Identifying quality improvement intervention evaluations: is consensus achievable?

Quality & Safety in Health Care
M S DanzPaul G Shekelle

Abstract

The diversity of quality improvement interventions (QIIs) has impeded the use of evidence review to advance quality improvement activities. An agreed-upon framework for identifying QII articles would facilitate evidence review and consensus around best practices. To adapt and test evidence review methods for identifying empirical QII evaluations that would be suitable for assessing QII effectiveness, impact or success. Literature search with measurement of multilevel inter-rater agreement and review of disagreement. Ten journals (2005-2007) were searched electronically and the output was screened based on title and abstract. Three pairs of reviewers then independently rated 22 articles, randomly selected from the screened list. Kappa statistics and percentage agreement were assessed. 12 stakeholders in quality improvement, including QII experts and journal editors, rated and discussed publications about which reviewers disagreed. The level of agreement among reviewers for identifying empirical evaluations of QII development, implementation or results was 73% (with a paradoxically low kappa of 0.041). Discussion by raters and stakeholders regarding how to improve agreement focused on three controversial article selection issues:...Continue Reading

Citations

Feb 4, 2011·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·T Kliche
Dec 27, 2011·BMC Medical Research Methodology·Dmitry KhodyakovSiddhartha Dalal
Aug 3, 2011·Implementation Science : IS·Susanne HempelPaul G Shekelle
Dec 7, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Lisa RubensteinPaul Shekelle
Mar 28, 2013·The American Journal of Hospice & Palliative Care·Brandyn D LauSydney E Morss Dy
Oct 26, 2018·Journal of General Internal Medicine·Lisa V Rubenstein
Jan 25, 2019·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Susanne HempelDavid A Ganz
Aug 21, 2019·Implementation Science : IS·Susanne HempelLisa Rubenstein
Apr 15, 2016·The Medical Journal of Australia·Susan J UphamClaire L Jackson
Jan 23, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Alan D RogersRobert Cartotto
Jan 25, 2018·American Journal of Preventive Medicine·Laura J AndersonTeryl K Nuckols
Aug 7, 2021·Journal of the American Geriatrics Society·Kanaka D ShettyCheryl L Damberg

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