Continuous quality improvement: Effects on professional practice and healthcare outcomes in primary care
Brennan S., Mckenzie JE., Whitty P., Buchan H., Green S., Bosch M., Fiander M., Strobel NA., Donoghue E., Page MJ., Yost J., Gonçalves-Bradley DC.
© 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The overall objective of this review is to determine if CQI is effective for improving professional practice and ultimately healthcare outcomes. We plan to do this by conducting a systematic review of existing evidence to address the following questions: Primary aims: Is CQI effective for improving professional practice and healthcare outcomes compared to no intervention and is the magnitude of effect modified by the following factors? Intensity of the CQI implementation strategy. Organisation-wide CQI strategy or support for CQI. Team performance and participation. Complexity of the targeted change. Type of healthcare setting. Healthcare professional performance at baseline. Secondary aims:: Is CQI effective for improving professional practice and healthcare outcomes compared to: single interventions to change health professionals' behaviour (classified according to the Cochrane Effective Practice and Organisation of Care (EPOC) Group taxonomy); or multifaceted interventions to change health professionals' behaviour (classified according to the Cochrane EPOC Group taxonomy); or tailored interventions to overcome identified barriers to change; or other organisational change interventions with a team-based component (e.g. Business Process Reengineering)?.