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. 2022 Dec;37(16):4257-4267.
doi: 10.1007/s11606-022-07602-5.

Evidence-Based Quality Improvement: a Scoping Review of the Literature

Susanne Hempel  1   2   3 , Maria Bolshakova  1 , Barbara J Turner  2 , Jennifer Dinalo  4 , Danielle Rose  5 , Aneesa Motala  1   2   3 , Ning Fu  6   7 , Chase G Clemesha  4 , Lisa Rubenstein  3 , Susan Stockdale  5
Affiliations

Evidence-Based Quality Improvement: a Scoping Review of the Literature

Susanne Hempel et al. J Gen Intern Med. 2022 Dec.

Abstract

Background: Quality improvement (QI) initiatives often reflect approaches based on anecdotal evidence, but it is unclear how initiatives can best incorporate scientific literature and methods into the QI process. Review of studies of QI initiatives that aim to systematically incorporate evidence review (termed evidence-based quality improvement (EBQI)) may provide a basis for further methodological development.

Methods: In this scoping review (registration: https://osf.io/hr5bj ) of EBQI, we searched the databases PubMed, CINAHL, and SCOPUS. The review addressed three central questions: How is EBQI defined? How is evidence used to inform evidence-informed QI initiatives? What is the effectiveness of EBQI?

Results: We identified 211 publications meeting inclusion criteria. In total, 170 publications explicitly used the term "EBQI." Published definitions emphasized relying on evidence throughout the QI process. We reviewed a subset of 67 evaluations of QI initiatives in primary care, including both studies that used the term "EBQI" with those that described an evidence-based initiative without using EBQI terminology. The most frequently reported EBQI components included use of evidence to identify previously tested effective QI interventions; engaging stakeholders; iterative intervention development; partnering with frontline clinicians; and data-driven evaluation of the QI intervention. Effectiveness estimates were positive but varied in size in ten studies that provided data on patient health outcomes.

Conclusions: EBQI is a promising strategy for integrating relevant prior scientific findings and methods systematically in the QI process, from the initial developmental phase of the IQ initiative through to its evaluation. Future QI researchers and practitioners can use these findings as the basis for further development of QI initiatives.

Keywords: evidence-based; quality improvement; scoping review.

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Conflict of interest statement

The authors declare that they do not have a conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram.
Figure 2
Figure 2
EBQI semantic definition overview.
Figure 3
Figure 3
EBQI effectiveness.
See this image and copyright information in PMC

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References

    1. Institute for Healthcare Improvement Website http://www.ihi.org/ihi. Accessed 5/2/2022.
    1. Deming WE. Quality, Productivity and Competitive Position. Cambridge, MA: MIT Center for Advanced Engineering Studies; 1982.
    1. Meyers D, Miller T, Genevro J, Zhan C, De La Mare J, Fournier A, et al. EvidenceNOW: balancing primary care implementation and implementation research. Ann Fam Med. 2018;16(Suppl 1):S5–s11. doi: 10.1370/afm.2196. - DOI - PMC - PubMed
    1. Nelson K, Reddy A, Stockdale SE, Rose D, Fihn S, Rosland A-M, et al., editors. The Primary Care Analytics Team: Integrating Research and Clinical Care Within the Veterans Health Administration Office of Primary Care. Healthcare; 2021: Elsevier. - PubMed
    1. Ovretveit J, Hempel S, Magnabosco JL, Mittman BS, Rubenstein LV, Ganz DA. Guidance for research-practice partnerships (R-PPs) and collaborative research. J Health Manag. 2014;28(1):115-26. 10.1108/JHOM-08-2013-0164 - PubMed

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