Primary Care Practice-Based Research Networks: Working at the Interface Between Research and Quality Improvement
The Annals of Family MedicinePublished 1 May 2005Open access
J. W. Mold
Citations272
SJR quartileQ1
SJR score1.10
SNIP1.69
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
PBRNs appear to be evolving from clinical laboratories into learning communities, proving grounds for generalizable solutions to clinical problems, and engines for improvement of primary care delivery systems.
Abstract
PBRNs appear to be evolving from clinical laboratories into learning communities, proving grounds for generalizable solutions to clinical problems, and engines for improvement of primary care delivery systems.
Keywords
Health Professions
Cochrane Database of Systematic ReviewsAudit and feedback: effects on professional practice and healthcare outcomes
5,532 Citations2012Noah Ivers, Gro Jamtvedt +8 more
The results indicated that feedback may be more effective when baseline performance is low, the source is a supervisor or colleague, it is provided more than once, and the role of context and the targeted clinical behaviour was assessed.
JAMAChanging physician performance. A systematic review of the effect of continuing medical education strategies
2,602 Citations1995D A Davis
JAMAImpact of Formal Continuing Medical Education
2,337 Citations1999David Davis, M. A. O'Brien +4 more
The data show some evidence that interactive CME sessions that enhance participant activity and provide the opportunity to practice skills can effect change in professional practice and, on occasion, health care outcomes.
Long Range PlanningThe fifth discipline fieldbook: Strategies and tools for building a learning organization
2,127 Citations1995
PubMedNo magic bullets: a systematic review of 102 trials of interventions to improve professional practice.
1,870 Citations1995AD Oxman, M. Thomson +2 more
There are no "magic bullets" for improving the quality of health care, but there are a wide range of interventions available that, if used appropriately, could lead to important improvements in professional practice and patient outcomes.
American Journal of Public HealthWhy Don’t We See More Translation of Health Promotion Research to Practice? Rethinking the Efficacy-to-Effectiveness Transition
1,855 Citations2003Russell E. Glasgow, Edward Lichtenstein +1 more
This work addresses the assumption that effectiveness research naturally and logically follows from successful efficacy research, and offers recommendations to help close the gap between efficacy and effectiveness research and to guide evaluation and possible adoption of new programs.
Cochrane Database of Systematic ReviewsContinuing education meetings and workshops: effects on professional practice and health care outcomes
1,813 Citations2009Louise Forsetlund, Arild Bjørndal +7 more
Educational meetings alone or combined with other interventions, can improve professional practice and healthcare outcomes for the patients and is most likely to be small and similar to other types of continuing medical education, such as audit and feedback, and educational outreach visits.
Cochrane Database of Systematic ReviewsInterprofessional education: effects on professional practice and healthcare outcomes
1,722 Citations2013Scott Reeves, Laure Perrier +3 more
This updated review includes 15 studies that measured the effectiveness of IPE interventions compared to no educational intervention and found that seven studies indicated that IPE produced positive outcomes in the following areas: diabetes care, emergency department culture and patient satisfaction.
PubMedTranslating guidelines into practice. A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines.
1,227 Citations1997Dave A. Davis, Anne Taylor‐Vaisey
The evidence shows serious deficiencies in the adoption of CPGs in practice and future implementation strategies must overcome this failure through an understanding of the forces and variables influencing practice and through the use of methods that are practice- and community-based rather than didactic.
Journal of VirologyProfessional Learning Communities: Communities of Continuous Inquiry and Improvement.
1,159 Citations1997Shirley M. Hord
New England Journal of MedicineClinical Research to Clinical Practice — Lost in Translation?
917 Citations2003Claude Lenfant
The magnitude of the problem of translating research knowledge into clinical practice and suggestions for closing this gap are outlined by Claude Lenfant.
Cochrane Database of Systematic ReviewsPrinted educational materials: effects on professional practice and healthcare outcomes
886 Citations2012Anik Giguère, France Légaré +8 more
The results of this review suggest that when used alone and compared to no intervention, PEMs may have a small beneficial effect on professional practice outcomes.
BMJThe case for knowledge translation: shortening the journey from evidence to effect
699 Citations2003Dennis S. Davis, Mike Evans Davis +9 more
Three constructs are explored: continuing medical education (CME), continuing professional development (CPD), and (the newest of the three) knowledge translation, which has the potential to improve understanding of, and overcome the barriers to, implementing evidence based practice.
