Intervention Protocol

Continuous quality improvement: effects on professional practice and healthcare outcomes

  1. Sue Brennan1,*,
  2. Joanne E McKenzie1,
  3. Paula Whitty2,
  4. Heather Buchan3,
  5. Sally Green1

Editorial Group: Cochrane Effective Practice and Organisation of Care Group

Published Online: 7 OCT 2009

DOI: 10.1002/14651858.CD003319.pub2


How to Cite

Brennan S, McKenzie JE, Whitty P, Buchan H, Green S. Continuous quality improvement: effects on professional practice and healthcare outcomes (Protocol). Cochrane Database of Systematic Reviews 2009, Issue 4. Art. No.: CD003319. DOI: 10.1002/14651858.CD003319.pub2.

Author Information

  1. 1

    Monash University, School of Public Health & Preventive Medicine, Melbourne, Victoria, Australia

  2. 2

    Newcastle University, Institute of Health and Society, Newcastle, UK

  3. 3

    National Health and Medical Research Council, National Institute of Clinical Studies (NICS), Melbourne, VIC, Australia

*Sue Brennan, School of Public Health & Preventive Medicine, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria, 3004, Australia. sue.brennan@monash.edu.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 7 OCT 2009

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Abstract

  1. Top of page
  2. Abstract

This is the protocol for a review and there is no abstract. The objectives are as follows:

The overall objective of this review is to determine if CQI is effective for improving professional practice and ultimately healthcare outcomes. We plan to do this by conducting a systematic review of existing evidence to address the following questions:

Primary aims

Is CQI effective for improving professional practice and healthcare outcomes compared to no intervention and is the magnitude of effect modified by the following factors?

  • Intensity of the CQI implementation strategy.
  • Organisation-wide CQI strategy or support for CQI.
  • Team performance and participation.
  • Complexity of the targeted change.
  • Type of healthcare setting.
  • Healthcare professional performance at baseline.

Secondary aims:

Is CQI effective for improving professional practice and healthcare outcomes compared to:

  • single interventions to change health professionals’ behaviour (classified according to the Cochrane Effective Practice and Organisation of Care (EPOC) Group taxonomy); or
  • multifaceted interventions to change health professionals’ behaviour (classified according to the Cochrane EPOC Group taxonomy); or
  • tailored interventions to overcome identified barriers to change; or
  • other organisational change interventions with a team-based component (e.g. Business Process Reengineering)?