How to Use an Article About Quality Improvement
How to Use an Article About Quality Improvement
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DOI：
10.1001/jama.2010.1692
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发表时间：
2010-11-24
影响因子：
120.7
通讯作者：
Needham, Dale M.
中科院分区：
文献类型：
--
作者：
Fan, Eddy;Laupacis, Andreas;Needham, Dale M.
质量改进(QI)试图改变临床医生的行为，并通过这些改变改善患者的预后。评估QI干预措施有效性的研究的方法学质量往往很低。临床医生和其他评估QI研究的人应该意识到偏倚的风险，应该考虑研究人员是否测量了适当的结果，应该关注是否没有重复的发现，应该考虑QI干预在他们的实践环境中成功的可能性以及实施它的成本和意外影响的可能性。这篇文章补充和加强了现有的用户指南，这些指南阐述了干预的效果--治疗、危害、临床决策支持系统，并总结了证据指南--重点是针对QI研究的特定问题。鉴于QI干预措施广泛实施的可能性，有必要在QI研究中采用稳健的研究方法。贾玛2010；304(20)：2279-2287
Quality improvement (QI) attempts to change clinician behavior and, through those changes, lead to improved patient outcomes. The methodological quality of studies evaluating the effectiveness of QI interventions is frequently low. Clinicians and others evaluating QI studies should be aware of the risk of bias, should consider whether the investigators measured appropriate outcomes, should be concerned if there has been no replication of the findings, and should consider the likelihood of success of the QI intervention in their practice setting and the costs and possibility of unintended effects of its implementation. This article complements and enhances existing Users' Guides that address the effects of interventions-Therapy, Harm, Clinical Decision Support Systems, and Summarizing the Evidence guides-with an emphasis on issues specific to QI studies. Given the potential for widespread implementation of QI interventions, there is a need for robust study methods in QI research. JAMA. 2010; 304(20): 2279-2287