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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
Summary
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.
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.
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