Concept analysis of improvement science in health care_Chinese Journal of Evidence-Based Medicine

Authors：

HE Mengxue ,  HU Yan

School of Nursing, Fudan University, Shanghai, 200032, P.R.China;

Corresponding author：

HU Yan, Email: huyan@fudan.edu.cn

Keywords：

Improvement science; Health care; Concept analysis

DOI：

10.7507/1672-2531.201910088

Video：

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This paper introduces the concept, characteristics, similar concepts, system of knowledge, theoretic model and typical example of improvement science in health care sector, and analyzes a project of quality improvement in order to demonstrate the practical implication. It attempts to provide evidence and reference for future relative studies.

Citation： HE Mengxue, HU Yan. Concept analysis of improvement science in health care. Chinese Journal of Evidence-Based Medicine, 2020, 20(3): 345-350. doi: 10.7507/1672-2531.201910088 Copy

1.	Moonesinghe SR, Peden CJ. Theory and context: putting the science into improvement. Br J Anaesth, 2017, 118(4): 482-484.
2.	Marshall M, Mountford J. Developing a science of improvement. J R Soc Med, 2013, 106(2): 45-50.
3.	Junghans T. "Don't mind the gap!" reflections on improvement science as a paradigm. Health Care Anal, 2018, 26(2): 124-139.
4.	罗樱樱, 纪立农. 改善科学(Improvement science)—科学与行动的结合体. 中国糖尿病杂志, 2014, 22(9): 769-773.
5.	Lemire S, Christie CA, Inkelas M. The methods and tools of improvement science. New Diretions for Evaluation, 2017, 153: 23-33.
6.	The Health Foundation. Evidence scan: improvement science. 2011. Available from: https://www.health.org.uk/publications/improvement-science.
7.	Batalden PB, Davidoff F. What is "quality improvement" and how can it transform healthcare? Qual Saf Health Care, 2007, 16(1): 2-3.
8.	中华人民共和国国家卫生健康委员会. 医疗质量管理办法. 2016. Available from: http://www.nhc.gov.cn/xxgk/pages/viewdocument.jsp?dispatchDate=&staticUrl=/fzs/s3576/201610/ae125f28eef24ca7aac57c8ec530c6d2.shtml&wenhao=%E7%AC%AC10%E5%8F%B7%E5%A7%94%E4%BB%A4&utitle=%E5%8C%BB%E7%96%97%E8%B4%A8%E9%87%8F%E7%AE%A1%E7%90%86%E5%8A%9E%E6%B3%95&topictype=&topic=&publishedOrg=%E6%B3%95%E5%88%B6%E5%8F%B8&indexNum=000013610/2016-00218&manuscriptId=ae125f28eef24ca7aac57c8ec530c6d2.
9.	Marshall M, Pronovost P, Dixon-Woods M. Promotion of improvement as a science. Lancet, 2013, 381(9864): 419-421.
10.	Eccles MP, Mittman BS. Welcome to implementation science. Implement Sci, 2006, 6(1): 1-3.
11.	Woolf SH. The meaning of translational research and why it matters. JAMA, 2008, 299(2): 211-213.
12.	Levit L A, Balogh E P, Nass S J, et al. Delivering high-quality cancer care: charting a new course for a system in crisis. Washington (DC): National Academies Press (US), 2013.
13.	Brunner JW, Sankaré IC, Kahn KL. Interdisciplinary priorities for dissemination, implementation, and improvement science: frameworks, mechanics, and measures. Clin Transl Sci, 2015, 8(6): 820-823.
14.	Koczwara B, Stover AM, Davies L, et al. Harnessing the synergy between improvement science and implementation science in cancer: a call to action. J Oncol Pract, 2018, 14(6): 335-340.
