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==Why quality improvement efforts succeed and fail==
==Why quality improvement efforts succeed and fail==
Various organizational characteristics, some based on [[complexity science]]<ref name="pmid27118664">{{cite journal| author=Massoud MR, Barry D, Murphy A, Albrecht Y, Sax S, Parchman M| title=How do we learn about improving health care: a call for a new epistemological paradigm. | journal=Int J Qual Health Care | year= 2016 | volume= 28 | issue= 3 | pages= 420-4 | pmid=27118664 | doi=10.1093/intqhc/mzw039 | pmc=4931911 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27118664  }} </ref><ref name="pmid20367840">{{cite journal| author=Jordon M, Lanham HJ, Anderson RA, McDaniel RR| title=Implications of complex adaptive systems theory for interpreting research about health care organizations. | journal=J Eval Clin Pract | year= 2010 | volume= 16 | issue= 1 | pages= 228-31 | pmid=20367840 | doi=10.1111/j.1365-2753.2009.01359.x | pmc=3667707 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20367840  }} </ref>, may predict why quality improvement projects succeed<ref name="pmid17725834">{{cite journal| author=Leykum LK, Pugh J, Lawrence V, Parchman M, Noël PH, Cornell J et al.| title=Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes. | journal=Implement Sci | year= 2007 | volume= 2 | issue=  | pages= 28 | pmid=17725834 | doi=10.1186/1748-5908-2-28 | pmc=2018702 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17725834  }} </ref><ref name="pmid20735859">{{cite journal| author=Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR| title=The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure. | journal=Implement Sci | year= 2010 | volume= 5 | issue=  | pages= 66 | pmid=20735859 | doi=10.1186/1748-5908-5-66 | pmc=2936445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20735859  }} </ref><ref name="pmid20735859">{{cite journal| author=Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR| title=The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure. | journal=Implement Sci | year= 2010 | volume= 5 | issue=  | pages= 66 | pmid=20735859 | doi=10.1186/1748-5908-5-66 | pmc=2936445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20735859  }} </ref><ref name="pmid22819737">{{cite journal| author=Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT| title=How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts. | journal=Soc Sci Med | year= 2013 | volume= 93 | issue=  | pages= 194-202 | pmid=22819737 | doi=10.1016/j.socscimed.2012.05.040 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22819737  }} </ref> and failref name="pmid21192206">{{cite journal| author=Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C et al.| title=Appreciative Inquiry for quality improvement in primary care practices. | journal=Qual Manag Health Care | year= 2011 | volume= 20 | issue= 1 | pages= 37-48 | pmid=21192206 | doi=10.1097/QMH.0b013e31820311be | pmc=4222905 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21192206  }} </ref><ref name="pmid22186171">{{cite journal| author=Arar NH, Noel PH, Leykum L, Zeber JE, Romero R, Parchman ML| title=Implementing quality improvement in small, autonomous primary care practices: implications for the patient-centred medical home. | journal=Qual Prim Care | year= 2011 | volume= 19 | issue= 5 | pages= 289-300 | pmid=22186171 | doi= | pmc=3313551 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22186171  }} </ref>.
Various organizational characteristics, some based on [[complexity science]]<ref name="pmid27118664">{{cite journal| author=Massoud MR, Barry D, Murphy A, Albrecht Y, Sax S, Parchman M| title=How do we learn about improving health care: a call for a new epistemological paradigm. | journal=Int J Qual Health Care | year= 2016 | volume= 28 | issue= 3 | pages= 420-4 | pmid=27118664 | doi=10.1093/intqhc/mzw039 | pmc=4931911 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27118664  }} </ref><ref name="pmid20367840">{{cite journal| author=Jordon M, Lanham HJ, Anderson RA, McDaniel RR| title=Implications of complex adaptive systems theory for interpreting research about health care organizations. | journal=J Eval Clin Pract | year= 2010 | volume= 16 | issue= 1 | pages= 228-31 | pmid=20367840 | doi=10.1111/j.1365-2753.2009.01359.x | pmc=3667707 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20367840  }} </ref>, may predict why quality improvement projects succeed<ref name="pmid17725834">{{cite journal| author=Leykum LK, Pugh J, Lawrence V, Parchman M, Noël PH, Cornell J et al.| title=Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes. | journal=Implement Sci | year= 2007 | volume= 2 | issue=  | pages= 28 | pmid=17725834 | doi=10.1186/1748-5908-2-28 | pmc=2018702 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17725834  }} </ref><ref name="pmid20735859">{{cite journal| author=Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR| title=The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure. | journal=Implement Sci | year= 2010 | volume= 5 | issue=  | pages= 66 | pmid=20735859 | doi=10.1186/1748-5908-5-66 | pmc=2936445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20735859  }} </ref><ref name="pmid20735859">{{cite journal| author=Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR| title=The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure. | journal=Implement Sci | year= 2010 | volume= 5 | issue=  | pages= 66 | pmid=20735859 | doi=10.1186/1748-5908-5-66 | pmc=2936445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20735859  }} </ref><ref name="pmid22819737">{{cite journal| author=Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT| title=How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts. | journal=Soc Sci Med | year= 2013 | volume= 93 | issue=  | pages= 194-202 | pmid=22819737 | doi=10.1016/j.socscimed.2012.05.040 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22819737  }} </ref> and fail<ref name="pmid21192206">{{cite journal| author=Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C et al.| title=Appreciative Inquiry for quality improvement in primary care practices. | journal=Qual Manag Health Care | year= 2011 | volume= 20 | issue= 1 | pages= 37-48 | pmid=21192206 | doi=10.1097/QMH.0b013e31820311be | pmc=4222905 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21192206  }} </ref><ref name="pmid22186171">{{cite journal| author=Arar NH, Noel PH, Leykum L, Zeber JE, Romero R, Parchman ML| title=Implementing quality improvement in small, autonomous primary care practices: implications for the patient-centred medical home. | journal=Qual Prim Care | year= 2011 | volume= 19 | issue= 5 | pages= 289-300 | pmid=22186171 | doi= | pmc=3313551 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22186171  }} </ref>.


