The Use of Quality Improvement in the Physical Therapy Literature: A Scoping Review.

Autor: Crick Jr, James P., Rethorn, Timothy J., Beauregard, Tyler A., Summers, Riley, Rethorn, Zachary D., Quatman-Yates, Catherine C.
Zdroj: Journal for Healthcare Quality: Promoting Excellence in Healthcare; Sep/Oct2023, Vol. 45 Issue 5, p280-296, 17p
Abstrakt: Introduction: Quality improvement (QI) is a useful methodology for improving healthcare, often through iterative changes. There is no prior review on the application of QI in physical therapy (PT). Purpose and Relevance: To characterize and evaluate the quality of the QI literature in PT. Methods: We searched four electronic databases from inception through September 1, 2022. Included publications focused on QI and included the practice of PT. Quality was assessed using the 16-point QI Minimum Quality Criteria Set (QI-MQCS) appraisal tool. Results: Seventy studies were included in the review, 60 of which were published since 2014 with most (n = 47) from the United States. Acute care (n = 41) was the most prevalent practice setting. Twenty-two studies (31%) did not use QI models or approaches and only nine studies referenced Revised Standards for QI Reporting Excellence guidelines. The median QI-MQCS score was 12 (range 7-15). Conclusions/Implications: Quality improvement publications in the PT literature are increasing, yet there is a paucity of QI studies pertaining to most practice settings and a lack of rigor in project design and reporting. Many studies were of low-to-moderate quality and did not meet minimum reporting standards. We recommend use of models, frameworks, and reporting guidelines to improve methodologic rigor and reporting. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index