Quality improvement: Difference between revisions

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==Why quality improvement efforts succeed and fail==
==Why quality improvement efforts succeed and fail==
Various organizational characteristics, some based on [[complexity science]]<ref name="pmid27118664">{{cite journal| author=Massoud MR, Barry D, Murphy A, Albrecht Y, Sax S, Parchman M| title=How do we learn about improving health care: a call for a new epistemological paradigm. | journal=Int J Qual Health Care | year= 2016 | volume= 28 | issue= 3 | pages= 420-4 | pmid=27118664 | doi=10.1093/intqhc/mzw039 | pmc=4931911 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27118664  }} </ref><ref name="pmid20367840">{{cite journal| author=Jordon M, Lanham HJ, Anderson RA, McDaniel RR| title=Implications of complex adaptive systems theory for interpreting research about health care organizations. | journal=J Eval Clin Pract | year= 2010 | volume= 16 | issue= 1 | pages= 228-31 | pmid=20367840 | doi=10.1111/j.1365-2753.2009.01359.x | pmc=3667707 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20367840  }} </ref>, may predict why quality improvement projects succeed<ref name="pmid17725834">{{cite journal| author=Leykum LK, Pugh J, Lawrence V, Parchman M, Noël PH, Cornell J et al.| title=Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes. | journal=Implement Sci | year= 2007 | volume= 2 | issue=  | pages= 28 | pmid=17725834 | doi=10.1186/1748-5908-2-28 | pmc=2018702 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17725834  }} </ref><ref name="pmid20735859">{{cite journal| author=Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR| title=The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure. | journal=Implement Sci | year= 2010 | volume= 5 | issue=  | pages= 66 | pmid=20735859 | doi=10.1186/1748-5908-5-66 | pmc=2936445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20735859  }} </ref><ref name="pmid20735859">{{cite journal| author=Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR| title=The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure. | journal=Implement Sci | year= 2010 | volume= 5 | issue=  | pages= 66 | pmid=20735859 | doi=10.1186/1748-5908-5-66 | pmc=2936445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20735859  }} </ref><ref name="pmid22819737">{{cite journal| author=Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT| title=How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts. | journal=Soc Sci Med | year= 2013 | volume= 93 | issue=  | pages= 194-202 | pmid=22819737 | doi=10.1016/j.socscimed.2012.05.040 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22819737  }} </ref> and fail<ref name="pmid21192206">{{cite journal| author=Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C et al.| title=Appreciative Inquiry for quality improvement in primary care practices. | journal=Qual Manag Health Care | year= 2011 | volume= 20 | issue= 1 | pages= 37-48 | pmid=21192206 | doi=10.1097/QMH.0b013e31820311be | pmc=4222905 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21192206  }} </ref><ref name="pmid22186171">{{cite journal| author=Arar NH, Noel PH, Leykum L, Zeber JE, Romero R, Parchman ML| title=Implementing quality improvement in small, autonomous primary care practices: implications for the patient-centred medical home. | journal=Qual Prim Care | year= 2011 | volume= 19 | issue= 5 | pages= 289-300 | pmid=22186171 | doi= | pmc=3313551 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22186171  }} </ref>.
Various organizational characteristics, some based on [[complexity science]]<ref name="pmid27118664">{{cite journal| author=Massoud MR, Barry D, Murphy A, Albrecht Y, Sax S, Parchman M| title=How do we learn about improving health care: a call for a new epistemological paradigm. | journal=Int J Qual Health Care | year= 2016 | volume= 28 | issue= 3 | pages= 420-4 | pmid=27118664 | doi=10.1093/intqhc/mzw039 | pmc=4931911 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27118664  }} </ref><ref name="pmid20367840">{{cite journal| author=Jordon M, Lanham HJ, Anderson RA, McDaniel RR| title=Implications of complex adaptive systems theory for interpreting research about health care organizations. | journal=J Eval Clin Pract | year= 2010 | volume= 16 | issue= 1 | pages= 228-31 | pmid=20367840 | doi=10.1111/j.1365-2753.2009.01359.x | pmc=3667707 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20367840  }} </ref>, may predict why quality improvement projects succeed<ref name="pmid17725834">{{cite journal| author=Leykum LK, Pugh J, Lawrence V, Parchman M, Noël PH, Cornell J et al.| title=Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes. | journal=Implement Sci | year= 2007 | volume= 2 | issue=  | pages= 28 | pmid=17725834 | doi=10.1186/1748-5908-2-28 | pmc=2018702 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17725834  }} </ref><ref name="pmid20735859">{{cite journal| author=Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR| title=The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure. | journal=Implement Sci | year= 2010 | volume= 5 | issue=  | pages= 66 | pmid=20735859 | doi=10.1186/1748-5908-5-66 | pmc=2936445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20735859  }} </ref><ref name="pmid20735859">{{cite journal| author=Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR| title=The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure. | journal=Implement Sci | year= 2010 | volume= 5 | issue=  | pages= 66 | pmid=20735859 | doi=10.1186/1748-5908-5-66 | pmc=2936445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20735859  }} </ref><ref name="pmid22819737">{{cite journal| author=Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT| title=How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts. | journal=Soc Sci Med | year= 2013 | volume= 93 | issue=  | pages= 194-202 | pmid=22819737 | doi=10.1016/j.socscimed.2012.05.040 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22819737  }} </ref> and fail<ref name="pmid21192206">{{cite journal| author=Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C et al.| title=Appreciative Inquiry for quality improvement in primary care practices. | journal=Qual Manag Health Care | year= 2011 | volume= 20 | issue= 1 | pages= 37-48 | pmid=21192206 | doi=10.1097/QMH.0b013e31820311be | pmc=4222905 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21192206  }} </ref><ref name="pmid22186171">{{cite journal| author=Arar NH, Noel PH, Leykum L, Zeber JE, Romero R, Parchman ML| title=Implementing quality improvement in small, autonomous primary care practices: implications for the patient-centred medical home. | journal=Qual Prim Care | year= 2011 | volume= 19 | issue= 5 | pages= 289-300 | pmid=22186171 | doi= | pmc=3313551 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22186171  }} </ref>.<ref>Michel, P., et al. "[https://www.sciforschenonline.org/journals/epidemiology-public-health/JEPHR-1-123.php What are the Barriers and Facilitators to the Implementation and/or Success of Quality Improvement and Risk Management in Hospitals: A Systematic Literature Review]." J Epidemiol Public Health Rev 1.4 (2016).</ref>


