How Quality Improvement Practice Evidence Can Advance the Knowledge Base.
J Healthc Qual
; 38(5): 264-74, 2016.
Article
en En
| MEDLINE
| ID: mdl-27584696
ABSTRACT
Recommendations for the evaluation of quality improvement interventions have been made in order to improve the evidence base of whether, to what extent, and why quality improvement interventions affect chosen outcomes. The purpose of this article is to articulate why these recommendations are appropriate to improve the rigor of quality improvement intervention evaluation as a research endeavor, but inappropriate for the purposes of everyday quality improvement practice. To support our claim, we describe the differences between quality improvement interventions that occur for the purpose of practice as compared to research. We then carefully consider how feasibility, ethics, and the aims of evaluation each impact how quality improvement interventions that occur in practice, as opposed to research, can or should be evaluated. Recommendations that fit the evaluative goals of practice-based quality improvement interventions are needed to support fair appraisal of the distinct evidence they produce. We describe a current debate on the nature of evidence to assist in reenvisioning how quality improvement evidence generated from practice might complement that generated from research, and contribute in a value-added way to the knowledge base.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_geracao_evidencia_conhecimento
Asunto principal:
Medicina Basada en la Evidencia
/
Bases del Conocimiento
/
Mejoramiento de la Calidad
Tipo de estudio:
Guideline
Aspecto:
Ethics
Límite:
Humans
Idioma:
En
Revista:
J Healthc Qual
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
Año:
2016
Tipo del documento:
Article