Evidence-Based Quality Improvement: The State Of The Science
Top Cited Papers
- 1 January 2005
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 24 (1) , 138-150
- https://doi.org/10.1377/hlthaff.24.1.138
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
This publication has 23 references indexed in Scilit:
- Effectiveness and efficiency of guideline dissemination and implementation strategiesHealth Technology Assessment, 2004
- The Quality of Health Care Delivered to Adults in the United StatesNew England Journal of Medicine, 2003
- Research designs for studies evaluating the effectiveness of change and improvement strategiesQuality and Safety in Health Care, 2003
- Interventions used in disease management programmes for patients with chronic illness---which ones work? Meta-analysis of published reportsBMJ, 2002
- Effects of Mailed Dissemination of the Royal College of Radiologists' Guidelines on General Practitioner Referrals for Radiography: A Time Series AnalysisClinical Radiology, 2002
- Why Don't Physicians Follow Clinical Practice Guidelines?JAMA, 1999
- A Report Card on Continuous Quality ImprovementThe Milbank Quarterly, 1998
- Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate ProgressThe Milbank Quarterly, 1998
- Getting research findings into practice: Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findingsBMJ, 1998
- Evidence based medicine: what it is and what it isn'tBMJ, 1996