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

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.