Publishing Quality Improvement Work in Clinical Practice in Pediatric Psychology : The “Why” and “How To”

Abstract

Quality improvement (QI) is an iterative process designed to make controlled changes within the health care delivery system to provide patients with high-quality care that meets both their expectations and needs. Clinical Practice in Pediatric Psychology (CPPP) is actively soliciting QI studies to further its mission to promote and support the evidence-based clinical work of pediatric psychologists. This article (a) provides a basic introduction to what QI is and how it fits within ethical health care practice, (b) briefly describes the historical context of QI in health care, (c) discusses how QI serves as a complement to routine evidence-based care, and (d) gives guidance for writing up and publishing QI work. The overarching aim of this article is to promote the submission and acceptance of high-quality QI studies to Clinical Practice in Pediatric Psychology.

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References

Baily

M. A.

Bottrell

M. M.

Lynn

, & Jennings

(2006). Special report: The ethics of using QI methods to improve health care quality and safety. The Hastings Center, 36, S1–S40. 10.1353/hcr.2006.0054

Balas

E. A.

, & Boren

S. A.

(2000). Managing clinical knowledge for health care improvement. Yearbook of Medical Informatics, 2000, 65–70.

Batalden

P. B.

, & Davidoff

(2007). What is “quality improvement” and how can it transform healthcare? Quality & Safety in Health Care, 16, 2–3. 10.1136/qshc.2006.022046

Casarett

Karlawish

J. H. T.

, & Sugarman

(2000). Determining when quality improvement initiatives should be considered research: Proposed criteria and potential implications. Journal of the American Medical Association, 283, 2275–2280. 10.1001/jama.283.17.2275

Clinical Practice in Pediatric Psychology description (n.d.). Retrieved from http://www.apa.org/pubs/journals/cpp/

Committee on quality of health care in America . (n.d.). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

Davidoff

Kirsh

, & Ogrinc

(2008). Standards for quality improvement reporting excellence (SQUIRE) [PowerPoint slides]. Retrieved from http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CCcQFjAA&url=http%3A%2F%2Fwww.hsrd.research.va.gov%2Ffor_researchers%2Fcyber_seminars%2Farchives%2Fqi-120208.ppt&ei=SttzU4ndCdPMsQSzuYGIDw&usg=AFQjCNH58ysSE5MgJ6PbRV-OxSL67YlhDg&sig2=XAs2Gkxm_o5CjzFWE_Vf2w&bvm=bv.66917471,d.cWc

Deming

(1986). Out of the crisis. Cambridge, MA: MIT Press.

Determine the root cause: 5 whys. (n.d.). Retrieved from http://www.isixsigma.com/tools-templates/cause-effect/determine-root-cause-5-whys

10.

Dew

Horine

, & Schulingkamp

(2014). The changing culture of hospital accreditation and compliance. American Society of Anesthesiologists Newsletter, 78(5). Retrieved from http://www.asahq.org/For-Members/Publications-and-Research/Newsletter-Articles/2014/May-2014/quality-and-regulatory-affairs.aspx

11.

Ernst

M. M.

Wooldridge

J. L.

Conway

Dressman

Weiland

Tucker

, & Seid

(2010). Using quality improvement science to implement a multidisciplinary behavioral intervention targeting pediatric inpatient airway clearance. Journal of Pediatric Psychology, 35, 14–24. 10.1093/jpepsy/jsp013

12.

Grant

Green

, & Mason

(2003). Basic research and health: A reassessment of the scientific basis for the support of biomedical science. Research Evaluation, 12, 217–224. 10.3152/147154403781776618

13.

Hinton

C. F.

Neuspiel

D. R.

Gubernick

R. S.

Geleske

Healy

Kemper

A. R.

, . . . Kaye

C. I.

(2012). Improving newborn screening follow-up in pediatric practices: Quality improvement innovation network. Pediatrics, 130, e669–e675. 10.1542/peds.2011-2920

14.

Improvement. (n.d.). In Merriam-Webster’s online dictionary. Retrieved from http://www.merriam-webster.com/dictionary/improvement

15.

Ishikawa

(1968). Guide to quality control. Tokyo, Japan: JUSE The Joint Commission History. Retrieved from http://www.jointcommission.org/assets/1/6/Joint_Commission_History.pdf

16.

