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BMJ. 2009 Jan 19;338:a3152. doi: 10.1136/bmj.a3152.

Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project.

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Institute for Healthcare Improvement, 143 Garden Street, Wethersfield, CT 06109, USA.


In 2005 we published draft guidelines for reporting studies of quality improvement, as the initial step in a consensus process for development of a more definitive version. The current article contains the revised version, which we refer to as standards for quality improvement reporting excellence (SQUIRE). This narrative progress report summarises the special features of improvement that are reflected in SQUIRE, and describes major differences between SQUIRE and the initial draft guidelines. It also briefly describes the guideline development process; considers the limitations of and unresolved questions about SQUIRE; describes ancillary supporting documents and alternative versions under development; and discusses plans for dissemination, testing, and further development of SQUIRE.

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