准则组织的指导文件文件11:质量保证和改进的指导制定
Lili Zeidan1, Ahmad Najia2, Elena Parmelli3
1Clinical Research Institute, American University of Beirut, Beirut, Lebanon.
Journal of clinical epidemiology
|November 19, 2025
概括
准则开发组织在他们的文件中不一致地解决质量保证和改进 (QAI) 过程. 许多缺乏清晰的术语和全面的QAI项目覆盖,影响现实世界的实践相关性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床指南开发 临床指南开发
- 提高质量 提高科学 提高质量
背景情况:
- 质量保证和改进 (QAI) 的整合对于指南在实践中的相关性和可衡量性至关重要.
- 准则制作组织对QAI的方法需要进行系统的评估.
研究的目的:
- 描述指南制作组织的指南文件中的质量保证和改进 (QAI) 过程.
- 评估这些文件中QAI元素的覆盖范围和术语.
主要方法:
- 一项全面的搜索确定了指南制订组织 (2021年,更新至2024年) 的公开指南文件.
- 数据抽象使用了指南国际网络 (GIN) -麦克马斯特质量保证和质量改进 (2022) 检查清单扩展.
- 两位作者独立评估了资格,并抽象了有关QAI流程和术语的数据.
主要成果:
- 大约一半 (69/133) 的组织解决了QAI,细节程度不同.
- 对于跨组织的QAI元素,使用了不一致的术语.
- 关键的QAI项目,如定义质量措施和子组需求,得到了解决,但其他项目,如利益冲突和问责制,得到了最小的覆盖.
结论:
- 指导文件显示了基本质量保证和改进 (QAI) 项目的可变覆盖范围.
- 对QAI元素的不一致的术语阻碍了标准化和理解.
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