ArticleJournal of the American Board of Family Medicine : JABFM
More black box to explore: how quality improvement collaboratives shape practice change.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of quality improvement collaboratives in general practice: a qualitative systematic review.BMJ open quality · 2022Pooled it
- Effects of facilitated team meetings and learning collaboratives on colorectal cancer screening rates in primary care practices: a cluster randomized trial.Annals of family medicineTrial
- How team-based reflection affects quality improvement implementation: a qualitative study.Quality management in health careTrial
- Patient Decision Aids into Routine Orthopedic Care: Results from an Implementation Study at 12 Sites.Medical decision making : an international journal of the Society for Medical Decision Making · 2026Article
- Employees in the municipal healthcare service experiences with participation in quality improvement collaboratives and the use of the Quality Improvement Model: a qualitative study.BMC health services research · 2026Article
- Six Steps to Begin a Quality Improvement Collaborative.PRiMER (Leawood, Kan.) · 2025Article
- Article
- Moving behavioral interventions in nursing homes from planning to action: a work system evaluation of a urinary tract infection toolkit implementation.Implementation science communications · 2023Article
- Adapting and implementing breast cancer follow-up in primary care: protocol for a mixed methods hybrid type 1 effectiveness-implementation cluster randomized study.BMC primary care · 2023Article
- Intensified follow-up of patients with type 1 diabetes and poor glycaemic control: a multicentre quality improvement collaborative based on data from the Norwegian Diabetes Register for Adults.BMJ open quality · 2023Article
- Implementation through translation: a qualitative case study of translation processes in the implementation of quality improvement collaboratives.BMC health services research · 2023Article
- How, why and under what circumstances does a quality improvement collaborative build knowledge and skills in clinicians working with people with dementia? A realist informed process evaluation.BMJ open quality · 2021Article
- An integrated knowledge translation approach to address avoidable rehospitalisations and unplanned admissions for older people in South Australia: implementation and evaluation program plan.Implementation science communications · 2021Article
- Quality improvement collaborative aiming for Proactive HEAlthcare of Older People in Care Homes (PEACH): a realist evaluation protocol.BMJ open · 2018Article
- Agents of change: establishing quality improvement collaboratives to improve adherence to Australian clinical guidelines for dementia care.Implementation science : IS · 2018Article
- Reducing inequity in primary care clinics treating low socioeconomic Jewish and Arab populations in Israel.Journal of public health (Oxford, England) · 2017Article
- Training US health care professionals on human trafficking: where do we go from here?Medical education online · 2017Article
- Trust and Reflection in Primary Care Practice Redesign.Health services research · 2016Article
- Medical education and the quality improvement spiral: A case study from Mpumalanga, South Africa.African journal of primary health care & family medicine · 2015Article
- Primary care staff perspectives on a virtual learning collaborative to support medical home implementation.Journal of general internal medicine · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundQuality improvement collaboratives (QICs) are used extensively to promote quality improvement in health care. Evidence of their effectiveness is limited, prompting calls to "open up the black box" to better understand how and why such collaboratives work.
methodsWe selected a cohort of 5 primary care practices that participated in a 6-month intervention study aimed at improving colorectal cancer screening rates. Using an immersion/crystallization technique, we analyzed qualitative data that included audio recordings and field notes of QICs and practice-based team meetings.
resultsThree themes emerged from our analysis: (1) practice staff became empowered through and drew on the QICs to advance change efforts in the face of leader/physician resistance; (2) a mix of content and media in the QIC program was important for reaching all participants; (3) resources offered at the QIC did little to spur practice change efforts.
conclusionQICs offer a potentially powerful way of disseminating health care innovations through enhanced strategies for learning and change. Creating collaborative environments in which diverse participants learn, listen, reflect, and share together can enable them to take back to their own organizations key messages and change strategies that benefit them the most.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.