15.	Granger BB. Science of Improvement versus science of implementation: integrating both into clinical inquiry. AACN Adv Crit Care, Summ, 2018, 29(2): 208-212.
16.	曹荣桂. 卫生质量改进的基本概念—试论卫生质量改进(二). 中国卫生质量管理, 1997, (6): 11-13.
17.	Wagstaff DT, Bedford J, Moonesinghe SR. Improvement science in anaesthesia. Curr Anesthesiol Rep, 2017, 7(4): 432-439.
18.	Portela MC, Pronovost PJ, Woodcock T, et al. How to study improvement interventions: a brief overview of possible study types. BMJ Qual Saf, 2015, 24(5): 325-336.
19.	Marshall M, Baker M, Rafi I, et al. What can science contribute to quality improvement in general practice? Br J Gen Pract, 2014, 64(622): 254-256.
20.	Langley GJ, Moen R, Nolan KM, et al. The improvement guide: a practical approach to enhancing organizational performance (2^nd edition). San Francisco: Jossey-Bass Publishers, 2009.
21.	Lewis C. What is improvement science? Do we need it in education? Educ Researcher, 2015, 44(1): 54-61.
22.	Bergman B, Hellström A, Lifvergren S, et al. An emerging science of improvement in health care. Qual Eng, 2015, 27: 17-34.
23.	Courtlandt CD, Noonan L, Feld LG. Model for improvement – part 1: A framework for health care quality. Pediatr Clin North Am, 2009, 56(4): 757-778.
24.	Pratap JN, Varughese AM, Adler E, et al. Getting started with the model for improvement: the model in practice. Br J Hosp Med (Lond), 2013, 74(1): 42-46.
25.	Pratap JN, Varughese AM, Kurth CD, et al. Getting started with the model for improvement: introduction and understanding variation. Br J Hosp Med (Lond), 2012, 73(12): 701-705.
26.	Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf, 2014, 23(4): 290-298.
27.	Berenholtz SM, Pronovost PJ, Lipsett PA, et al. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med, 2004, 32(10): 2014-2020.
28.	Pronovost P. Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project. Am J Infect Control, 2008, 36(10): S171.
29.	Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med, 2006, 355(26): 2725-2732.
30.	Pronovost PJ, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. BMJ, 2010, 340: c309.
31.	Needham DM, Sinopoli DJ, Dinglas VD, et al. Improving data quality control in quality improvement projects. Int J Qual Health Care, 2009, 21(2): 145-150.
32.	Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Crit Care Med, 2010, 38(Suppl 8): S292-S298.
33.	Pronovost PJ, Marsteller JA, Goeschel CA. Preventing bloodstream infections: a measurable national success story in quality improvement. Health Aff (Millwood), 2011, 30(4): 628-634.
34.	Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidemiol, 2014, 35(1): 56-62.
35.	Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to reduce central line-associated bloodstream infections in intensive care units in the USA. BMJ Open, 2014, 4(9): e006065.
36.	谢建飞, 刘佳, 刘立芳, 等. 护理中断事件管理的实践与成效. 中华护理杂志, 2016, 51(8): 951-955.
37.	钱苗, 沙莉, 余章斌, 等. 产房复苏质量改进对极/超低出生体重儿的影响. 中华围产医学杂志, 2017, 20(5): 352-357.
38.	李金蕊, 李春红, 李盼, 等. 同质化管理在区域医疗联合体护理质量改进中的应用. 中华现代护理杂志, 2018, 24(5): 603-605.
39.	何梦雪, 周芬, 陆红, 等. 精益管理提升住院患儿放射学检查镇静效率的实践与效果. 中国护理管理, 2018, 18(4): 566-569.
40.	Parry G, Mate K, Perla R, et al. Promotion of improvement as a science. Lancet, 2013, 381(9881): 1902-1903.