Studies using appreciative inquiry have been done.<ref name="pmid21192206">{{cite journal| author=Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C et al.| title=Appreciative Inquiry for quality improvement in primary care practices. | journal=Qual Manag Health Care | year= 2011 | volume= 20 | issue= 1 | pages= 37-48 | pmid=21192206 | doi=10.1097/QMH.0b013e31820311be | pmc=4222905 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21192206  }} </ref><ref name="Peelle 2006 pp. 447–467">{{cite journal | last=Peelle | first=Henry E. | title=Appreciative Inquiry and Creative Problem Solving in Cross-Functional Teams | journal=The Journal of Applied Behavioral Science | publisher=SAGE Publications | volume=42 | issue=4 | year=2006 | issn=0021-8863 | doi=10.1177/0021886306292479 | pages=447–467}}</ref>
Studies using appreciative inquiry have been done.<ref name="pmid21192206">{{cite journal| author=Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C et al.| title=Appreciative Inquiry for quality improvement in primary care practices. | journal=Qual Manag Health Care | year= 2011 | volume= 20 | issue= 1 | pages= 37-48 | pmid=21192206 | doi=10.1097/QMH.0b013e31820311be | pmc=4222905 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21192206  }} </ref><ref name="Peelle 2006 pp. 447–467">{{cite journal | last=Peelle | first=Henry E. | title=Appreciative Inquiry and Creative Problem Solving in Cross-Functional Teams | journal=The Journal of Applied Behavioral Science | publisher=SAGE Publications | volume=42 | issue=4 | year=2006 | issn=0021-8863 | doi=10.1177/0021886306292479 | pages=447–467}}</ref>

Revision as of 03:03, 19 September 2017

Quality improvement is "the attainment or process of attaining a new level of performance or qualit."[1].

Why quality improvement efforts succeed and fail

Various organizational characteristics, some based on complexity science[2][3], may predict why quality improvement projects succeed[4][5][5][6] and fail[7][8].[9]

Studies using appreciative inquiry have been done.[7][10]

Different approaches may be needed depending on the level of certainty in the clinical science behind a quality improvement project.[11]

References

  1. Anonymous (2024), Quality improvement (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Massoud MR, Barry D, Murphy A, Albrecht Y, Sax S, Parchman M (2016). "How do we learn about improving health care: a call for a new epistemological paradigm". Int J Qual Health Care. 28 (3): 420–4. doi:10.1093/intqhc/mzw039. PMC 4931911. PMID 27118664.
  3. Jordon M, Lanham HJ, Anderson RA, McDaniel RR (2010). "Implications of complex adaptive systems theory for interpreting research about health care organizations". J Eval Clin Pract. 16 (1): 228–31. doi:10.1111/j.1365-2753.2009.01359.x. PMC 3667707. PMID 20367840.
  4. Leykum LK, Pugh J, Lawrence V, Parchman M, Noël PH, Cornell J; et al. (2007). "Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes". Implement Sci. 2: 28. doi:10.1186/1748-5908-2-28. PMC 2018702. PMID 17725834.
  5. 5.0 5.1 Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR (2010). "The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure". Implement Sci. 5: 66. doi:10.1186/1748-5908-5-66. PMC 2936445. PMID 20735859.
  6. Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT (2013). "How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts". Soc Sci Med. 93: 194–202. doi:10.1016/j.socscimed.2012.05.040. PMID 22819737.
  7. 7.0 7.1 Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C; et al. (2011). "Appreciative Inquiry for quality improvement in primary care practices". Qual Manag Health Care. 20 (1): 37–48. doi:10.1097/QMH.0b013e31820311be. PMC 4222905. PMID 21192206.
  8. Arar NH, Noel PH, Leykum L, Zeber JE, Romero R, Parchman ML (2011). "Implementing quality improvement in small, autonomous primary care practices: implications for the patient-centred medical home". Qual Prim Care. 19 (5): 289–300. PMC 3313551. PMID 22186171.
  9. Michel, P., et al. "What are the Barriers and Facilitators to the Implementation and/or Success of Quality Improvement and Risk Management in Hospitals: A Systematic Literature Review." J Epidemiol Public Health Rev 1.4 (2016).
  10. Peelle, Henry E. (2006). "Appreciative Inquiry and Creative Problem Solving in Cross-Functional Teams". The Journal of Applied Behavioral Science. SAGE Publications. 42 (4): 447–467. doi:10.1177/0021886306292479. ISSN 0021-8863.
  11. Leykum LK, Lanham HJ, Pugh JA, Parchman M, Anderson RA, Crabtree BF; et al. (2014). "Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science". Implement Sci. 9: 165. doi:10.1186/s13012-014-0165-1. PMC 4239371. PMID 25407138.



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