EXPERT PANEL MEETING ADVANCING THE SCIENCE OF CONTINUOUS QUALITY IMPROVEMENT

描述（由申请人提供）：如果得到复杂的持续质量改进（CQI）科学领域的支持，则可靠、有效和高效的持续质量改进（CQI）的进展将更加迅速。质量改进关键利益相关者的共识会议将为研究和实践提供急需的投入。为期一天半的会议计划于2009年8月5日和6日在加利福尼亚州圣莫尼卡的兰德公司举行。此次会议是一项持续计划的一部分，该计划使用严格的科学证据审查，结合既定的质量标准，来识别和评估当前有关CQI的科学出版物。我们的目标是聘请一个由有影响力的专家利益相关者组成的证据审查小组，以就关键特征清单（最低质量标准集或MQCS）达成共识，当将其纳入CQI手稿时，将表明可接受的研究和手稿质量。因此，MQCS将有助于撰写、审查和评估CQI研究。虽然清单的重点是出版，我们希望CQI从业人员使用它来规划数据收集。因此，MQCS将作为连接CQI科学和实践的重要纽带。为了准备这次会议，我们将制定和验证CQI研究的识别策略，并对比CQI的定义。将确定已建立的质量标准，并将其应用于经验性评价CQI干预措施的文章的代表性样本。这将记录对这些标准的依从性水平，并有助于分析标准与研究结局之间的关系。调查结果将支持选择MQCS捕获的基本质量标准的共识发现过程。我们将应用共识发现技术，这些技术在过去曾导致兰德证据审查小组的许多成功结果。为这次重要和有影响力的会议进行广泛筹备的资金已经到位。会议可交付成果是MQCS检查表。其他可交付成果包括：用于识别CQI文献的经验证的电子检索策略;筛选和评估工具;检索的出版物、当前文献中对MQCS标准的遵守程度以及质量标准与CQI研究结果之间的关系。 公共卫生相关性：其他项目信息，行项目7：质量改进干预实践者和评估者寻求通过使医疗保健组织及其提供者参与制定和实施更好的护理提供方法来改善公共卫生。该项目的目的是建立一个关键特征的核对表，在纳入评价时，将表明研究和出版物的质量可以接受，这反过来又将有助于评估现有证据，并提出改善公共卫生的建议。与有影响力的专家和利益攸关方举行会议，并采用当代的协商一致方法，是制定有用标准的必要条件。

DESCRIPTION (provided by applicant): Progress toward reliable, effective and efficient continuous quality improvement (CQI) will be more rapid if supported by a sophisticated CQI scientific field. A consensus finding conference of key stakeholders in quality improvement will provide much needed input for research and practice. The 1.5 day meeting is planned for August 05 and 06 2009 and will take place at RAND, Santa Monica, CA. The meeting is part of an ongoing initiative that uses rigorous scientific evidence review, in combination with established sets of quality criteria, to identify and assess current scientific publications on CQI. Our objective is to engage an evidence review panel comprised of influential expert stakeholders to achieve consensus on a checklist of key features (the minimum quality criteria set, or MQCS) that, when incorporated into CQI manuscripts, will indicate acceptable study and manuscript quality. The MQCS will thus be useful for writing, reviewing, and assessing CQI studies. While the focus of the checklist is on publication, we expect CQI practitioners to use it for planning data collection. The MQCS will thus serve as an important link bridging CQI science and practice. In preparation for this meeting we will develop and validate strategies for the identification of CQI studies, and contrast definitions of CQI. Established quality criteria will be identified and applied to a representative sample of articles that empirically evaluate CQI interventions. This will document the level of adherence to these criteria and facilitate analysis of the relationship between criteria and study outcomes. The findings will support the consensus finding process for the selection of essential quality criteria captured by the MQCS. We will apply consensus finding techniques that have led to many successful outcomes of RAND evidence review panels in the past. Funding is already in place for the extensive preparation for this important and influential meeting. The meeting deliverable is the MQCS checklist. Further deliverables are validated electronic search strategies for identifying CQI literature; screening and assessment tools; publications on the searches, the level of adherence to the MQCS criteria in current literature and the relationships between quality criteria and CQI study outcomes. PUBLIC HEALTH RELEVANCE: Other Project Information, line item 7: Quality improvement intervention practitioners and evaluators seek to improve public health by engaging healthcare organizations and their providers in developing and implementing better approaches to care delivery. This project aims to establish a checklist of key features that, when incorporated into evaluations, will indicate acceptable study and publication quality which in turn will help to assess the existing evidence and allow recommendations to improve public health. A meeting with influential experts and stakeholders and contemporary consensus finding methods are necessary to achieve useful criteria.