Building Research Culture and Capacity with Quality Improvement Strategies

描述(由申请人提供)：用质量改进战略建设研究文化和能力项目摘要尽管以实践为基础的研究网络(PBRN)作为现实世界中的研究工具越来越重要，但几乎没有指南或标准操作程序(SOP)等基础设施来指导针对PBRN背景的良好研究实践。在最近完成的工作的基础上，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将定义和简化研究过程的SOP。PBRN主任和他们的网络经理将参与这一示范项目，该项目将使医疗保健环境中众所周知的质量改进战略适应新的背景：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设研究能力，因为他们正在制定、实施和测试将高优先级PBRN研究最佳做法付诸实施的SOP。使用这种可靠的SOP将有几个好处：1)更多地遵守在分散的PBRN成员诊所进行的研究的研究方案；2)减少PBRN之间研究程序的差异；3)提高PBRN领导人和工作人员对研究完整性的认识；4)公众对初级研究企业更有信心，并随后愿意参与初级保健研究；以及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适性。这项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的研究最佳做法的遵守情况，并确定质量改进的优先领域。目标2：实施一个新颖的QI示范项目，以改进PBRN研究文化，该项目整合了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改进策略中的沟通和组织变革策略。目标3：建立PBRN研究能力，以制定、实施和测试可靠的标准作业程序(SOP)。目的4：编写和广泛传播提高初级保健研究业务质量的第一份资源--《改善PBRN质量指南》。 公共卫生相关性：通过质量改进战略建设研究文化和能力项目叙述：建立初级保健证据基础的相关性研究是改善国家健康所必需的，但为了参与，公众必须对作为进行初级保健研究的载体的基于实践的研究网络(PBRN)有信心。这项研究将采用在患者安全运动中众所周知的质量改进战略，以提高PBRN进行的研究的质量。通过为PBRN开展的研究制定可靠的标准操作程序(SOP)，该项目应有助于提高公众参与研究的意愿，这对提高初级保健的质量很重要。

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.