Advancing Quality Improvement Research Challenges and Opportunities: Workshop Summary (2007) / Chapter Skim
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2 Approaches to Quality Improvement Research
2 Approaches to Quality Improvement Research
Pages 21-26
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From page 21... ...
Unfortunately, he said, in most cases the three goals are pursued independently, not collectively. For example, efforts are often made to improve patient outcomes and system performance, but the formative process of how health care professionals are trained and how to achieve better health care through
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From page 22... ...
ADVANCING QUALITY IMPROVEMENT RESEARCH improvements in the quality of this training has generally received little attention. Batalden offered the following formula as a way of thinking about how the various factors of quality improvement fit together: Generalizable Measured Particular → scientific + performance context evidence improvement In short, by taking general scientific understandings and applying them to a particular context, one should be able to achieve a measurable improvement in performance.
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From page 23... ...
This research is inherently interdisciplinary, involving health care professionals, organization scientists, engineers, and others, Grimshaw noted. Some workshop attendees questioned just how much these two views of quality improvement research differ.
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and attempt to elucidate whether an intervention will be effective in a real-world setting, not in an optimal one. Such RCTs frequently have broad inclusion criteria and can be designed to gain better understanding of the influence of context on the effectiveness of quality improvement interventions and why changes occurred.
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From page 25... ...
APPROACHES TO QUALITY IMPROVEMENT RESEARCH approaches in conjunction with data from RCTs to test multilevel hypotheses about which interventions work and which do not. Quasi-experimental trials are another method of evaluating interventions, Grimshaw said.
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From page 26... ...
ADVANCING QUALITY IMPROVEMENT RESEARCH Grimshaw said; these bodies of knowledge can be synthesized to determine the generalizability of findings. Finally, Grimshaw noted that partnerships are needed to encourage communication among various stakeholders, such as theorists, researchers, and implementers.
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