The Institute of Medicine (now the National Academy of Medicine) has proposed a Learning Heath System (LHS) as a model to improve health care. A LHS focuses on capturing data from the clinical encounter and applying those data to improve practice. The process can be described as an iterative learning cycle composed of three areas: performance to data, data to knowledge, and knowledge to performance or often knowledge translation. Adoption of new knowledge in medicine is notoriously slow and the relatively new field of knowledge translation is systematically examining the critical success factors. In this issue of the Archives, Moore reports a knowledge translation project in a key aspect of rehabilitation: implementing standardized outcome measures. We report on the challenges and benefits of that project from a practical perspective and identify the critical success ingredient- leadership for implementation which was comprised of three key behaviors: setting clear expectations, engaging stakeholders, and providing support. Furthermore, the additional benefits, challenges and costs are addressed.

中文翻译：

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对实施标准化成果措施的挑战和益处的评论

医学研究所（现为美国国家医学科学院）提出了学习健康系统（LHS）作为改善医疗保健的模型。LHS 侧重于从临床遭遇中获取数据并将这些数据应用于改进实践。该过程可以描述为一个迭代学习循环，由三个领域组成：性能到数据、数据到知识、知识到性能或通常是知识转换。众所周知，医学新知识的采用速度很慢，而知识转化这一相对较新的领域正在系统地检查关键的成功因素。在本期档案中，摩尔报告了康复关键方面的知识转化项目：实施标准化结果测量。我们从实践的角度报告该项目的挑战和收益，并确定实施的关键成功要素——领导力，它由三个关键行为组成：设定明确的期望、吸引利益相关者和提供支持。此外，还解决了额外的好处、挑战和成本。