SynthesisThe Milbank quarterly2013
Understanding the components of quality improvement collaboratives: a systematic literature review.
Synthesis in The Milbank quarterly, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03617874 (PC4PrEP), which is not on this map. Cited by 162 papers, 8 of them syntheses 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.
PC4PrEP: Integrating Pre-Exposure Prophylaxis (PrEP) Into Primary Care
Who cites it
162 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- The utility of website-based quality improvement tools for health professionals: a systematic review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Pooled it
- Application of the Expert Recommendations for Implementing Change (ERIC) compilation of strategies to health intervention implementation in low- and middle-income countries: a systematic review.Implementation science : IS · 2023Pooled it
- Effectiveness of quality improvement collaboratives in UK surgical settings and barriers and facilitators influencing their implementation: a systematic review and evidence synthesis.BMJ open quality · 2023Pooled it
- The role of quality improvement collaboratives in general practice: a qualitative systematic review.BMJ open quality · 2022Pooled it
- Investigating strategies to increase general education teachers' adherence to evidence-based social-emotional behavior practices: A meta-analysis of the single-case literature.Journal of school psychology · 2022Pooled it
- Costs and economic evaluations of Quality Improvement Collaboratives in healthcare: a systematic review.BMC health services research · 2020Pooled it
- Assessing Implementation Strategy Reporting in the Mental Health Literature: A Narrative Review.Administration and policy in mental health · 2020Pooled it
- Pooled it
- Scaling up Quality Improvement for Surgical Teams (QIST)-avoiding surgical site infection and anaemia at the time of surgery: a cluster randomised controlled trial of the effectiveness of quality improvement collaboratives to introduce change in the NHS.Implementation science : IS · 2022Trial
- Seeding Structures for a Community of Practice Focused on Transient Ischemic Attack (TIA): Implementing Across Disciplines and Waves.Journal of general internal medicine · 2021Trial
- Engaging multilevel stakeholders in an implementation trial of evidence-based quality improvement in VA women's health primary care.Translational behavioral medicine · 2017Trial
- Does a quality improvement campaign accelerate take-up of new evidence? A ten-state cluster-randomized controlled trial of the IHI's Project JOINTS.Implementation science : IS · 2017Trial
- Improving and sustaining delivery of CPT for PTSD in mental health systems: a cluster randomized trial.Implementation science : IS · 2017Trial
- The Effect of a Change Agent on Use of Evidence-Based Mental Health Practices.Administration and policy in mental health · 2016Trial
- Evaluation of two implementation strategies in 51 child county public service systems in two states: results of a cluster randomized head-to-head implementation trial.Implementation science : IS · 2014Trial
- Characterizing Active Statewide Surgical Quality Collaboratives Across the United States.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Improving Proactive Primary Health Care After Gestational Diabetes: Protocol for Implementation and Evaluation of a Quality Improvement Collaborative Program in General Practice (GooD4Mum) and Baseline Practice Characteristics.JMIR research protocols · 2026Article
- Improving surgical patients' safety in African hospitals: exploring healthcare professionals' experiences of Phase 1 of the '5Rs to Rescue' programme.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Reducing unnecessary bed days to optimise flow and improve demand-capacity mismatch: learning from a system-wide patient flow collaborative.BMJ open quality · 2026Article
- Implementing the Safer Baby Bundle for stillbirth prevention across Queensland maternity services using a modified breakthrough series collaborative.Implementation science communications · 2026Article
102 more citing papers are in PubMed but not listed here.
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
contextIn response to national efforts to improve quality of care, policymakers and health care leaders have increasingly turned to quality improvement collaboratives (QICs) as an efficient approach to improving provider practices and patient outcomes through the dissemination of evidence-based practices. This article presents findings from a systematic review of the literature on QICs, focusing on the identification of common components of QICs in health care and exploring, when possible, relations between QIC components and outcomes at the patient or provider level.
methodsA systematic search of five major health care databases generated 294 unique articles, twenty-four of which met our criteria for inclusion in our final analysis. These articles pertained to either randomized controlled trials or quasi-experimental studies with comparison groups, and they reported the findings from twenty different studies of QICs in health care. We coded the articles to identify the components reported for each collaborative.
findingsWe found fourteen crosscutting components as common ingredients in health care QICs (e.g., in-person learning sessions, phone meetings, data reporting, leadership involvement, and training in QI methods). The collaboratives reported included, on average, six to seven of these components. The most common were in-person learning sessions, plan-do-study-act (PDSA) cycles, multidisciplinary QI teams, and data collection for QI. The outcomes data from these studies indicate the greatest impact of QICs at the provider level; patient-level findings were less robust.
conclusionsReporting on specific components of the collaborative was imprecise across articles, rendering it impossible to identify active QIC ingredients linked to improved care. Although QICs appear to have some promise in improving the process of care, there is great need for further controlled research examining the core components of these collaboratives related to patient- and provider-level outcomes.
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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.