Stephen B. Kritchevsky, PhD; Barbara I. Braun, PhD; Andrew J. Bush, PhD; Michele R. Bozikis, MPH; Linda Kusek, RN, MPH; John P. Burke, MD; Edward S. Wong, MD; John Jernigan, MD; Cralen C. Davis, MS; Bryan Simmons, MD; TRAPE Study Group
Acknowledgment: The authors thank the study participants for their hard work and dedication to accurate data collection and Cheryl Richards, BS, RHIA; James Steinberg, MD; Mark Beezhold; Nancy Spector, RN, MSC; Richard Koss, MA; and Jerod M. Loeb, PhD.
Grant Support: By grant R01 HS11331-01A1 from the Agency for Healthcare Research and Quality and initial support from the Centers for Disease Control and Prevention.
Potential Financial Conflicts of Interest: None disclosed.
Reproducible Research Statement:Study protocol and statistical code: Available from Dr. Braun (firstname.lastname@example.org). Data set: Available contigent on purpose through written agreement by contacting Dr. Kritchevsky (email@example.com).
Requests for Single Reprints: Barbara I. Braun, PhD, Division of Quality Measurement and Research, The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace, IL 60181; e-mail, firstname.lastname@example.org.
Current Author Addresses: Dr. Kritchevsky and Mr. Davis: Wake Forest University Health Sciences, Medical Center Boulevard, Winston-Salem, NC 27157.
Dr. Braun, Ms. Bozikis, and Ms. Kusek: Division of Quality Measurement and Research, The Joint Commission, One Renaissance Boulevard, Oakbrook Terrace, IL 60181.
Dr. Bush: Department of Preventive Medicine, University of Tennessee, 66 North Pauline, Suite 633, Memphis, TN 38105.
Dr. Burke: Division of Infectious Diseases, LDS Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143.
Dr. Wong: McGuire Veterans Affairs Medical Center, 1201 Broad Rock Boulevard, Richmond, VA 23249.
Dr. Jernigan: Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop E-68, Atlanta, GA 30333.
Dr. Simmons: Quality Management, Methodist Health System, 1211 Union, Suite 811, Memphis, TN 38104.
Author Contributions: Conception and design: S.B. Kritchevsky, B.I. Braun, E.S. Wong, B. Simmons.
Analysis and interpretation of the data: S.B. Kritchevsky, B.I. Braun, A.J. Bush, E.S. Wong, C.C. Davis, B. Simmons.
Drafting of the article: S.B. Kritchevsky, B.I. Braun, M.R. Bozikis, E.S. Wong, J. Jernigan, C.C. Davis, B. Simmons.
Critical revision of the article for important intellectual content: S.B. Kritchevsky, J.P. Burke, E.S. Wong, J. Jernigan, B. Simmons.
Final approval of the article: S.B. Kritchevsky, J.P. Burke, E.S. Wong, J. Jernigan, C.C. Davis, B. Simmons.
Provision of study materials or patients: S.B. Kritchevsky, L. Kusek, B. Simmons.
Statistical expertise: S.B. Kritchevsky, C.C. Davis, A.J. Bush.
Obtaining of funding: S.B. Kritchevsky, B. Simmons.
Administrative, technical, or logistic support: B.I. Braun, L. Kusek, J. Jernigan.
Collection and assembly of data: B.I. Braun, L. Kusek.
ClinicalTrials.gov registration number: NCT00114036.
For members of the TRAPE Study Group, see the Appendix.
Kritchevsky SB, Braun BI, Bush AJ, Bozikis MR, Kusek L, Burke JP, et al. The Effect of a Quality Improvement Collaborative to Improve Antimicrobial Prophylaxis in Surgical Patients: A Randomized Trial. Ann Intern Med. 2008;149:472-480. doi: 10.7326/0003-4819-149-7-200810070-00007
Download citation file:
Published: Ann Intern Med. 2008;149(7):472-480.
Increased use of comparative clinical performance indicators has led to greater interest in the effectiveness of improvement strategies. “Audit and feedback,” the provision of comparative performance measure data, is a well-known strategy for hospital quality improvement, with demonstrated efficacy (1–3). Although comparative feedback is useful for establishing how well an individual or organization performs relative to peers, feedback reports typically do not provide detailed information on what aspects of the process need to be changed. Feedback can stimulate the desire to change but rarely provides the means (such as skills, tools, and strategies) to implement the change. Quality improvement collaboratives are a more recent innovation; they bring together groups of practitioners from different health care organizations in a series of meetings to share and implement practical solutions for rapid improvement of processes for which the gap between knowledge and practice in health care is substantial (4, 5). Although the collaborative learning model has been applied widely across a variety of topics, some consider the effectiveness of this model to be unproven and based largely on shared beliefs and anecdotal affirmations. The efficacy of collaboratives has yet to be firmly established in controlled studies (6–9).
Learn more about subscription options.
Register Now for a free account.
Hospital Medicine, Healthcare Delivery and Policy.
Results provided by:
Copyright © 2016 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