Studies using appreciative inquiry have been done.<ref name="pmid21192206">{{cite journal| author=Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C et al.| title=Appreciative Inquiry for quality improvement in primary care practices. | journal=Qual Manag Health Care | year= 2011 | volume= 20 | issue= 1 | pages= 37-48 | pmid=21192206 | doi=10.1097/QMH.0b013e31820311be | pmc=4222905 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21192206  }} </ref><ref name="Peelle 2006 pp. 447–467">{{cite journal | last=Peelle | first=Henry E. | title=Appreciative Inquiry and Creative Problem Solving in Cross-Functional Teams | journal=The Journal of Applied Behavioral Science | publisher=SAGE Publications | volume=42 | issue=4 | year=2006 | issn=0021-8863 | doi=10.1177/0021886306292479 | pages=447–467}}</ref>
Studies using appreciative inquiry have been done.<ref name="pmid21192206">{{cite journal| author=Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C et al.| title=Appreciative Inquiry for quality improvement in primary care practices. | journal=Qual Manag Health Care | year= 2011 | volume= 20 | issue= 1 | pages= 37-48 | pmid=21192206 | doi=10.1097/QMH.0b013e31820311be | pmc=4222905 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21192206  }} </ref><ref name="Peelle 2006 pp. 447–467">{{cite journal | last=Peelle | first=Henry E. | title=Appreciative Inquiry and Creative Problem Solving in Cross-Functional Teams | journal=The Journal of Applied Behavioral Science | publisher=SAGE Publications | volume=42 | issue=4 | year=2006 | issn=0021-8863 | doi=10.1177/0021886306292479 | pages=447–467}}</ref>


