scholarly journals Quality Improvement in Diabetes Care: A Review of Initiatives and Outcomes in the T1D Exchange Quality Improvement Collaborative

2021 ◽  
pp. cd210029
Author(s):  
Olivia Z.B. Ginnard ◽  
G. Todd Alonso ◽  
Sarah D. Corathers ◽  
Carla Demeterco-Berggren ◽  
Lauren H. Golden ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Diabetes Care ◽  
Quality Improvement Collaborative

1273-P: Outpatient Diabetes Encounter Visit Frequency in the T1D Exchange Quality Improvement Collaborative

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1273-P
Author(s):  
GUY T. ALONSO ◽  
SARAH THOMAS ◽  
COLLEEN GAREY ◽  
DON A. BUCKINGHAM ◽  
ALYSSA B. CABRERA ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Collaborative ◽  
Visit Frequency

1174-P: Reducing Lost to Follow-Up Rates in the T1D Exchange Quality Improvement Collaborative (T1DX-QI)

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1174-P
Author(s):  
RYAN MCDONOUGH ◽  
SARAH THOMAS ◽  
NICOLE RIOLES ◽  
OSAGIE EBEKOZIEN ◽  
MARK A. CLEMENTS ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Collaborative ◽  
Lost To Follow Up

scholarly journals The ACTION Quality Improvement Collaborative: 2020 Annual Report

2021 ◽  
Vol 40 (4) ◽  
pp. S443-S444
Author(s):  
D.N. Rosenthal ◽  
F. Zafar ◽  
C. Villa ◽  
C. Vanderpluym ◽  
D. Peng ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Annual Report ◽  
Quality Improvement Collaborative

scholarly journals Do quality improvement initiatives for diabetes care address social inequities? Secondary analysis of a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018826 ◽  
Author(s):  
Jacquie Boyang Lu ◽  
Kristin J Danko ◽  
Michael D Elfassy ◽  
Vivian Welch ◽  
Jeremy M Grimshaw ◽  
...  
Keyword(s):  
Systematic Review ◽  
Socioeconomic Status ◽  
Quality Improvement ◽  
Diabetes Care ◽  
Secondary Analysis ◽  
Place Of Residence ◽  
Disadvantaged Groups ◽  
Disadvantaged Populations ◽  
Patients With Diabetes ◽  
Race Ethnicity

BackgroundSocially disadvantaged populations carry a disproportionate burden of diabetes-related morbidity and mortality. There is an emerging interest in quality improvement (QI) strategies in the care of patients with diabetes, however, the effect of these interventions on disadvantaged groups remains unclear.ObjectiveThis is a secondary analysis of a systematic review that seeks to examine the extent of equity considerations in diabetes QI studies, specifically quantifying the proportion of studies that target interventions toward disadvantaged populations and conduct analyses on the impact of interventions on disadvantaged groups.Research design and methodsStudies were identified using Medline, HealthStar and the Cochrane Effective Practice and Organisation of Care database. Randomised controlled trials assessing 12 QI strategies targeting health systems, healthcare professionals and/or patients for the management of adult outpatients with diabetes were eligible. The place of residence, race/ethnicity/culture/language, occupational status, gender/sexual identity, religious affiliations, education level, socioeconomic status, social capital, plus age, disability, sexual preferences and relationships (PROGRESS-Plus) framework was used to identify trials that focused on disadvantaged patient populations, to examine the types of equity-relevant factors that are being considered and to explore temporal trends in equity-relevant diabetes QI trials.ResultsOf the 278 trials that met the inclusion criteria, 95 trials had equity-relevant considerations. These include 64 targeted trials that focused on a disadvantaged population with the aim to improve the health status of that population and 31 general trials that undertook subgroup analyses to assess the extent to which their interventions may have had differential impacts on disadvantaged subgroups. Trials predominantly focused on race/ethnicity, socioeconomic status and place of residence as potential factors for disadvantage in patients receiving diabetes care.ConclusionsLess than one-third of diabetes QI trials included equity-relevant considerations, limiting the relevance and applicability of their data to disadvantaged populations. There is a need for better data collection, reporting, analysis and interventions on the social determinants of health that may influence the health outcomes of patients with diabetes.PROSPERO registration numberCRD42013005165.

scholarly journals Improving Diabetes Care in Rural Areas: A Systematic Review and Meta-Analysis of Quality Improvement Interventions in OECD Countries

PLoS ONE ◽  
2013 ◽  
Vol 8 (12) ◽  
pp. e84464 ◽  
Author(s):  
Ignacio Ricci-Cabello ◽  
Isabel Ruiz-Perez ◽  
Antonio Rojas-García ◽  
Guadalupe Pastor ◽  
Daniela C. Gonçalves
Keyword(s):  
Systematic Review ◽  
Quality Improvement ◽  
Diabetes Care ◽  
Rural Areas ◽  
Meta Analysis ◽  
Oecd Countries ◽  
Improvement Interventions ◽  
Quality Improvement Interventions

Ohio Statewide Quality-Improvement Collaborative to Reduce Late-Onset Sepsis in Preterm Infants

PEDIATRICS ◽  
2011 ◽  
Vol 127 (3) ◽  
pp. 427-435 ◽  
Author(s):  
H. C. Kaplan ◽  
C. Lannon ◽  
M. C. Walsh ◽  
E. F. Donovan ◽  
Keyword(s):  
Quality Improvement ◽  
Preterm Infants ◽  
Late Onset ◽  
Quality Improvement Collaborative ◽  
Late Onset Sepsis

scholarly journals How, why and under what circumstances does a quality improvement collaborative build knowledge and skills in clinicians working with people with dementia? A realist informed process evaluation

2021 ◽  
Vol 10 (2) ◽  
pp. e001147
Author(s):  
Lenore de la Perrelle ◽  
Monica Cations ◽  
Gaery Barbery ◽  
Gorjana Radisic ◽  
Billingsley Kaambwa ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Reflective Practice ◽  
Process Evaluation ◽  
Aged Care ◽  
Dementia Care ◽  
Quality Improvement Collaborative ◽  
Programme Theory ◽  
Post Intervention ◽  
Knowledge And Skills ◽  
People With Dementia

In increasingly constrained health and aged care services, strategies are needed to improve quality and translate evidence into practice. In dementia care, recent failures in quality and safety have led the WHO to prioritise the translation of known evidence into practice. While quality improvement collaboratives have been widely used in healthcare, there are few examples in dementia care.We describe a recent quality improvement collaborative to improve dementia care across Australia and assess the implementation outcomes of acceptability and feasibility of this strategy to translate known evidence into practice. A realist-informed process evaluation was used to analyse how, why and under what circumstances a quality improvement collaborative built knowledge and skills in clinicians working in dementia care.This realist-informed process evaluation developed, tested and refined the programme theory of a quality improvement collaborative. Data were collected pre-intervention and post-intervention using surveys and interviews with participants (n=28). A combined inductive and deductive data analysis process integrated three frameworks to examine the context and mechanisms of knowledge and skill building in participant clinicians.A refined program theory showed how and why clinicians built knowledge and skills in quality improvement in dementia care. Six mechanisms were identified: motivation, accountability, identity, collective learning, credibility and reflective practice. These mechanisms, in combination, operated to overcome constraints, role boundaries and pessimism about improved practice in dementia care.A quality improvement collaborative designed for clinicians in different contexts and roles was acceptable and feasible in building knowledge, skills and confidence of clinicians to improve dementia care. Supportive reflective practice and a credible, flexible and collaborative process optimised quality improvement knowledge and skills in clinicians working with people with dementia.Trial registration numberACTRN12618000268246.

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