Annals of Behavioral MedicineThe future of health behavior change research: What is needed to improve translation of research into health promotion practice?
612 Citations2004Russell E. Glasgow, Lisa M. Klesges +3 more
It is very clear that moderating variables and generalization issues have not been included or reported in the majority of investigations, and that as a consequence little is known about the representatives or the robustness of results from current studies.
BMJ Quality & SafetyQuality collaboratives: lessons from research
566 Citations2002John Øvretveit
These guidelines are likely to be useful for collaborative organisers, teams and their managers and may also contribute to further research into collaboratives and the spread of innovations in health care.
Quality Management in Health CareA Framework for Collaborative Improvement
481 Citations1998Charles M. Kilo
PEDIATRICSCollaborative Quality Improvement for Neonatal Intensive Care
397 Citations2001Jeffrey D. Horbar, Jeannette Rogowski +16 more
It is concluded that multidisciplinary collaborative quality improvement has the potential to improve the outcomes of neonatal intensive care.
Cochrane Database of Systematic ReviewsContinuing education meetings and workshops: effects on professional practice and health care outcomes
338 Citations2001Mary Ann O’Brien, Nick Freemantle +4 more
Interactive workshops can result in moderately large changes in professional practice and didactic sessions alone are unlikely to change professional practice.
Cochrane Database of Systematic ReviewsPrinted educational materials: effects on professional practice and health care outcomes
329 Citations1997Nick Freemantle, Emma Harvey +4 more
The effects of printed educational materials compared with no active intervention appear small and of uncertain clinical significance, and it is unclear to what extent the effects of any of the interventions may be worth the costs involved.
Quality Management in Health CareStudy Designs for PDSA Quality Improvement Research
243 Citations2004Theodore Speroff, Gerald T. O’Connor
The rigor of a PDSA quality improvement study design is strengthened using replication schemes and research methodology to address extraneous factors that weaken validity of observational studies.
The International Journal of Psychiatry in MedicineDoes CME Work? An Analysis of the Effect of Educational Activities on Physician Performance or Health Care Outcomes
243 Citations1998Dave Davis
Strategies which enable and/or reinforce appear to “work” in changing physician performance or health care outcomes, a finding which has significant impact on the delivery of CME, and the need for further research into physician learning and change.
JAMADetermining When Quality Improvement Initiatives Should Be Considered Research
237 Citations2000David Casarett, Jason Karlawish +1 more
2 criteria are proposed to determine whether a quality improvement initiative should be reviewed and regulated as research if (1) the majority of patients involved are not expected to benefit directly from the knowledge to be gained or (2) if additional risks or burdens are imposed to make the results generalizable.
Journal of Healthcare ManagementA Practice Change Model for Quality Improvement in Primary Care Practice
223 Citations2004Deborah Cohen, Reuben R. McDaniel +12 more
A model of practice change is developed using data from a quality improvement intervention that was successful in creating a sustainable practice improvement and depicts the critical elements for understanding and guiding practice change.
The Joint Commission Journal on Quality and SafetyWhat Do Collaborative Improvement Projects Do? Experience from Seven Countries
211 Citations2003Tim Wilson, Donald M. Berwick +1 more
Systematically studying the impact of variations in the seven key features of collaboratives could yield important information about their role and impact.
Diabetes CareImproving Diabetes Care in Midwest Community Health Centers With the Health Disparities Collaborative
209 Citations2004Marshall H. Chin, Sandy Cook +8 more
The Health Disparities Collaborative improved diabetes care in health centers in 1 year, and major challenges included needing more time and resources, initial difficulty developing computerized patient registries, team and staff turnover, and occasional need for more support by senior management.
The Joint Commission Journal on Quality ImprovementReducing Adverse Drug Events: Lessons from a Breakthrough Series Collaborative
197 Citations2000Lucian L. Leape, Andrea Kabcenell +4 more
Success in making significant changes was associated with strong leadership, effective processes, and appropriate choice of intervention and teams were able to define, clearly state, and relentlessly pursue their aims.
JAMAFunctional Health Status Levels of Primary Care Patients
180 Citations1983Eugene C. Nelson
It is concluded that functional status can be routinely recorded in medical practice to help describe severity, predict utilization, and improve the physician-patient relationship.
