Building Research Culture and Capacity with Quality Improvement Strategies

尽管基于实践的研究网络（PBRN）作为现实环境中的研究工具越来越重要，但很少有基础设施，如指南或标准操作程序（sop）来指导特定于PBRN背景下的良好研究实践。在最近完成的工作中，PBRN领导人确定了一套核心的研究最佳实践，拟议的示范项目将使PBRN跨学科团队参与开发和测试标准操作程序，这些标准操作程序将定义和简化研究过程。PBRN主任及其网络管理人员将参加这一示范项目，该项目将使卫生保健环境中众所周知的质量改进战略适应一种新的情况：初级保健PBRN。质量改进干预将通过向PBRN团队提供培训、技术援助和指导来建立研究能力，因为他们开发、实施和测试标准操作程序，以实现高优先级的PBRN研究最佳实践。使用这种可靠的标准操作程序将有几个好处：1)增加对在分散的PBRN成员诊所进行的研究的研究规程的遵守；2)减少了pbrn之间研究程序的差异；3) PBRN领导和员工科研诚信意识增强；4)公众对初级研究企业的信心增强，进而更愿意参与初级保健研究；5)门诊诊所更广泛地参与研究，这将增加初级保健研究结果的普遍性。该研究将实现以下具体目标：目标1：协助PBRN评估其目前对特定于PBRN背景的研究最佳实践的依从性，并优先考虑质量改进（QI）的领域。目标2：实施一个新的QI示范项目，以改善PBRN的研究文化，其中包括来自医疗保健改进研究所的可靠设计方法和文化事务研究所的技术改进战略的沟通和组织变革战略。目标3：建立PBRN研究能力，以开发、实施和测试可靠的标准操作程序（sop）。目标4：编写和广泛传播第一份资源，以提高初级保健研究业务的质量，即《改进初级保健研究业务质量指南》。

DESCRIPTION (provided by applicant): Building Research Culture and Capacity with Quality Improvement Strategies Project Summary In spite of the growing importance of practice-based research networks (PBRNs) as research vehicles in real-world settings, there is little infrastructure such as guidelines or standard operating procedures (SOPs) to guide good research practice specific to the PBRN context. Building on recently-completed work in which PBRN leaders identified a core set of research best practices, the proposed demonstration project will engage PBRN interdisciplinary teams to develop and test SOPs that will define and streamline research processes. PBRN Directors and their network managers will participate in this demonstration project which will adapt quality improvement strategies well-known in healthcare settings to a novel context: that of the primary care PBRN. The quality improvement intervention will build research capacity by providing training, technical assistance and mentoring to PBRN teams as they develop, implement and test SOPs that operationalize high priority PBRN research best practices. The use of such reliable SOPs will have several benefits: 1) Increased compliance to research protocols for studies conducted in the decentralized PBRN member clinics; 2) Reduced variation in study procedures between PBRNs; 3) Heightened awareness about research integrity among PBRN leaders and staff; 4) Greater public confidence in the primary research enterprise and subsequent willingness to participate in primary care research; and 5) Broader research participation by ambulatory clinics, which will increase the generalizability of primary care study findings. The study will achieve the following specific aims: Aim 1: Assist PBRNs to evaluate their current adherence to research best practices specific to the PBRN context, and to prioritize areas for quality improvement (QI). Aim 2: Implement a novel QI demonstration project to improve PBRN research culture which incorporates communication and organization change strategies from the Institute for Healthcare Improvement's Reliable Design method and the Institute for Cultural Affairs' Technology of Improvement strategy. Aim 3: Build PBRN research capacity to develop, implement and test reliable standard operating procedures (SOPs). Aim 4: Compile and widely disseminate the first resource to improve the quality of primary care research operations, the Guide to Quality Improvement in PBRNs. PUBLIC HEALTH RELEVANCE: Building Research Culture and Capacity with Quality Improvement Strategies Project Narrative: Relevance Research that builds the evidence-base of primary care is needed to improve the health of the nation, but in order to participate, the public must have confidence in the practice-based research networks (PBRNs) that are the vehicles for conducting primary care research. This study will adapt quality improvement strategies well-known in the patient safety movement to improve the quality of research conducted by PBRNs. By developing reliable standard operating procedures (SOPs) for research conducted by PBRNs, this project should contribute to greater public willingness to participate in research, which is important to improve the quality of primary care.