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Why is reporting quality improvement so hard? A qualitative study in perioperative care
Emma Leanne Jones1,2, Mary Dixon-Woods3, Graham P Martin3,4
1Clinical Trials Unit, University of Warwick, Coventry, UK.
BMJ Open
|July 27, 2019
Summary
Quality improvement (QI) reporting in healthcare is often suboptimal. Key challenges include unclear publication venues, difficulty reporting context, and structural influences that hinder complete reporting of QI findings.
Area of Science:
- Healthcare Quality Improvement
- Perioperative Care Research
- Scientific Publication
Background:
- Quality improvement (QI) initiatives are crucial for enhancing patient care but are frequently underreported in medical literature.
- Suboptimal reporting of QI studies limits their impact and generalizability.
Purpose of the Study:
- To identify factors influencing the reporting of QI in perioperative care.
- To inform strategies for improving QI reporting across the healthcare sector.
Main Methods:
- A qualitative interview study was conducted.
- Forty-two stakeholders, including authors, consumers, editors, and guideline authors from six countries, participated.
Main Results:
- Three primary challenges to high-quality QI reporting were identified: scope ambiguity for publication, difficulties in reporting essential context for replication, and proximal/distal influences (e.g., time constraints, biomedical reporting norms) leading to incomplete reports.
Conclusions:
- Inconsistent terminology, understanding of QI, reporting norms, and challenges in conveying context impede effective QI reporting.
- Addressing these issues is essential for improving the dissemination and application of QI research.
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