In-depth comparison of two quality improvement collaboratives from different healthcare areas based on registry data-possible factors contributing to sustained improvement in outcomes beyond the project time.
Beatrix AlgurénAnnika NordinBoel Andersson-GäreAnette PetersonPublished in: Implementation science : IS (2019)
Even though many QI activities were carried out, it was difficult to see sustained improvements on outcomes. Outcomes as specific measurable aspects of care in need of improvement should be chosen carefully. Activities focusing on adherence to standard care programmes and on increased follow-up of patients seemed to lead to more long-lasting improvements. Although earlier studies showed that data follow-up and measurement skills as well as well-functioning data warehouses contribute to sustained improvements, the present registries' functionality and QICs at this time did not support those aspects sufficiently. Further studies on QICs and their impact on improvement beyond the project time should investigate the effect of those elements in particular.
Keyphrases
- quality improvement
- healthcare
- patient safety
- electronic health record
- big data
- end stage renal disease
- palliative care
- chronic kidney disease
- newly diagnosed
- ejection fraction
- optical coherence tomography
- glycemic control
- case control
- chronic pain
- health information
- social media
- data analysis
- patient reported outcomes
- patient reported