Brian S. Mittman, PhD
Disclaimer: The views expressed in this article are those of the author and do not necessarily represent the views of the Department of Veterans Affairs.
Grant Support: By the U.S. Department of Veterans Affairs, Health Services Research and Development Service.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Brian S. Mittman, PhD, Center for the Study of Healthcare Provider Behavior, Veterans Affairs Greater Los Angeles Healthcare System (152), 16111 Plummer Street, Sepulveda, CA 91343; e-mail, Brian.Mittman@med.va.gov.
Intensive efforts are under way to improve health care quality and safety throughout the United States and abroad. Many of these efforts use the quality improvement collaborative method, an approach emphasizing collaborative learning and exchange of insights and support among a set of health care organizations. Unfortunately, the widespread acceptance and reliance on this approach are based not on solid evidence but on shared beliefs and anecdotal affirmations that may overstate the actual effectiveness of the method. More effective use of the collaborative method will require a commitment by users, researchers, and other stakeholders to rigorous, objective evaluation and the creation of a valid, useful knowledge and evidence base. Development of this evidence base will require improved conceptions of the nature of quality problems, quality improvement processes, and the types of research needed to elucidate these processes. Researchers, journal editors, and funding agencies must also cooperate to ensure that published evaluations are relevant, comprehensive, and cumulative.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Mittman BS. Creating the Evidence Base for Quality Improvement Collaboratives. Ann Intern Med. 2004;140:897-901. doi: 10.7326/0003-4819-140-11-200406010-00011
Download citation file:
Published: Ann Intern Med. 2004;140(11):897-901.
Healthcare Delivery and Policy.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only