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PM R. 2019 Feb 7. doi: 10.1002/pmrj.12130. [Epub ahead of print]

Quality Improvement in Rehabilitation - A Primer for Physical Medicine and Rehabilitation Specialists.

Guo M1,2, Lo A1,2, Fortin C1,3, Mayo A1,4, Robinson L1,4.

Author information

1
Division of Physical Medicine and Rehabilitation, University of Toronto.
2
Toronto Rehabilitation Institute, University Health Network.
3
Bridgepoint Active Healthcare, Sinai Health System.
4
Sunnybrook Health Sciences Centre.

Abstract

Physiatrists in all practice settings can improve the care of rehabilitation patients through the rigorous application of Quality Improvement (QI) methodology. This primer provides a step-by-step guide to QI in rehabilitation settings for academic and community physiatrists, using the Model for Improvement. Key concepts discussed include Plan-Do-Study-Act cycles, setting optimal aim statements and measures, involving the rehabilitation team, diagnostic tools to understand root causes of quality problems, selection of change concepts and ideas, and utilizing run charts for data analysis. A QI project focused on the secondary prevention of vascular complications in diabetic amputees admitted to inpatient rehabilitation is used as an illustrative example throughout the primer. This article is protected by copyright. All rights reserved.

PMID:
30729748
DOI:
10.1002/pmrj.12130

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