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Development of a Comprehensive Tool to Assess Rigor When Evaluating Quality Improvement Projects.

Kathryn Kynoch1,2,3, Mary-Anne Ramis4, Caroline de Moel-Mandel5

  • 1School of Nursing, Queensland University of Technology, Brisbane, Australia.

Journal of Evaluation in Clinical Practice
|June 29, 2025
PubMed
Summary
This summary is machine-generated.

A new tool, CARE-QI (Comprehensively Assess Rigor when Evaluating Quality Improvement projects), was developed to evaluate quality improvement projects. This domain-based instrument aids healthcare professionals and researchers in assessing project rigor.

Keywords:
Delphihealthcareimplementationinnovationquality improvement

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Area of Science:

  • Healthcare research methodology
  • Quality improvement science

Background:

  • Evaluating the rigor of quality improvement (QI) projects is crucial for ensuring reliable and impactful healthcare advancements.
  • Existing tools may not comprehensively cover the multifaceted nature of QI initiatives.

Purpose of the Study:

  • To develop a pragmatic, domain-based tool for comprehensively assessing the rigor of Quality Improvement projects.
  • The tool, CARE-QI (Comprehensively Assess Rigor when Evaluating Quality Improvement projects), is designed for use by health professionals, researchers, and academics.

Main Methods:

  • A three-stage methodology involving an expert panel was employed.
  • A scoping review identified potential items, followed by draft tool development.
  • A three-round Delphi survey with international multidisciplinary experts achieved consensus on the final 13 items.

Main Results:

  • Forty international multidisciplinary experts, including clinicians and researchers, participated.
  • The final CARE-QI tool comprises 13 items organized into four domains: problem and design, context, intervention and implementation, and evaluation and sustainability.

Conclusions:

  • A pragmatic, domain-based tool (CARE-QI) has been successfully developed through expert collaboration to assess the rigor of diverse clinical quality improvement projects.
  • Further validation studies are planned to confirm the reliability and validity of the CARE-QI tool.