Kofke

W. A.

, & Rie

M. A.

(2003). Research ethics and law of healthcare system quality improvement: The conflict of cost containment and quality. Critical Care Medicine, 31(3, Suppl), S143–S152. 10.1097/01.CCM.0000054902.85329.50

17.

Kohn

L. T.

Corrigan

J. M.

, & Donaldson

M. S.

(Eds.). (1999). To err is human: Building a safer health system. Washington, DC: National Academy Press.

18.

Leape

L. L.

, & Berwick

D. M.

(2005). Five years after to err is human: What have we learned? Journal of the American Medical Association, 293, 2384–2390. 10.1001/jama.293.19.2384

19.

Leistikow

I. P.

Kalkman

C. J.

, & de Bruijn

(2011). Why patient safety is such a tough nut to crack. British Medical Journal (Clinical Research Ed.), 342, d3447–d3450. 10.1136/bmj.d3447

20.

Lindenauer

P. K.

Benjamin

E. M.

Naglieri-Prescod

Fitzgerald

, & Pekow

(2002). The role of the institutional review board in quality improvement: A survey of quality officers, institutional review board chairs, and journal editors. The American Journal of Medicine, 113, 575–579. 10.1016/S0002-9343(02)01250-0

21.

Lynch-Jordan

A. M.

Kashikar-Zuck

Crosby

L. E.

Lopez

W. L.

Smolyansky

B. H.

Parkins

I. S.

, . . . Powers

S. W.

(2010). Applying quality improvement methods to implement a measurement system for chronic pain-related disability. Journal of Pediatric Psychology, 35, 32–41. 10.1093/jpepsy/jsp001

22.

Lynn

Baily

M. A.

Bottrell

Jennings

Levine

R. J.

Davidoff

, . . . James

(2007). The ethics of using quality improvement methods in health care. Annals of Internal Medicine, 146, 666–673. 10.7326/0003-4819-146-9-200705010-00155

23.

Moen

, & Norman

(2006). Evolution of the PDCA cycle. Retrieved from http://kaizensite.com/learninglean/wp-content/uploads/2012/09/Evolution-of-PDCA.pdf

24.

Morris

Z. S.

Wooding

, & Grant

(2011). The answer is 17 years, what is the question: Understanding time lags in translational research. Journal of the Royal Society of Medicine, 104, 510–520. 10.1258/jrsm.2011.110180

25.

Ogrinc

Mooney

S. E.

Estrada

Foster

Goldmann

Hall

L. W.

, . . . Watts

(2008). The SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines for quality improvement reporting: Explanation and elaboration. Quality and Safety in Health Care, 17(Suppl 1), i13–i32. Retrieved from http://qualitysafety.bmj.com/content/17/Suppl_1/i13.full.pdf+html

26.

Quality. (n.d.). In Merriam-Webster.com. Retrieved from http://www.merriam-webster.com/dictionary/quality

27.

Scholtes

P. R.

Joiner

B. L.

, & Streibel

B. J.

(2003). The team handbook. Madison, WI: Oriel.

28.

Simon

(2010). The cause and effect (a.k.a. fishbone) diagram. Retrieved from http://www.isixsigma.com/tools-templates/cause-effect/cause-and-effect-aka-fishbone-diagram/

29.

Social Security Amendment of 1965, Pub. L. 89–97, 79 Stat. 286. Retrieved from http://www.gpo.gov/fdsys/granule/STATUTE-79/STATUTE-79-Pg286/content-detail.html

30.

The Joint Commission History. (n.d.). Retrieved from http://www.jointcommission.org/assets/1/6/Joint_Commission_History.pdf

31.

The Joint Commission . (2013). Improving America’s hospitals: The Joint Commission’s annual report on quality and safety. Oakbrook Terrace, IL: Joint Commission.

32.

Tynan

W. D.

, & Pendley

J. S.

(2013). Introduction to clinical practice in pediatric psychology. Clinical Practice in Pediatric Psychology, 1, 1–2. 10.1037/cpp0000011

33.

U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality . (2002). Improving health care quality: Fact sheet. Retrieved from http://www.ahrq.gov/research/findings/factsheets/errors-safety/improving-quality/index.html

34.

Wratschko

(2009). Empirical setting: The pharmaceutical industry. In Strategic orientation and alliance portfolio configuration (pp. 87–96). New York, NY: Springer. 10.1007/978-3-8349-9459-2_5