Cochrane Database of Systematic ReviewsInterprofessional education: effects on professional practice and health care outcomes
177 Citations2000Merrick Zwarenstein, Scott Reeves +4 more
Despite finding a large body of literature on the evaluation of IPe, these studies lacked the methodological rigour needed to begin to convincingly understand the impact of IPE on professional practice and/or health care outcomes.
American Journal of Public HealthResearch Expectations Among African American Church Leaders in the PRAISE! Project: A Randomized Trial Guided by Community-Based Participatory Research
172 Citations2003Alice S. Ammerman, Giselle Corbie‐Smith +4 more
Satisfaction with the research partnership was high, but so was concern about the need for all research teams to establish trust with church partners, and an intervention study based on CBPR methods was able to meet most of these expectations.
PubMedTranslating research into practice: speeding the adoption of innovative health care programs.
163 Citations2004Elizabeth H. Bradley, Tashonna R. Webster +8 more
The authors found that the success and speed of the adoption/diffusion process depend on the roles of senior management and clinical leadership; the generation of credible supportive data; an infrastructure dedicated to translating the innovation from research into practice; and the extent to which changes in organizational culture are required.
The Annals of Family MedicineEvent Reporting to a Primary Care Patient Safety Reporting System: A Report From the ASIPS Collaborative
159 Citations2004Douglas H. Fernald
An association of mistrust with the behaviors of avoidance and advocacy is proposed, and it is suggested that further research explore the potential impact these patient behaviors have on the provision of health care.
Journal of the American College of CardiologyFrom knowledge to practice in chronic cardiovascular disease: a long and winding road
157 Citations2004Sumit R. Majumdar, Finlay A. McAlister +1 more
Examples from chronic cardiovascular conditions are used to highlight two types of care gaps and outline which of the strategies for translating evidence into clinical care have been shown to be ineffective and which strategies have been effective.
BirthReducing Cesarean Section Rates Safely: Lessons from a “Breakthrough Series” Collaborative
152 Citations1998Bruce L. Flamm, Donald M. Berwick +1 more
The Healthy People 2000 goal of a cesarean delivery rate below 15 percent by the year 2000 is attainable and clinical leadership from doctors and nurses toward the achievement of that goal is timely, ethical, and in the best interests of childbearing women in the United States.
PEDIATRICSImproving Care Through Collaboration
141 Citations1999Charles M. Kilo
This article describes one such model, the Institute for Healthcare Improvement's Breakthrough Series Collaborative model, and lessons are drawn to help inform future collaborative efforts that focus on the improvement of care.
Medical CareQuality Enhancement Research Initiative (QUERI)
132 Citations2000John G. Demakis, Lynn McQueen +2 more
The 6-step QUERI process is described and an overview of relevant programmatic details, including QUerI's rigorous review process, and VHA's unique qualifications for establishing a national model for quality improvement are presented.
Journal of the American Medical Informatics AssociationOverview of the Veterans Health Administration (VHA) Quality Enhancement Research Initiative (QUERI): Table 1
109 Citations2004Lynn McQueen, Brian S. Mittman +1 more
The mission, history, structure, and activities of QUERI are described, and a brief summary of key findings and impacts are provided.
Public Health ReportsReducing Diabetes Health Disparities through Community-Based Participatory Action Research: The Chicago Southeast Diabetes Community Action Coalition
107 Citations2003Aida L. Giachello
A community-based participatory action research model guided coalition activities from conceptualization through implementation and led to increased awareness of the complexities of diabetes in the community and to a state of readiness for social action.
Health Education ResearchParticipatory Action Research: creating an effective prevention curriculum for adolescents in the Southwestern US
105 Citations2003Monika Gosin
How components of Participatory Action Research (PAR) methodology were used to create the keepin' it REAL Drug Resistance Strategies (DRS) curriculum designed for a diverse Southwestern US youth population is described.
Journal of Continuing Education in the Health ProfessionsCan we alter physician behavior by educational methods? Lessons learned from studies of the management and follow-up of hypertension
99 Citations2002Karen Tu, Dave Davis
Although physician educational interventions, especially reminders, improved the follow‐up of hypertension, they were ineffective in changing blood pressure levels, however, they may have some utility in improving compliance with guideline recommendations.
American Journal of Public HealthThe Quality Improvement–Research Divide and the Need for External Oversight
98 Citations2001Eran Bellin, Nancy Neveloff Dubler
The authors review the ethical framework that requiresquality assurance studies, evaluate the differences between quality assurance studies and classic research, and propose criteria for requiring external review.
