Quality Management and Improvement Tools
The Johns Hopkins Evidence Based Nursing Model lists the following as NonResearch evidence methodologies: Organizational Experience (Quality Improvement, Financial Evaluation), Expert Opinion, Community Standard, Clinician Experience, Patient Experience are Level V Evidence at the bottom of the Evidence Pyramid.
In contrast to research studies, Quality Improvement studies are not meant to be generalized to other settings. However, QI stories have the potential to help identify future EBP questions, QI projects and research.
NonResearch should also follow a structured approach with well described methods to establish that observed outcomes were due to the interventions. See the Standards for Quality Improvement Reporting (SQUIRE) Guidelines below.
Standards for Quality Improvement Reporting
The SQUIRE Guidelines provide a framework for reporting new knowledge about how to improve healthcare. Intended for reports that describe system level work to improve the quality, safety, and value of healthcare, and used methods to establish that observed outcomes were due to the intervention(s).
For more on these issues, see: Davidoff F, Batalden P. Toward stronger evidence on quality improvement. Draft publication guidelines: the beginning of a consensus project. Qual Saf. Health Care 2005;14:319-25
Other Sources of Quality Evidence
Agency for Healthcare Research and Quality (AHRQ) the lead Federal agency charged with improving the safety and quality of healthcare for all Americans. AHRQ develops the knowledge, tools, and data needed to improve the healthcare system and help consumers, healthcare professionals, and policymakers make informed health decisions.
Health Services Research (HSR) Pubmed Queries template provides specialized searches on healthcare quality and costs.
Quality standards is the UK's National Institute for Health and Care Excellence (NICE) database of summarized quality statements, or measures, derived from the NICE guideline evidence-base.
Reference Titles
Environment of Care: Essentials for healthcare by Quickly cross-reference physical environment, emergency management, and life safety requirements across settings
ISBN: 9781635852967Publication Date: 2023
Hospital Compliance Assessment Workbook by
A comprehensive self-assessment workbook designed to help your hospital maintain continuous compliance and embed processes that promote safety, quality, and compliance into your hospital's operation
ISBN: 978-1-63585-292-9Publication Date: 2023
Implementing the Evidence-Based Practice (EBP) Competencies in Healthcare by
Hospitals and healthcare systems around the world have attempted to build and sustain evidence-based practice (EBP) cultures and environments, yet they have struggled to clearly understand what EBP competency means. Implementing the Evidence-Based Practice (EBP) Competencies in Healthcare clears up that confusion and serves as a guide for clinicians, leaders, faculty, EBP mentors, and students in achieving EBP competency, facilitating evidence-based decision making in daily practice, and accelerating the speed at which research knowledge is translated into real-world settings to improve health outcomes and decrease healthcare costs.
Call Number: NML: Upper Level ; WY 100.7 M527i 2017ISBN: 9781940446424Publication Date: 2016-06-01
Intervention Research and Evidence-Based Quality Improvement by
First Edition received 2012 First Place AJN Book of the Year Award in Nursing Research. Although typically it takes years for research-based interventions to make their way to real world clinical settings, this "prolonged time for translation" frustrates researchers and their interprofessional teams. This second edition now delves even deeper into key strategies for rapidly moving research-based interventions into real world settings in the form of evidence-based quality improvement as well as the challenges of working in an increasingly diverse professional research environment.
ISBN: 9780826155535Publication Date: 2018-07-01
Patient Safety and Quality Improvement in Healthcare: a case-based approach by
This text uses a case-based approach to share knowledge and techniques on how to operationalize much of the theoretical underpinnings of hospital quality and safety.
ISBN: 3030558290Publication Date: 2021
Preventing hospital infections : real-world problems, realistic solutions by
Provides a detailed, step-by-step description of a model quality improvement intervention for hospitals
ISBN: 0197509177Publication Date: 2021
Quality Measures by
Chapters include the evolution of quality metrics in healthcare, the practical role of hospitals, as well as the practical role of individual healthcare providers in addressing quality metrics, medical and surgical practices, as well as non-clinical quality metrics.
ISBN: 3030371441Publication Date: 2020-03-12
Root Cause Analysis in Health Care: A Joint Commission guide to analysis of corrective action of sentinel and adverse events by
Takes readers step by step through the process of conducting RCA in their organizations.
ISBN: 1635851629Publication Date: 2020