1. Moonesinghe SR, Peden CJ. Theory and context: putting the science into improvement. Br J Anaesth, 2017, 118(4): 482-484.
2. Marshall M, Mountford J. Developing a science of improvement. J R Soc Med, 2013, 106(2): 45-50.
3. Junghans T. "Don't mind the gap!" reflections on improvement science as a paradigm. Health Care Anal, 2018, 26(2): 124-139.
4. 罗樱樱, 纪立农. 改善科学(Improvement science)—科学与行动的结合体. 中国糖尿病杂志, 2014, 22(9): 769-773.
5. Lemire S, Christie CA, Inkelas M. The methods and tools of improvement science. New Diretions for Evaluation, 2017, 153: 23-33.
6. The Health Foundation. Evidence scan: improvement science. 2011. Available from: https://www.health.org.uk/publications/improvement-science.
7. Batalden PB, Davidoff F. What is "quality improvement" and how can it transform healthcare? Qual Saf Health Care, 2007, 16(1): 2-3.
8. 中华人民共和国国家卫生健康委员会. 医疗质量管理办法. 2016. Available from: http://www.nhc.gov.cn/xxgk/pages/viewdocument.jsp?dispatchDate=&staticUrl=/fzs/s3576/201610/ae125f28eef24ca7aac57c8ec530c6d2.shtml&wenhao=%E7%AC%AC10%E5%8F%B7%E5%A7%94%E4%BB%A4&utitle=%E5%8C%BB%E7%96%97%E8%B4%A8%E9%87%8F%E7%AE%A1%E7%90%86%E5%8A%9E%E6%B3%95&topictype=&topic=&publishedOrg=%E6%B3%95%E5%88%B6%E5%8F%B8&indexNum=000013610/2016-00218&manuscriptId=ae125f28eef24ca7aac57c8ec530c6d2.
9. Marshall M, Pronovost P, Dixon-Woods M. Promotion of improvement as a science. Lancet, 2013, 381(9864): 419-421.
10. Eccles MP, Mittman BS. Welcome to implementation science. Implement Sci, 2006, 6(1): 1-3.
11. Woolf SH. The meaning of translational research and why it matters. JAMA, 2008, 299(2): 211-213.
12. Levit L A, Balogh E P, Nass S J, et al. Delivering high-quality cancer care: charting a new course for a system in crisis. Washington (DC): National Academies Press (US), 2013.
13. Brunner JW, Sankaré IC, Kahn KL. Interdisciplinary priorities for dissemination, implementation, and improvement science: frameworks, mechanics, and measures. Clin Transl Sci, 2015, 8(6): 820-823.
14. Koczwara B, Stover AM, Davies L, et al. Harnessing the synergy between improvement science and implementation science in cancer: a call to action. J Oncol Pract, 2018, 14(6): 335-340.
15. Granger BB. Science of Improvement versus science of implementation: integrating both into clinical inquiry. AACN Adv Crit Care, Summ, 2018, 29(2): 208-212.
16. 曹荣桂. 卫生质量改进的基本概念—试论卫生质量改进(二). 中国卫生质量管理, 1997, (6): 11-13.
17. Wagstaff DT, Bedford J, Moonesinghe SR. Improvement science in anaesthesia. Curr Anesthesiol Rep, 2017, 7(4): 432-439.
18. Portela MC, Pronovost PJ, Woodcock T, et al. How to study improvement interventions: a brief overview of possible study types. BMJ Qual Saf, 2015, 24(5): 325-336.
19. Marshall M, Baker M, Rafi I, et al. What can science contribute to quality improvement in general practice? Br J Gen Pract, 2014, 64(622): 254-256.
20. Langley GJ, Moen R, Nolan KM, et al. The improvement guide: a practical approach to enhancing organizational performance (2^nd edition). San Francisco: Jossey-Bass Publishers, 2009.
21. Lewis C. What is improvement science? Do we need it in education? Educ Researcher, 2015, 44(1): 54-61.
22. Bergman B, Hellström A, Lifvergren S, et al. An emerging science of improvement in health care. Qual Eng, 2015, 27: 17-34.
23. Courtlandt CD, Noonan L, Feld LG. Model for improvement – part 1: A framework for health care quality. Pediatr Clin North Am, 2009, 56(4): 757-778.
24. Pratap JN, Varughese AM, Adler E, et al. Getting started with the model for improvement: the model in practice. Br J Hosp Med (Lond), 2013, 74(1): 42-46.
25. Pratap JN, Varughese AM, Kurth CD, et al. Getting started with the model for improvement: introduction and understanding variation. Br J Hosp Med (Lond), 2012, 73(12): 701-705.
26. Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf, 2014, 23(4): 290-298.
27. Berenholtz SM, Pronovost PJ, Lipsett PA, et al. Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med, 2004, 32(10): 2014-2020.
28. Pronovost P. Interventions to decrease catheter-related bloodstream infections in the ICU: the Keystone Intensive Care Unit Project. Am J Infect Control, 2008, 36(10): S171.
29. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med, 2006, 355(26): 2725-2732.
30. Pronovost PJ, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. BMJ, 2010, 340: c309.
31. Needham DM, Sinopoli DJ, Dinglas VD, et al. Improving data quality control in quality improvement projects. Int J Qual Health Care, 2009, 21(2): 145-150.
32. Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Crit Care Med, 2010, 38(Suppl 8): S292-S298.
33. Pronovost PJ, Marsteller JA, Goeschel CA. Preventing bloodstream infections: a measurable national success story in quality improvement. Health Aff (Millwood), 2011, 30(4): 628-634.
34. Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidemiol, 2014, 35(1): 56-62.
35. Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to reduce central line-associated bloodstream infections in intensive care units in the USA. BMJ Open, 2014, 4(9): e006065.
36. 谢建飞, 刘佳, 刘立芳, 等. 护理中断事件管理的实践与成效. 中华护理杂志, 2016, 51(8): 951-955.
37. 钱苗, 沙莉, 余章斌, 等. 产房复苏质量改进对极/超低出生体重儿的影响. 中华围产医学杂志, 2017, 20(5): 352-357.
38. 李金蕊, 李春红, 李盼, 等. 同质化管理在区域医疗联合体护理质量改进中的应用. 中华现代护理杂志, 2018, 24(5): 603-605.
39. 何梦雪, 周芬, 陆红, 等. 精益管理提升住院患儿放射学检查镇静效率的实践与效果. 中国护理管理, 2018, 18(4): 566-569.
40. Parry G, Mate K, Perla R, et al. Promotion of improvement as a science. Lancet, 2013, 381(9881): 1902-1903.

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Concept analysis of improvement science in health care

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