Different approaches may be needed depending on the level of certainty in the clinical science behind a quality improvement project.<ref name="pmid25407138">{{cite journal| author=Leykum LK, Lanham HJ, Pugh JA, Parchman M, Anderson RA, Crabtree BF et al.| title=Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science. | journal=Implement Sci | year= 2014 | volume= 9 | issue=  | pages= 165 | pmid=25407138 | doi=10.1186/s13012-014-0165-1 | pmc=4239371 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25407138  }} </ref>
Different approaches may be needed depending on the level of certainty in the clinical science behind a quality improvement project.<ref name="pmid25407138">{{cite journal| author=Leykum LK, Lanham HJ, Pugh JA, Parchman M, Anderson RA, Crabtree BF et al.| title=Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science. | journal=Implement Sci | year= 2014 | volume= 9 | issue=  | pages= 165 | pmid=25407138 | doi=10.1186/s13012-014-0165-1 | pmc=4239371 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25407138  }} </ref>

Revision as of 17:48, 24 July 2017

Quality improvement is "the attainment or process of attaining a new level of performance or qualit."[1].

Why quality improvement efforts succeed and fail

Various organizational characteristics, some based on complexity science[2][3], may predict why quality improvement projects succeed[4][5][5][6] and fail[7][8].

Studies using appreciative inquiry have been done.[7][9]

Different approaches may be needed depending on the level of certainty in the clinical science behind a quality improvement project.[10]

References

  1. ↑ Anonymous (2025), Quality improvement (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. ↑ Massoud MR, Barry D, Murphy A, Albrecht Y, Sax S, Parchman M (2016). "How do we learn about improving health care: a call for a new epistemological paradigm". Int J Qual Health Care. 28 (3): 420–4. doi:10.1093/intqhc/mzw039. PMC 4931911. PMID 27118664.
  3. ↑ Jordon M, Lanham HJ, Anderson RA, McDaniel RR (2010). "Implications of complex adaptive systems theory for interpreting research about health care organizations". J Eval Clin Pract. 16 (1): 228–31. doi:10.1111/j.1365-2753.2009.01359.x. PMC 3667707. PMID 20367840.
  4. ↑ Leykum LK, Pugh J, Lawrence V, Parchman M, Noël PH, Cornell J; et al. (2007). "Organizational interventions employing principles of complexity science have improved outcomes for patients with Type II diabetes". Implement Sci. 2: 28. doi:10.1186/1748-5908-2-28. PMC 2018702. PMID 17725834.
  5. ↑ 5.0 5.1 Leykum LK, Parchman M, Pugh J, Lawrence V, Noël PH, McDaniel RR (2010). "The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failure". Implement Sci. 5: 66. doi:10.1186/1748-5908-5-66. PMC 2936445. PMID 20735859.
  6. ↑ Lanham HJ, Leykum LK, Taylor BS, McCannon CJ, Lindberg C, Lester RT (2013). "How complexity science can inform scale-up and spread in health care: understanding the role of self-organization in variation across local contexts". Soc Sci Med. 93: 194–202. doi:10.1016/j.socscimed.2012.05.040. PMID 22819737.
  7. ↑ 7.0 7.1 Ruhe MC, Bobiak SN, Litaker D, Carter CA, Wu L, Schroeder C; et al. (2011). "Appreciative Inquiry for quality improvement in primary care practices". Qual Manag Health Care. 20 (1): 37–48. doi:10.1097/QMH.0b013e31820311be. PMC 4222905. PMID 21192206.
  8. ↑ Arar NH, Noel PH, Leykum L, Zeber JE, Romero R, Parchman ML (2011). "Implementing quality improvement in small, autonomous primary care practices: implications for the patient-centred medical home". Qual Prim Care. 19 (5): 289–300. PMC 3313551. PMID 22186171.
  9. ↑ Peelle, Henry E. (2006). "Appreciative Inquiry and Creative Problem Solving in Cross-Functional Teams". The Journal of Applied Behavioral Science. SAGE Publications. 42 (4): 447–467. doi:10.1177/0021886306292479. ISSN 0021-8863.
  10. ↑ Leykum LK, Lanham HJ, Pugh JA, Parchman M, Anderson RA, Crabtree BF; et al. (2014). "Manifestations and implications of uncertainty for improving healthcare systems: an analysis of observational and interventional studies grounded in complexity science". Implement Sci. 9: 165. doi:10.1186/s13012-014-0165-1. PMC 4239371. PMID 25407138.



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