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Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
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Implementing quality improvement in vascular services: a qualitative study.

Panagiota Birmpili1,2, Eleanor Atkins3,2, Jon R Boyle4

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|January 27, 2026
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Summary
This summary is machine-generated.

The Peripheral Arterial Disease Quality Improvement Programme (PAD QIP) expedited treatment by fostering collaboration. Team and organizational support were crucial for implementing changes in vascular surgery.

Keywords:
Healthcare quality improvementQualitative researchSurgery

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Area of Science:

  • Vascular Surgery
  • Quality Improvement Science
  • Health Services Research

Background:

  • The Peripheral Arterial Disease Quality Improvement Programme (PAD QIP) was a collaborative initiative involving 11 English vascular surgery centers from May 2020 to May 2022.
  • The program aimed to accelerate the treatment of peripheral arterial disease (PAD).
  • This qualitative study investigated perceptions of the PAD QIP and identified barriers and facilitators to implementing changes in vascular surgery practices.

Purpose of the Study:

  • To explore clinician beliefs regarding the Peripheral Arterial Disease Quality Improvement Programme (PAD QIP).
  • To identify barriers and facilitators influencing the implementation of changes within vascular surgery centers participating in the PAD QIP.

Main Methods:

  • Conducted 16 semi-structured interviews with clinicians from participating vascular centers.
  • Analyzed interview data using framework analysis, guided by the Consolidated Framework for Implementation Research (CFIR) domains.

Main Results:

  • Five key themes emerged: the program structure, perceived patient benefit, team dynamics, resource availability, and the impact of COVID-19.
  • Program elements like timeframes, external monitoring, and peer comparison aided resource acquisition. Accurate data was vital but burdensome to collect.
  • High implementation was associated with positive team beliefs, structure, compatibility, strong networks, adequate resources, a supportive implementation climate, and clear evidence strength.

Conclusions:

  • The quality improvement collaborative successfully facilitated the implementation of changes in peripheral arterial disease care.
  • Crucial factors for successful implementation included robust team support and strong organizational backing.