User survey finds rapid evidence reviews increased uptake of evidence by Veterans Health Administration leadership to inform fast-paced health-system decision-makingReport as inadecuate




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Systematic Reviews

, 5:132

First Online: 05 August 2016Received: 09 December 2015Accepted: 20 June 2016DOI: 10.1186-s13643-016-0306-5

Cite this article as: Peterson, K., Floyd, N., Ferguson, L. et al. Syst Rev 2016 5: 132. doi:10.1186-s13643-016-0306-5

Abstract

BackgroundTo provide evidence synthesis for faster-paced healthcare decision-making, rapid reviews have emerged as a streamlined alternative to standard systematic reviews. In 2012, the Veterans Affairs Evidence-based Synthesis Program VA ESP added rapid reviews to support Veterans Health Administration VHA operational partners’ more urgent decision-making needs. VHA operational partners play a substantial role in dissemination of ESP rapid reviews through a variety of routes, including posting on the VA ESP’s public website http:-www.hsrd.research.va.gov-publications-esp-. As demand for rapid reviews rises, much progress has been made in characterizing methods and practices. However, evidence synthesis organizations still seek to better understand how and when rapid reviews are being used.

MethodsThe VA ESP administered an online survey to rapid review operational partners. The survey assessed the nature of decision-making needs, overall perception of review content, resulting actions, and implementation timeframe. We use descriptive statistics and narrative methods to summarize findings.

ResultsBetween October 2011 and April 2015, we completed 12 rapid reviews for 35 operational partners. Operational partners were primarily non-academic subject matter experts with VA operations’ decision-making authority. The most common topic categories reviewed were policy or system 50 % or process of care 42 % initiatives. Median report completion time was 14.5 weeks. Survey response rate was 46 %, with at least one operational partner responding for 92 % of reports. Reviews served multiple purposes including policy directive or regulation 72 %, supporting program development and evaluation 55 %, identifying future research needs 45 %, and determining implementation strategy 45 %. Overall, operational partners’ perception of report content was positive. A majority of rapid reviews were used immediately and informed actions ranking high on the Institute of Medicine’s Degrees of Impact framework: 45.4 % effected change, 18.2 % inspired action, 18.2 % informed the field, 9.1 % received recognition, and 9.1 % spread a message.

ConclusionsVA ESP rapid reviews have increased the VHA’s uptake of evidence to inform time-sensitive system-level decision-making. Key areas of interest for future evaluation include assessing user perception of our streamlined methods and the quality of our efforts to inform users of these methods, as well as comparing the usability and impact of our rapid and standard systematic reviews.

KeywordsRapid review Evidence synthesis Decision-making Implementation Program impact Electronic supplementary materialThe online version of this article doi:10.1186-s13643-016-0306-5 contains supplementary material, which is available to authorized users.





Author: Kim Peterson - Nicole Floyd - Lauren Ferguson - Vivian Christensen - Mark Helfand

Source: https://link.springer.com/







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