Frank Davidoff, MD; Paul Batalden, MD; David Stevens, MD; Greg Ogrinc, MD, MS; Susan Mooney, MD, MS; for the SQUIRE Development Group *
Some of the work reported in this article was done at the SQUIRE Advisory Committee Meeting, Cambridge, Massachusetts, 35 April 2007.
Note: A slightly different version of this article is being published in Quality and Safety in Health Care, 2008;17(Suppl 1):i3-10, as well as in other journals. This article is therefore not copyrighted and may be freely reproduced and distributed.
Acknowledgment: The authors thank Rosemary Gibson and Laura Leviton for their unflagging support of this project, the Institute for Healthcare Improvement for their gracious help in hosting the review meeting in Cambridge, and Joy McAvoy for her invaluable administrative work in coordinating the entire development process.
Grant Support: The SQUIRE project was supported in part by grant 58073 from the Robert Wood Johnson Foundation.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Frank Davidoff, MD, 143 Garden Street, Wethersfield, CT 06109; e-mail, firstname.lastname@example.org.
Current Author Addresses: Dr. Davidoff: 143 Garden Street, Wethersfield, CT 06109.
Dr. Batalden and Stevens: 30 Lafayette Street, Lebanon, NH 03766.
Dr. Ogrinc: 215 North Main Street (170), White River Junction, VT 05009.
Dr. Mooney: Alice Peck Day Memorial Hospital, 125 Mascoma Street, Lebanon, NH 03766.
In 2005, draft guidelines were published for reporting studies of quality improvement as the initial step in a consensus process for development of a more definitive version. The current article contains the revised version, which we refer to as Standards for QUality Improvement Reporting Excellence (SQUIRE). This narrative progress report summarizes the special features of improvement that are reflected in SQUIRE and describes major differences between SQUIRE and the initial draft guidelines. It also explains the development process, which included formulation of responses to informal feedback, written commentaries, and input from publication guideline developers; ongoing review of the literature on the epistemology of improvement and methods for evaluating complex social programs; and a meeting of stakeholders for critical review of the guidelines' content and wording, followed by commentary on sequential versions from an expert consultant group. Finally, the report discusses limitations of and unresolved questions about SQUIRE; ancillary supporting documents and alternative versions under development; and plans for dissemination, testing, and further development of SQUIRE.
Table. Standards for Quality Improvement Reporting Excellence
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.
Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney S, for the SQUIRE Development Group. Publication Guidelines for Improvement Studies in Health Care: Evolution of the SQUIRE Project. Ann Intern Med. ;149:670–676. doi: 10.7326/0003-4819-149-9-200811040-00009
Download citation file:
Published: Ann Intern Med. 2008;149(9):670-676.
Healthcare Delivery and Policy.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use