DNP 830 Discussion Standards for Quality Improvement Reporting Excellence

March 8, 2022
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DNP 830 Discussion Standards for Quality Improvement Reporting Excellence

DNP 830 Discussion Standards for Quality Improvement Reporting Excellence

Compare your DPI project manuscript thus far to the “Revised Standards for Quality Improvement Reporting Excellence: SQUIRE 2.0” guidelines. Discuss what you can improve in your DPI project manuscript.

In 2005, draft publication guidelines for quality improvement reporting debuted in Quality and Safety in Health Care [1]. At that time, publications of scholarly work about health care improvement were often confusing and of limited value. Leaders in the field were working to consolidate the evidence for a science of improvement [2], [3] and without guidance on how to write their findings, authors struggled to report their improvement work in a reliable and consistent way [4], [5]. These factors influenced the initial publication in 2008 of the Standards for QUality Improvement Reporting Excellence (SQUIRE) [6], which we will refer to as SQUIRE 1.0. The guidelines were developed in an effort to reduce uncertainty about the information deemed to be important in scholarly reports of health care improvement, and to increase the completeness, precision, and transparency of those reports.

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DNP 830 Discussion Standards for Quality Improvement Reporting Excellence

DNP 830 Discussion Standards for Quality Improvement Reporting Excellence

In the intervening years, the reach of systematic efforts to improve the quality, safety, and value of health care has grown. Health professions education worldwide now includes improvement as a standard competency [7], [8], [9], [10], [11]. The science of the field also continues to advance through guidance on applying formal and informal theory in the development and interpretation of improvement programs [12]; stronger ways to identify, assess, and describe context [13], [14], [15], [16]; recommendations for clearer, more complete descriptions of interventions [17]; and development of initial guidance on how to study an intervention [18].

In this setting, we have undertaken a revision of SQUIRE 1.0. When we began, it rapidly became apparent that a wide variety of approaches had developed for improving health care, ranging from formative to experimental to evaluative. Rather than limit the revised guidelines to only a few of these, we fashioned them to be applicable across the many methods that are used. We aimed to reflect the dynamic nature of the field and support its further development. This article describes the development and content of SQUIRE 2.0 (Table 1).

The SQUIRE guidelines provide a framework for reporting new knowledge about how to improve health care.

The SQUIRE guidelines are intended for reports that describe system level work to improve the quality, safety, and value of health care, and used methods to establish that observed outcomes were due to the intervention(s).

A range of approaches exists for improving health care. SQUIRE may be adapted for reporting any of these.

Authors should consider every SQUIRE item, but it may be inappropriate or unnecessary to include every SQUIRE element in a particular article.

The SQUIRE glossary contains definitions of many of the key words in SQUIRE.

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Posted in nursing by Clarissa