Research versus Quality Improvement in Healthcare

Al-Surimi, Khaled

doi:10.4103/jqsh.jqsh_16_18

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…described salient structural and interpretive differences between clinical research and QI papers (TABLE 2). 13 The remainder of the intervention remained unchanged from PDSA cycle 1.…”

Section: Bottom Linementioning

confidence: 99%

Adapting SQUIRE 2.0 to Create a Quality Improvement Evidence-Based Medicine Critical Appraisal Tool (QI-EBM-CAT) for Graduate Medical Education Trainees

Smeraglio

Pittenger

DiVeronica

et al. 2022

Journal of Graduate Medical Education

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Background Evidence-based medicine (EBM) has long been taught to physician trainees for critical appraisal of research manuscripts. There is no parallel or similar framework to guide trainees in the appraisal of quality improvement (QI) literature. Objective To adapt existing guidelines of QI manuscript reporting into an educational QI-EBM appraisal tool to help residents distinguish research and QI manuscripts, assess QI designs and methodologies, and evaluate QI manuscripts' strengths and weaknesses. Methods Between 2018 and 2021, we developed a QI-EBM critical appraisal tool (QI-EBM-CAT) and performed 3 plan-do-study-act cycles to refine the tool based on JAMA and SQUIRE 2.0 guidelines. We then surveyed residents regarding the usefulness of the tool and their confidence in evaluating QI manuscripts before and after completing a QI-EBM workshop using the QI appraisal tool. Results Sixty-six of 74 internal medicine postgraduate year (PGY)-1 to PGY-3 residents (89.2%) completed the workshop and assessment surveys in 2021. The workshop was found to be moderately to very useful by 85.1% (63 of 74) of residents as a framework for QI manuscript critical analysis. The summary confidence score in QI manuscript critical appraisal improved from a 64% rating of moderately to very confident in the pre-period to 94.6% in the post-period (P<.001) with statistical improvements in all 5 confidence areas assessed (P<.001). Conclusions The QI-EBM-CAT, designed to teach residents how to critically assess QI manuscripts using EBM principles, resulted in subjective improvements in confidence of QI manuscript analysis.

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“…described salient structural and interpretive differences between clinical research and QI papers (TABLE 2). 13 The remainder of the intervention remained unchanged from PDSA cycle 1.…”

Section: Bottom Linementioning

confidence: 99%

Adapting SQUIRE 2.0 to Create a Quality Improvement Evidence-Based Medicine Critical Appraisal Tool (QI-EBM-CAT) for Graduate Medical Education Trainees

Smeraglio

Pittenger

DiVeronica

et al. 2022

Journal of Graduate Medical Education

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“…Acceptable methodology for QI projects generally involves a framework consisting of multiple cycles of testing interventions or changes over time. For example, the ''Plan-Do-Study-Act'' (PDSA) approach (or plan-docheck-act [PDCA]) [9,10] evaluates one intervention at a time. The results from each cycle are incorporated into the next intervention, and the PDSA process is repeated until the desired goal is achieved.…”

Section: How To Use Quality Measures In Qi Projectsmentioning

confidence: 99%

Quality Measures: Types, Selection, and Application in Health Care Quality Improvement Projects

Jazieh

2020

Global Journal on Quality and Safety in Healthcare

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“…[1] A QI project follows a QI methodology, which, briefly explained, consists of selecting a problem, describing its related process, diagnosing causes, and seeking solutions of problems through process improvement. [2] One critical factor for successful implementation of QI projects is selecting one problem of the "right" type for QI methodology. However, a poor selection and prioritization of problems of QI projects remain among their most common critical failure factors.…”

Section: Introductionmentioning

confidence: 99%

“…A QI project is “a chronic problem scheduled for solution.”[ 1 ] A QI project follows a QI methodology, which, briefly explained, consists of selecting a problem, describing its related process, diagnosing causes, and seeking solutions of problems through process improvement. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

An Approach to Identify “Right” Problems for Initial Quality Improvement Projects

Ubeda

2020

Global Journal on Quality and Safety in Healthcare

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Research versus Quality Improvement in Healthcare

Cited by 4 publications

References 12 publications

Adapting SQUIRE 2.0 to Create a Quality Improvement Evidence-Based Medicine Critical Appraisal Tool (QI-EBM-CAT) for Graduate Medical Education Trainees

Adapting SQUIRE 2.0 to Create a Quality Improvement Evidence-Based Medicine Critical Appraisal Tool (QI-EBM-CAT) for Graduate Medical Education Trainees

Quality Measures: Types, Selection, and Application in Health Care Quality Improvement Projects

An Approach to Identify “Right” Problems for Initial Quality Improvement Projects

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