Advancing Quality Improvement Science for Childrens Health Care Research

描述(申请人提供)：2013年5月3日，第三届“推进儿童保健研究的质量改进科学”年会与儿科学术学会(PAS)会议同时举行。这次会议由学术儿科协会(APA)主办，AHRQ资助，在之前的两次会议之后，成功地教授了QI研究的基本和高级方法。182名与会者对这一天的所有方面都给予了高度评价，对未来类似会议的渴望也是如此(满分5分，平均分为4.9分)。《行政程序法》还在2013年的理事会会议上正式确认了今后举行会议的迫切需要。因此，针对PA-09-231，我们建议增加三次为期一天的年度会议，讨论质量改进(QI)研究的方法。这些活动将补充和促进AHRQ的核心研究和实施活动，适用于AHRQ的优先人群之一(儿童)。他们将传播用于评估QI干预措施的最先进的研究方法，并通过这项工作建设能力，以提高儿科保健的质量和效率。拟议的会议将由一群忠诚和经验丰富的国家公认的QI研究人员来规划和实施。2014年的会议议程已经制定，其中包括关于高级QI研究主题的小组积极学习会议，这些主题包括：集群随机试验、阶梯式楔形设计、中断时间序列分析、QI研究中的生物统计学方法(包括高级回归方法)以及背景在QI研究中的作用。基于2013年的会议评估，并与参加的初级教师和实习生数量的增加保持一致，我们将增加介绍性分组会议的数量，包括：评估QI干预；QI研究工作进行中(与会者收到正在进行的项目的反馈)；统计过程控制的研究应用；为QI研究制定质量指标；以及QI研究中的伦理监督问题。在2013年取得成功的基础上，我们将再次为2014年至2016年会议的海报会议征集摘要。每年，开幕式主旨演讲和闭幕全体讨论会将集中讨论对与会者具有很高价值的主题。我们将通过将会议与一年一度的PAS会议联系起来并执行精心规划的宣传战略，利用我们与APA、其他专业组织、医疗保健提供系统、质量改进组织和研究培训主任的接触，促进每年至少150名参与者的出席。通过将这一年度会议再持续三年，我们将建立一支足够多的研究人员和其他利益相关者，他们接受过最高标准的质量改进研究，并致力于促进儿童健康。

DESCRIPTION (provided by applicant): On May 3rd, 2013, the 3rd annual conference on "Advancing Quality Improvement Science for Children's Health Care Research," was held in conjunction with the Pediatric Academic Societies (PAS) meeting. The conference, sponsored by the Academic Pediatric Association (APA) and funded with assistance from AHRQ, followed two prior conferences and was successful in teaching both basic and advanced methods for QI research. All aspects of the day were highly rated by 182 attendees, as was a desire for similar future conferences (mean of 4.9 out of 5). The APA also formally recognized the critical need for future conferences at their 2013 Board meeting. Therefore, in response to PA-09-231 we propose to hold three additional annual one-day conferences on methods of quality improvement (QI) research. These will complement and promote AHRQ's core research and implementation activities, as applied to one of AHRQ's priority populations (children). They will disseminate state-of-the art research methods for evaluating QI interventions and, through this work, build capacity to improve the quality and effectiveness of pediatric health care. The proposed conferences will be planned and implemented by a committed and experienced group of nationally recognized QI researchers. The 2014 conference agenda has been developed and includes small group, active learning sessions on advanced QI research topics including: cluster randomized trials, stepped wedge designs, interrupted time series analysis, biostatistical methods (including advanced regression methods) in QI research; and the role of context in QI research. Based on 2013 conference evaluations, and consistent with the increasing numbers of junior faculty and trainees attending, we will increase the number of introductory breakout sessions including: evaluating QI interventions; QI research works-in-progress (where attendees receive feedback on ongoing projects); research applications of statistical process control; developing quality metrics for QI research; and issues regarding ethical oversight in QI research. Based on our success in 2013, we will again conduct a call for abstracts for poster sessions for the 2014 through 2016 conferences. Each year, an opening keynote talk and closing plenary panel will focus on topics of high value to attendees. We will promote attendance of at least 150 participants each year by linking the meeting to the annual PAS meeting and executing a well-planned strategy for publicity, leveraging our engagement with the APA, other professional organizations, health care delivery systems, quality improvement organizations, and research training directors. By continuing this annual conference for an additional 3 years we will build a critical mass of researchers and other stakeholders trained in, and committed to, the highest standards of quality improvement research to promote child health.