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Published on: February 16, 2011
Using continuous quality improvement to implement evidence-based medicine
Barbara Quick1, Sue Nordstrom, Kevin Johnson
1DePaul Health Center in Bridgeton, Missouri 63044, USA. Barbara_quick@ssmhc.com
Lippincott'S Case Management : Managing the Process of Patient Care
|December 1, 2006
Summary
Implementing evidence-based medicine presents challenges for hospitals. This study details a successful Continuous Quality Improvement model for evidence-based practice implementation, highlighting data collection and staff interventions.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Clinical Practice Advancement
Background:
- Public reporting of outcomes and reimbursement incentives are driving evidence-based medicine (EBM) adoption.
- Hospitals face significant hurdles in EBM implementation, including securing sponsorship, staffing, tool development, and outcome reporting.
- Effective strategies are needed to overcome these challenges and integrate EBM into routine clinical practice.
Purpose of the Study:
- To describe the application of the SSM Health Care (SSMHC) Continuous Quality Improvement (CQI) model for implementing evidence-based practices.
- To evaluate the successes, challenges, and lessons learned during EBM implementation at a community hospital.
- To present two distinct data collection and staff intervention processes and their associated outcome data.
Main Methods:
- Utilized the SSMHC CQI model as a framework for EBM implementation.
- Developed and compared two different processes for data collection and staff intervention.
- Collected and analyzed outcome data associated with each implemented process.
Main Results:
- The CQI model facilitated the implementation of evidence-based practices.
- Varied successes and opportunities for improvement were identified across the two data collection and intervention processes.
- Outcome data demonstrated the impact of the implemented interventions.
Conclusions:
- The SSMHC CQI model provides a viable framework for community hospitals to implement evidence-based practices.
- Careful planning of data collection and staff engagement is crucial for successful EBM implementation.
- Continuous evaluation and adaptation of processes are essential for maximizing the benefits of evidence-based medicine.
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