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Quality control is one of the three cyclical quality assurance activities that help keep a system under statistical control. Typical quality control activities include creating quality control charts, conducting proficiency testing, and documenting and archiving results.
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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How can we recognize continuous quality improvement?

Lisa Rubenstein1, Dmitry Khodyakov, Susanne Hempel

  • 1The RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90401, USA.; susanne_hempel@rand.org; amotala@rand.org.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|December 7, 2013
PubMed
Summary
This summary is machine-generated.

Continuous Quality Improvement (CQI) methods require specific features for accurate identification. Three essential features were identified: systematic data-guided activities, designing for local conditions, and iterative development. These define CQI more precisely than general quality improvement.

Keywords:
consultantscontinuous quality improvementhealth care organizationquality improvement

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Area of Science:

  • Healthcare quality improvement
  • Health services research

Background:

  • Continuous Quality Improvement (CQI) is crucial for healthcare delivery.
  • Existing publications on CQI are methodologically diverse, hindering knowledge sharing.
  • Identifying CQI requires standardized criteria due to varied terminology.

Purpose of the Study:

  • To establish essential methodological features for recognizing Continuous Quality Improvement (CQI).
  • To enable more effective learning across quality improvement (QI) initiatives.

Main Methods:

  • A modified-Delphi process involving 119 QI experts from the US and Canada.
  • Experts participated in three online phases, rating and discussing CQI features.
  • Quantitative analysis of ratings and qualitative analysis of discussions determined consensus.

Main Results:

  • Seventy-nine percent of panelists completed the study.
  • Three features met a priori standards as essential for CQI: 'systematic data guided activities,' 'designing with local conditions in mind,' and 'iterative development and testing.'
  • Qualitative analysis highlighted distinctions between general QI and CQI.

Conclusions:

  • Consensus was reached on three core features essential for identifying CQI.
  • These three features serve as a minimum standard for recognizing CQI methodologies.
  • Standardized identification of CQI will improve learning and application across healthcare settings.