ReviewClinical medicine (London, England)2013
Learning from practice variation to improve the quality of care.
Review in Clinical medicine (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Guideline Adherence As An Indicator of the Extent of Antithrombotic Overuse and Underuse: A Systematic Review.Global heart · 2022Pooled it
- Can feedback approaches reduce unwarranted clinical variation? A systematic rapid evidence synthesis.BMC health services research · 2020Pooled it
- Treatment of Uterine Fibroid-Related Heavy Menstrual Bleeding: Variations in Clinical Practice at Four Hospitals in the Netherlands.Obstetrics and gynecology international · 2026Article
- Interventions to improve system-level coproduction in the Cystic Fibrosis Learning Network.BMJ open quality · 2024Article
- Physician antimicrobial prescribing and patient outcomes on general medical wards: a multicentre retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Measuring the quality of skin cancer management in primary care: A scoping review.The Australasian journal of dermatology · 2023Article
- Following Evidence-Based Recommendations for Perioperative Pain Management after Cesarean Section Is Associated with Better Pain-Related Outcomes: Analysis of Registry Data.Journal of clinical medicine · 2023Article
- A scoping review of medical practice variation research within the informatics literature.International journal of medical informatics · 2022Article
- Some performance considerations when using multi-armed bandit algorithms in the presence of missing data.PloS one · 2022Article
- Quality and variation of care for chronic kidney disease in Swiss general practice: A retrospective database study.PloS one · 2022Article
- Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland.BMC health services research · 2020Article
- The Ears of a Hippopotamus: Quality of Venous Leg Ulcer Care in Gauteng, South Africa.Advances in skin & wound care · 2020Article
- Methods for development of structure, process and outcome indicators for prioritized spinal cord injury rehabilitation Domains: SCI-High Project.The journal of spinal cord medicine · 2019Article
- Factors associated with retinopathy of prematurity ophthalmology workload.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Variation in quality of primary-care services in Kenya, Malawi, Namibia, Rwanda, Senegal, Uganda and the United Republic of Tanzania.Bulletin of the World Health Organization · 2017Article
- Determining doctors' views on performance measurement and management of their clinical practice.Future hospital journal · 2015Article
- Cost containment and patient well-being.Journal of general internal medicine · 2015Article
- Sustainability of an enhanced recovery after surgery program (ERAS) in colonic surgery.World journal of surgery · 2015Observational
- Managing hospital doctors and their practice: what can we learn about human resource management from non-healthcare organisations?BMC health services research · 2014Article
- Implementation of Hysterectomy Pathway: Impact on Complications.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Modern medicine is complex and delivered by interdependent teams. Conscious redesign of the way in which these teams interact can contribute to improving the quality of care by reducing practice variation. This requires techniques that are different to those used for individual patient care. In this paper, we describe some of these quality improvement (QI) techniques. The first section deals with the identification of practice variation as the starting point of a systematic QI endeavour. This involves collecting data in multiple centres on a set of quality indicators as well as on case-mix variables that are thought to affect those indicators. Reporting the collected indicator data in longitudinal run charts supports teams in monitoring the effect of their QI effort. After identifying the opportunities for improvement, the second section discusses how to reduce practice variation. This includes selecting the 'package' of clinical actions to implement, identifying subsidiary actions to achieve the improvement aim, designing the implementation strategy and ways to incentivise QI.
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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.