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Continuous quality improvement: effects on professional practice and healthcare outcomes

  • Protocol
  • Intervention

Authors


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)?

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