Evidence-Based Quality Improvement: The State Of The Science
Health AffairsPublished 1 January 2005
Kaveh G Shojania, Jeremy Grimshaw
Citations680
SJR quartileQ1
SJR score4.46
SNIP3.04
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TL;DR
This work reviews problems with current approaches to QI research, outlines the steps required to make QI efforts based as much on evidence as the practices they seek to implement, and reviews the current state of quality improvement research.
Abstract
Routine practice fails to incorporate research evidence in a timely and reliable fashion. Many quality improvement (QI) efforts aim to close these gaps between clinical research and practice. However, in sharp contrast to the paradigm of evidence-based medicine, these efforts often proceed on the basis of intuition and anecdotal accounts of successful strategies for changing provider behavior or achieving organizational change. We review problems with current approaches to QI research and outline the steps required to make QI efforts based as much on evidence as the practices they seek to implement.
Keywords
Health Professions
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