An evidence-based health care system to achieve macro goals and strategies consists of three systematic approaches:
1) National system of clinical knowledge management 2) National system of evidence-based medicine 3) Integrated national network of clinical effectiveness
The National Clinical Knowledge Management System is a set of actions, activities, processes and structures that promote, facilitate and guarantee clinical knowledge management in the country. This part of the national evidence-based health care system strives to provide the best evidence for evidence-based decision making by analyzing and localizing raw information if needed.
Clinical knowledge management units are the main pillar of the national clinical knowledge management system in the country, guiding the production of national knowledge products in specialized clinical areas. These units operate on the basis of a license from the Ministry of Health and Medical Education, and are evaluated annually and, if necessary, renew their license for one year.
Some of the units that are potentially capable of establishing nationwide clinical knowledge units include research departments of medical universities, medical school training departments, clinical research centers, hospitals with the necessary infrastructure to guide actions and processes. Promote and facilitate clinical knowledge management, scientific forums.
It is suggested that the human resources structure of clinical knowledge management units be divided into two groups:
1) Fixed Members: Head of Unit – Unit Executive – Project Manager – Unit Experts
2) Temporary members: Depending on the type of project involved in its implementation.
Active Scientific Committees in hospitals relying on the presence and activity of knowledgeable, capable, committed, and responsible scientific personnel in all fields of expertise that, in addition to performing their specialized duties, their clinical and professional experience, Providing the best to other specialist and community groups, in their evolutionary drive towards the creation of a clinical knowledge management unit, should seek to achieve the following expected outcomes:
Institutionalize the principles of clinical governance in all current hospital activities and services.
2- Play an effective role in promoting professional ethics
3. To play an effective role in promoting patients’ health by proposing an evidence-based strategy and promoting evidence-based practice.
4- Contributing to the best diagnostic and therapeutic approaches to care and developing evidence-based clinical guidelines.
5. Constructive interaction with research systems
6- Participation in vocational training of all occupations, including staff, nurses, doctors, etc.
7. Establishing effective professional and scientific communication with other Scientific-Research Centers and Scientific Committees of other hospitals in order to promote scientifically all members of the health team.
To this end, the Scientific Committee of Pars Specialized and Specialized Hospital intends to set up a Clinical Knowledge Management Committee with the aim of moving towards securing clinical effectiveness and citing the best local, national and international evidence in various fields of health care. To play its effective role in promoting the multidisciplinary approach and applying Evidence-based approaches and formulating evidence-based clinical guidelines.