Annals of Internal MedicineDiabetes Translation Research: Where Are We and Where Do We Want To Be?
95 Citations2004K.M. Venkat Narayan, Evan M. Benjamin +3 more
The enormous health and economic burden posed by diabetes is described, and several efficacious strategies to prevent or delay diabetes complications have emerged during the past decade, including control of blood pressure, lipids, and glycemia; early detection and treatment of diabetic retinopathy, nephropathy, and foot disease; and influenza and pneumococcal vaccines.
UCL Discovery (University College London)Printed educational materials: effects on professional practice and health care outcomes (Withdrawn Paper. 1997, art. no. CD000172)
80 Citations2005Nick Freemantle, EL Harvey +4 more
The effects of printed educational materials compared with no active intervention appear small and of uncertain clinical significance, and it is unclear to what extent the effects of any of the interventions may be worth the costs involved.
American Journal of Infection ControlCollaborating across organizational boundaries to improve the quality of care
75 Citations1997Paul E. Plsek
The key concepts behind multiorganizational collaborative improvement efforts are outlined and pioneering work in the application of these techniques in health care is described.
Journal of Public Health DentistryEfficacy of Educational Interventions Targeting Primary Care Providers' Practice Behaviors: an Overview of Published Systematic Reviews
70 Citations2004Woosung Sohn, Amid I. Ismaïl +1 more
Findings from systematic reviews showed that formal continuing medical education (CME) and distributing educational materials did not effectively change primary care providers' behaviors, and there is a limited knowledge base on the efficacy of the selected interventions on oral health screening byPrimary care providers.
Public Health ReportsReducing diabetes health disparities through community-based participatory action research: the Chicago Southeast Diabetes Community Action Coalition
66 Citations2003Aida L. Giachello, Jose O Arrom +5 more
A community-based participatory action research model guided coalition activities from conceptualization through implementation and led to increased awareness of the complexities of diabetes in the community and to a state of readiness for social action.
PubMedLearning to work together: developing academic and community research partnerships.
60 Citations2004Alexandra Adams, Nancy Miller-Korth +1 more
Health care researchers can effectively make use of partnerships with communities by following defined CBPR steps for developing mutually agreed upon research agendas, timelines, and goals.
BMJ Quality & SafetyWhen does quality improvement count as research? Human subject protection and theories of knowledge
53 Citations2004Joanne Lynn
The publication of insights from a quality improvement project recently precipitated a ruling by the lead federal regulatory agency that regulations providing protection for human subjects of research should apply, but the required research review process did not match the rapid changes, small samples, limited documentation, clinician management, and type of information commonly used in quality improvement.
Cochrane Database of Systematic ReviewsPrinted educational materials: effects on professional practice and health care outcomes
53 Citations2003AP Farmer, France Légaré +6 more
The Joint Commission Journal on Quality and SafetyWhat Do Collaborative Improvement Projects Do? Experience from Seven Countries
49 Citations2004Tim Wilson, Donald M. Berwick +1 more
The Joint Commission Journal on Quality and SafetyFrom Research to Daily Clinical Practice: What Are the Challenges in “Translation”?
45 Citations2004Chris Feifer, Judith Fifield +5 more
The framework and examples provided should help overcome challenges in any work in which research findings are applied to clinical practice.
MCN The American Journal of Maternal/Child NursingReducing Cesarean Section Rates Safely: Lessons from a "Breakthrough Series"
44 Citations1999Ellen Tate Patterson
Applied Nursing ResearchDifferentiating quality improvement from research
41 Citations2003Anita Reinhardt, Leslie N. Ray
The article identifies and discusses four criteria: intervention, risk, audience, and data source, which allow investigators to differentiate between the two practices and follow the appropriate procedures for project review.
PubMedManagement of laboratory test results in family practice. An OKPRN study. Oklahoma Physicians Resource/Research Network.
36 Citations2000J. W. Mold, D S Cacy +1 more
By identifying effective practices within a family practice research network, an effective method was identified for 3 of the 4 steps involved in the management of laboratory test results in primary care settings.
International Journal of Health Care Quality AssuranceHow to run an effective improvement collaborative
33 Citations2002John Øvretveit
It is concluded that by following these suggestions, a successful collaborative is not certain, but that waste of time and money will be less likely.
Health Care Management ReviewPrimary Care Practices are Full of Surprises!
