Jeremy Kahn, MD, MS, was recently awarded a K24 Midcareer Investigator Award in Patient-Oriented Research from the National Heart, Lung, and Blood Institute, part of the National Institutes of Health.
The project has two complementary goals. One is to develop new approaches to bringing clinical evidence to the bedside so it can benefit patients – an important challenge in health care. The other is to train junior researchers in this field, known as “implementation science,” so that the next generation of researchers will be prepared to meet this challenge. The project focuses on implementing effective evidence-based therapies provided to patients in the ICU, particularly those receiving mechanical ventilation for acute respiratory failure.
In this project, entitled, “Patient Oriented Research and Mentoring in Critical Care Implementation Science,” Kahn, who is a Professor of Critical Care Medicine and Health Policy & Management, and Director of the Health Policy & Management Program (CRISMA), and his team will employ a systems science approach, which acknowledges that evidence-based practices in critical care require not only good decisions on the part of individual providers but also positive learning behaviors within a dynamic, interprofessional care team. Researchers will conduct both quantitative and qualitative research, which will involve organizational surveys, clinical data from the UPMC health system, and ethnographic evaluations of ICU teams in action, in order to investigate the factors involved in implementing effective organizational practices.
Consistently implementing effective practices in ICUs will not only require new scientific approaches but also a strong base of scientists who are prepared to translate complex, evidence-based therapies into effective clinical practices. With this in mind, the project will equip Kahn, who has expertise in the relationship between critical care organization and outcomes, with career-furthering resources so as to strengthen his training and mentoring of junior investigators. The project will run from 2016 to 2021.