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. 2025 Oct 17;10(Suppl 5):e002061.
doi: 10.1136/tsaco-2025-002061. eCollection 2025.

Application of evidence into practice in trauma: the Purpose-to-Practice (P2P) approach to consensus generation

Jenny M Guido #  1   2 , Morgan Krause #  3 , Brendon Frankel  4 , Emily Hillmer  2 , Ariel Whitney Knight  5 , Katheryn T Grider  6 , Ashley N Moreno  7 , Lacey N LaGrone  8 ; 2025 Design for Implementation (DFI) Authorship Group
Collaborators, Affiliations

Application of evidence into practice in trauma: the Purpose-to-Practice (P2P) approach to consensus generation

Jenny M Guido et al. Trauma Surg Acute Care Open. .

Abstract

Introduction: In trauma care, there is a need to increase communication to ensure evidence-informed, best practice care guidelines are easily accessible to all providers to yield consistency of care. Clinical guidance use is one way to address this need while employing a patient-centered team approach.

Methods: During year 2 of the Design for Implementation: The Future of Trauma Research & Clinical Guidance conference series, participants gathered in person and virtually to further develop the minimum viable product (MVP) created during year 1. Professional facilitators used the purpose-to-practice framework to help structure and guide further consensus building.

Results: 70 in-person and up to 65 virtual attendees participated. 65 responses were collected on the MVP reflection and initial feedback survey. Themes were developed surrounding the pillars of 'Purpose', 'Principles', 'Participants', and 'Practices' while looking at the 'Structure' for 'Sustainability'. The 'Purpose' pillar addressed the importance of rigorous, standardized implementation guidance. 'Principles' exemplified the necessity of a collaborative approach and included all relevant stakeholders. Similarly, the central theme emphasized by the 'Participants' pillar was the inclusiveness of all members of the trauma team. 'Practices' dove into the deliverables of the initiative, including up-to-date decision-making support and logistics regarding guidance storage, management, and maintenance. Regarding 'Structure', the most highly ranked idea was developing a steering committee whose purpose would be primarily to prioritize strategic initiatives.

Discussion: Clinical guidance needs to be current and readily available to all providers. The next steps of this initiative include developing a steering committee and subcommittees to sustain momentum.

Level of evidence: VII.

Keywords: guideline.

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Conflict of interest statement

KTG, ANM, and LNL report that funding for the DFI conference was made possible in part by grant 1R13HS028940-01A1 from the Agency for Healthcare Research and Quality (AHRQ) paid to the Coalition for National Trauma Research. The AHRQ grant covered part of their costs for attending the conference. ANM received financial support from The ReSource, LLC, for additional DFI conference support. The Coalition for National Trauma Research has received a grant from the Gates Foundation to support the ongoing and adjacent DFI work. Within the 2025 Design for Implementation (DFI) Authorship Group: Babak Sarani is a consultant for Haemonetics, Belmont, and Acumed, and a speaker for Haemonetics, Acumed, and Medtronic. Deborah M Stein is a consultant for CSL Behring. Erik Van Eaton is a paid employee and shareowner at TransformativeMed Inc (a health IT software company). Evert Eriksson is a speaker and educator for J&J and AO. Simon Oczkowski has received travel support from Fisher & Paykel Healthcare and consulting fees from VitalAire and The Brain Trauma Foundation. Kristan Staudenmayer is a consultant for AIMedica and Credence Management Solutions. Jeffrey L Wells and Kelly Lang each received a stipend for their DFI conference participation as trauma survivors/caregiver from The ReSource, LLC. Elliott R Haut reports research funding from AHRQ, PCORI, and NIH/NHLBI. Dr. Haut is also the Editor of Trauma Surgery & Acute Care Open (TSACO).

Figures

Figure 1
Figure 1. The five elements of the purpose-to-practice framework.
Figure 2
Figure 2. Results of the dot voting exercise and areas of most importance. NCCN, National Comprehensive Cancer Network.
See this image and copyright information in PMC

Update of

  • Application of Evidence into Practice in Trauma: The Purpose to Practice (P2P) Approach to Consensus Generation.
    Guido JM, Krause M, Frankel B, Hillmer E, Knight AW, Grider K, Moreno AN, LaGrone LN; 2025 Design for Implementation (DFI) Authorship Group; Bixby P, Bonne S, Bulger EM, Cain JG, Chastek J, Coleman JR, Costantini TW, Cozzi N, Davis KA, Dicker RA, Dorlac WC, Van Eaton E, Eriksson E, Evans S, Foster SM, Goodloe JM, Haut ER, Jarman M, Johnson A, Kotagal M, Krause M, Kubasiak JC, Lang K, Leigh AB, Mangat HS, Marvel DM, Michetti CP, Moran V, Moreno AN, Oczkowski SJ, Person MA, Price MA, Punch LJ, Racey M, Ray BL, Redmond D, Reinhart LK, Rhodes H, Rhodes B, Rubiano AM, Sanchez S, Sarani B, Shelton E, Spain DA, Staudenmayer K, Stein DM, Valenzuela J, Villarreal CL, Wells JL, Wong GZ, Young LS. Guido JM, et al. medRxiv [Preprint]. 2025 Aug 24:2025.08.20.25334072. doi: 10.1101/2025.08.20.25334072. medRxiv. 2025. Update in: Trauma Surg Acute Care Open. 2025 Oct 17;10(Suppl 5):e002061. doi: 10.1136/tsaco-2025-002061. PMID: 40894154 Free PMC article. Updated. Preprint.

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