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Am J Med Qual. 2019 Jan 24:1062860618822102. doi: 10.1177/1062860618822102. [Epub ahead of print]

Quality Improvement Toolkits: Recommendations for Development.

Author information

1
1 RAND Corporation, Santa Monica, CA.
2
2 VA Greater Los Angeles Healthcare System, Los Angeles, CA.
3
3 Colorado School of Public Health, Aurora, CO.
4
4 Saint Louis University School of Medicine, St. Louis, MO.
5
5 Westat, Rockville, MD.
6
6 University of Pittsburgh, Pittsburgh, PA.
7
7 Veterans Health Administration, San Diego Healthcare System, San Diego, CA.
8
8 Agency for Healthcare Research and Quality, Rockville, MD.
9
9 US Department of Veterans Affairs Quality Enhancement Research Initiative, Ann Arbor, MI.
10
10 University of Michigan, Ann Arbor, MI.
11
11 University of California Los Angeles, Los Angeles, CA.

Abstract

A burgeoning number of toolkits dedicated to improving health care exist but development guidance is lacking. The authors convened a panel of health care stakeholders, including developers, purchasers, users, funders, and disseminators of toolkits. The panel was informed by a literature review that analyzed 44 publications and 27 toolkits. A modified Delphi process established recommendations and suggestions to guide toolkit development. The panel established 12 recommendations for content and 1 recommendation for toolkit development methods. The recommendations are accompanied by 11 suggestions for toolkit content, 9 suggestions for development methods, and 6 suggestions for toolkit evaluation methods. The authors established a set of key recommendations and suggestions addressing the content, development, and evaluation methods of quality improvement toolkits, together with a ready-to use checklist. The guidance aims to advance the value of toolkits as an emerging method to effectively disseminate interventions to improve the quality of care.

KEYWORDS:

Delphi method; expert panel; implementation; quality improvement; toolkit

PMID:
30675797
DOI:
10.1177/1062860618822102

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