Quality improvement research understanding the science of change in healthcare

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Systematic reviews of both the impact of different strategies and the influence of specific factors on change. To stimulate and support debate about research on quality improvement and change management in health care we have commissioned a series of papers to provide an overview of some relevant methodologies.

The first two papers are published in this issue and more will follow. Pope et al 10 explore some of the qualitative methods that can be used to gather information about the delivery of good quality care, and Wensing and Elwyn 11 consider some of the key issues related to measurement of patients' views.

Forthcoming issues of QSHC will include papers that describe research methods for indicator development in primary care; a methodology for evaluating small scale improvement projects; methods for evaluating quality improvement programmes; research designs for randomised controlled trials in quality improvement; and economic evaluations of change management. There is a recognised process for the development of new drugs, their introduction into routine practice, and their establishment in the treatment of defined conditions.

As knowledge about a drug is accrued, new and better patterns of treatment gradually become established. Similar measured approaches are needed to help develop and establish better, safer systems of care. The academic base that supports change management and quality improvement in health care should underpin all clinical and managerial learning programmes.

Essential for all who want to improve health care. Skip to main content. Log in via OpenAthens. Log in using your username and password For personal accounts OR managers of institutional accounts. Forgot your log in details?

Register a new account? Forgot your user name or password? Search for this keyword. Advanced search. Latest content Current issue Archive Authors About. Log in via Institution. You are here Home Archive Volume 11, Issue 2 Quality improvement research: understanding the science of change in health care. Email alerts. Article Text. Article menu.

Quality improvement research. Quality improvement research: understanding the science of change in health care. Statistics from Altmetric. Box 1 Some research approaches for quality improvement research Observational studies of existing change processes In-depth qualitative studies on critical success factors and barriers to change improvement programmes Systematic reviews of both the impact of different strategies and the influence of specific factors on change Well designed cluster randomised trials Systematic sampling and interpretation of experiences of change Methods for developing valid and sensitive indicators for measuring change Meta-analyses of large samples of improvement projects Methods for evaluation of large scale implementation and change programmes Economic analyses of resources needed for effective change and improvement of care Statistical process control.

The American health care system. The movement for improved quality in health care. N Engl J Med ; : — Grol R. Beliefs and evidence in changing clinical practice. BMJ ; : — Improving the quality of medical care. Building bridges among professional price, payer profit, and patient satisfaction. JAMA ; : — Changing provider behavior: an overview of systematic reviews of interventions.

Med Care ; 39 8 Suppl 2 : II2 — Lessons from experienced guideline implementers: attend to many factors and use multiple strategies. Jt Comm J Qual Improv ; 26 : — OpenUrl PubMed. Solberg L. Guideline implementations: what the literature doesn't tell us. Thorsen , E. Biringer , K. Haug , A. Aslaksen Medicine, Psychology.

Highly Influenced. View 7 excerpts, cites methods and background. The potential for nurses to contribute to and lead improvement science in health care R. Flynn , S. Scott , T. Rotter , D. Hartfield Medicine. Journal of advanced nursing. View 1 excerpt, cites background. Som Medicine, Political Science. Improving the quality of medical care: building bridges among professional pride, payer profit, and patient satisfaction.

Grol Medicine. Personal paper: Beliefs and evidence in changing clinical practice R. Research on patients' views in the evaluation and improvement of quality of care M. Wensing , G. Elwyn Medicine, Political Science. Qualitative methods in research on healthcare quality C. Pope , P. Van Royen , R. Baker Medicine.

The challenge of complexity in health care P. Plsek , T. Greenhalgh Medicine, Political Science. The American health care system--the movement for improved quality in health care. Bodenheimer Medicine, Political Science. The New England journal of medicine. Grimshaw , L. Medical care. View 1 excerpt, references background. Leadership and the quality of care J.

Mowbray Political Science. Quality in health care : QHC. Guideline implementation: what the literature doesn't tell us. Solberg Medicine, Psychology. The Joint Commission journal on quality improvement. Implementing guidelines and innovations in general practice: which interventions are effective?

Wensing , T. Grol Medicine, Psychology. Related Papers Showing 1 through 3 of 0 Related Papers.

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