31 Citations2003Benjamin F. Crabtree
Clinicians and staff need to understand that their practices are nonlinear systems and create the time and space for learning and reflection to negotiate uncertainty and surprise in an ever-changing health care environment.
Medical Clinics of North AmericaAn approach to hospital quality improvement
29 Citations2002Jon D. Lurie, Edward J. Merrens +2 more
The case illustrates how in one project a team needs to address all of the challenges to improving hospital quality, and the approach taken by the team to change the discharge form showed detailed understanding of the process of discharging a patient from the hospital.
PubMedBest practices research.
26 Citations2003James W. Mold, Mark E Gregory
"Best practices research" refers to a systematic process used to identify, describe, combine, and disseminate effective and efficient clinical and/or management strategies developed and refined by practicing clinicians.
The Joint Commission Journal on Quality and SafetyA Multihospital Safety Improvement Effort and the Dissemination of New Knowledge
24 Citations2003Peter D. Mills, William B. Weeks +1 more
Family PracticeHow to use participatory action research in primary care
20 Citations2003Gert Marincowitz
Self-awareness, the ability to self-critique and reflect in a deep manner using such tools as a reflective diary are essential for nurturing the development of effective primary health care workers and consequently care structures for the patients and their families.
Medical CareSome Thoughts on Outcomes Research, Quality Improvement, and Performance Measurement
19 Citations2002Edward B. Perrin
This paper argues that the cancer outcomes research program will need to invest more of its resources in the future in the development of methods of inference beyond what it has available now if it is to realize the full potential of health outcomes research.
Journal for Healthcare QualityThe Relationship Between Continuous Quality Improvement and Research
18 Citations2002Jacqueline Fowler Byers, Christy L. Beaudin
CQI strategies and research activities that can help organizations advance quality of care and patient outcomes and Heightened attention to the relationship between CQI, research, and research utilization is vital.
The Joint Commission Journal on Quality and SafetyUsing Statewide Audit and Feedback to Improve Hospital Care in West Virginia
14 Citations2004Charles P. Schade, Beckey Fain Cochran +1 more
Quality indicators appeared to improve statewide and can represent important health gains for West Virginia Medicare beneficiaries, according to the quality indicator changes reported.
BMJ Quality & SafetyWhen does quality improvement count as research? Human subject protection and theories of knowledge
12 Citations2004J Lynn
PubMedHealth care provider quality improvement organization Medicare data-sharing: a diabetes quality improvement initiative.
10 Citations2002David J. Ballard, David Nicewander +1 more
The use of Medicare claims data, through collaboration with a QIO, can help health care providers overcome a significant barrier associated with quality improvement initiatives.
Applied Nursing ResearchDifferentiating quality improvement from research
7 Citations2003Anita Reinhardt, Leslie N. Ray
American Journal of Medical QualityA Collaborative Initiative to Improve the Care of Elderly Medicare Patients With Hypertension
6 Citations2004Thomas P. Meehan, Janet P. Tate +6 more
Care of elderly patients with hypertension was not improved with a multifaceted QIO intervention and additional study is required to determine incentives, barriers, and facilitating factors for quality improvement in the private practice primary care setting.
Applied Nursing ResearchIs it research?
4 Citations1995Paul Martin
Let nurses take the lead in forthright reporting of findings, by clearly identifying their origins and making recommendations for future investigations--both in research and organizational improvement projects.
PubMedResearch and continuous improvement: the merging of two entities?
4 Citations1996Eileen F. Morrison, Deborah Mobley +1 more
This paper proposes that CI and research are similar problem-solving approaches, based on philosophies that provide direction for theorizing, collecting and analyzing data, and identifying solutions.
Congestive Heart FailureFuture Challenges in Quality Improvement in Heart Failure
2 Citations2002Edward P. Havranek, Frederick A. Masoudi +4 more
This is the final installment in a series reporting on the Centers for Medicare & Medicaid Services initiatives to improve care for Medicare beneficiaries with heart failure through its Quality Improvement Organization (QIO) contractors during the 1999-2002 contract cycle.
PubMedUsing clinical microsystems to improve quality at all levels.
2 Citations2003
Clinical microsystems--with their emphasis on patients, people, process, and performance patterns--still isn't as well known as other quality improvement terms, but many people familiar with healthcare quality issues think these systems can potentially change the front lines of care delivery.
…