Effectiveness of quality improvement: learning from evaluations

作者: Kieran Walshe , Timothy Freeman

DOI: 10.1136/QHC.11.1.85

关键词:

摘要: The effectiveness of many quality improvement interventions has been studied, and research suggests that most have highly variable effects which depend heavily on the context in they are used way implemented. This three important implications. Firstly, it means approach to an organisation probably matters less than how by whom is used. Rather taking up, trying, then discarding a succession different techniques, organisations should choose one carefully persevere make work. Secondly, future into be directed more at understanding why work—the determinants effectiveness—rather measuring whether Thirdly, some element evaluation incorporated every programme so its can monitored information improve systems for improvement.

参考文章(8)
W. Edwards Deming, Out of the crisis : quality, productivity and competitive position Published in <b>1986</b> in Cambridge by Cambridge university press. ,(1986)
A D Oxman, R B Haynes, M A Thomson, D A Davis, No magic bullets: a systematic review of 102 trials of interventions to improve professional practice Canadian Medical Association Journal. ,vol. 153, pp. 1423- 1431 ,(1995)
David Blumenthal, Charles M. Kilo, A Report Card on Continuous Quality Improvement Milbank Quarterly. ,vol. 76, pp. 625- 648 ,(1998) , 10.1111/1468-0009.00108
Richard Grol, Improving the Quality of Medical Care JAMA. ,vol. 286, pp. 2578- 2585 ,(2001) , 10.1001/JAMA.286.20.2578
G Johnston, IK Crombie, EM Alder, HTO Davies, A Millard, Reviewing audit: barriers and facilitating factors for effective clinical audit BMJ Quality & Safety. ,vol. 9, pp. 23- 36 ,(2000) , 10.1136/QHC.9.1.23
Huw TO Davies, Sandra M Nutley, Russell Mannion, Organisational culture and quality of health care Quality in Health Care. ,vol. 9, pp. 111- 119 ,(2000) , 10.1136/QHC.9.2.111