Document Detail

Finding order in heterogeneity: types of quality-improvement intervention publications.
MedLine Citation:
PMID:  19064654     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Stakeholders in quality improvement agree on the need for augmenting and synthesising the scientific literature supporting it. The diversity of perspectives, approaches, and contexts critical to advancing quality improvement science, however, creates challenges. The paper explores the heterogeneity in clinical quality improvement intervention (QII) publications. METHODS: A preliminary classification framework was developed for QII articles, aiming for categories homogeneous enough to support coherent scientific discussion on QII reporting standards and facilitate systematic review. QII experts were asked to identify articles important to QII science. The framework was tested and revised by applying it to the article set. The final framework screened articles into (1) empirical literature on development and testing of QIIs; (2) QII stories, theories, and frameworks; (3) QII literature syntheses and meta-analyses; or (4) development and testing of QII-related tools. To achieve homogeneity, category (1) required division into (1a) development of QIIs; 1(b) history, documentation, or description of QIIs; or (1c) success, effectiveness or impact of QIIs. RESULTS: By discussing unique issues and established standards relevant to each category, QII stakeholders can advance QII practice and science, including the scope and conduct of systematic literature reviews.
L V Rubenstein; S Hempel; M M Farmer; S M Asch; E M Yano; D Dougherty; P W Shekelle
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Quality & safety in health care     Volume:  17     ISSN:  1475-3901     ISO Abbreviation:  Qual Saf Health Care     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-09     Completed Date:  2009-03-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136980     Medline TA:  Qual Saf Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  403-8     Citation Subset:  H    
Veterans Affairs Greater Los Angeles Healthcare System at Sepulveda, North Hills, CA 91343, USA.
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MeSH Terms
Publications / standards*
Quality Assurance, Health Care*
Grant Support
HHSP 233200400717 P//PHS HHS
Comment In:
Qual Saf Health Care. 2008 Dec;17(6):394-5   [PMID:  19064651 ]

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