Implementation Science

official impact factor 2.51

Open Access Study protocol

Improving outcomes for ill and injured children in emergency departments: protocol for a program in pediatric emergency medicine and knowledge translation science

Shannon Scott1,2*, Lisa Hartling2, Jeremy Grimshaw3, David Johnson4, Martin Osmond5, Amy Plint5, Rollin Brant6, Jamie C Brehaut3, Ian D Graham7, Gillian Currie4, Nicola Shaw8, Maala Bhatt9, Tim Lynch10, Liza Bialy2 and Terry Klassen2

Author Affiliations

1 Faculty of Nursing, University of Alberta, Edmonton, Canada

2 Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada

3 Ottawa Health Research Institute, Faculty of Medicine, University of Ottawa, Ottawa, Canada

4 Department of Pediatrics, Faculty of Medicine, University of Calgary, Calgary, Canada

5 Departments of Pediatric and Emergency Medicine, University of Ottawa, Ottawa, Canada

6 Department of Statistics, University of British Columbia, Vancouver, Canada

7 Canadian Institutes of Health Research, Ottawa, Canada

8 Department of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada

9 Division of Emergency Medicine, Faculty of Medicine, McGill University, Montreal, Canada

10 Department of Pediatrics, Faculty of Medicine, University of Western Ontario, London, Canada

For all author emails, please log on.

Implementation Science 2009, 4:60 doi:10.1186/1748-5908-4-60

Published: 22 September 2009

Abstract

Approximately one-quarter of all Canadian children will seek emergency care in any given year, with the two most common medical problems affecting children in the emergency department (ED) being acute respiratory illness and injury. Treatment for some medical conditions in the ED remains controversial due to a lack of strong supporting evidence.

The purpose of this paper is to describe a multi-centre team grant in pediatric emergency medicine (PEM) that has been recently funded by the Canadian Institutes of Health Research (CIHR). This program of research integrates clinical research (in the areas of acute respiratory illness and injury) and knowledge translation (KT). This initiative includes seven distinct projects that address the objective to generate new evidence for clinical care and KT in the pediatric ED. Five of the seven research projects in this team grant make significant contributions to knowledge development in KT science, and these contributions are the focus of this paper.

The research designs employed in this program include: cross-sectional surveys, randomized controlled trials (RCTs), quasi-experimental designs with interrupted time-series analysis and staggered implementation strategies, and qualitative designs.

This team grant provides unique opportunities for making important KT methodological developments, with a particular focus on developing a better theoretical understanding of the causal mechanisms and effect modifiers of different KT interventions.