowledge Translation] Knowledge translation efforts fall into several categories: Passive, Pull, Push, and Prompt. [Text on screen: Passive, Pull, Push, Prompt] Passive strategies rely on clinicians finding information on their own. [Drawing of an individual on a computer with a light bulb drawn next to the person's head] In contrast, pull strategies involve healthcare professionals actively working to advance understanding of the latest evidence through activities such as journal clubs. [Drawing of four individuals holding pieces of paper and thought bubbles with question and exclamation marks] Push strategies disseminate information to clinicians via channels such as conferences and workshops. [Drawing of an individual giving a presentation] And prompt strategies utilize tools that suggest specific tests or interventions based on certain patient characteristics. [Drawing of someone on a computer with the computer screen having the text "Tests" and "Interventions" among other symbols] Now, with the advancement in technology, we're able to do more prompting. For example, modern electronic health records can be set up to suggest specific tests or interventions when certain patient characteristics are entered, helping guide clinicians toward EBP. [Drawing of computer screen is focused on with the text "Electronic Health Records" appearing at the top of the screen and the text "fever, swollen joints, redness" appearing in the search bar] With the continual advancement of technology, we can expect even more efficient and user-friendly tools in the future that streamline the implementation of EBP. [Text on screen: we can expect MORE EFFICIENT and USER-FRIENDLY tools] For instance, AI and machine learning can enhance the process of sifting through and synthesizing vast amounts of research. [Animation of a conversation between an individual and AI on a smart phone] Virtual reality could provide practical and immersive training for healthcare professionals on the application of EBP. [Drawing of an individual using a VR headset alongside drawings of a heart, lungs, and kidneys] This brings us to the crucial role of education in improving EBP implementation. [Text on screen: Education] Continual learning and development are necessary for healthcare professionals to stay current with the latest research and best practices. [Drawing of a medical professional alongside the text: stay current with the LATEST RESEARCH and BEST PRACTICES] This ongoing education can take various forms, including formal post-graduate education, professional development workshops, and even on-the-job training. [Drawings of a person lecturing, a workshop, and surgery] The role of patients in EBP is also increasingly significant. [Text on screen: Patients] With growing access to medical information, patients are more empowered and can participate actively in shared decision-making. [Text on screen: Patients are more EMPOWERED and can participate ACTIVELY in shared DECISION-MAKING] Informed patients can advocate for care that aligns with the best available evidence, further driving the need for more EBP. [Drawing of the patient shown previously alongside a drawing of a medical professional interacting with a patient] Moreover, we have seen the emergence of fields like Dissemination Science and Implementation Science, as well as Quality Improvement Methods and Biomedical Informatics, all aimed at bridging the gap between evidence and practice. [Slide is titled "Fields" and includes four puzzle pieces connected with the following text in each one: Dissemination Science, Implementation Science, Quality Improvement Methods, Biomedical Informatics. An additional two puzzle pieces showing a researcher and a doctor examining a patient are shown] Dissemination Science focuses on improving strategies to spread information about new technologies and processes. [The puzzle piece titled "Dissemination Science" is highlighted and the following text is shown on screen: improving strategies to SPREAD information about new TECHNOLOGIES and PROCESSES] While Implementation Science aims to facilitate the use of these new insights and tools in practice. [The puzzle piece titled "Implementation Science" is highlighted and the following text is shown on screen: facilitate the use of these new INSIGHTS and TOOLS in practice] Quality Improvement Methods can help facilitate strategic implementation of new evidence into practice using actionable data from electronic health records. [The puzzle piece titled "Quality Improvement Methods" is highlighted and the following text is shown on screen: facilitate strategic implementation of new EVIDENCE into practice using actionable DATA from electronic health records] Biomedical Informatics leverages technology to optimally use information within the healthcare context, with the goal of improving patient care and studying the value of care. [The puzzle piece titled "Biomedical Informatics" is highlighted and the following text is shown on screen: leverages TECHNOLOGY to OPTIMALLY use information within the healthcare context] Each of these new fields contribute to our ability to take the EBP model and make it possible in our everyday healthcare settings by helping us consider and navigate the nuances in our environments and organizational context. [Drawing of a hospital is shown alongside the previously shown drawings of a medical professional, patient, and researcher. The text "Environments & Organizational Context" is also shown] We hope that this series of videos has helped create an understanding and appreciation of the history of EBP in Healthcare, as well as your role in it. [Text on screen: History of EBP in Healthcare Your Role] In future videos, we will provide a more in-depth consideration of these new advancements and the evolution of patient safety and quality approaches in healthcare. [The previous intro screen is shown with the following text: Thank you! Scan the QR code for references and resources] [Image of QR code] [QR code links to: https://go.osu.edu/qihub]