SynthesisJoint Commission journal on quality and patient safety2016
How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review.
Synthesis in Joint Commission journal on quality and patient safety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Interventions to improve hip fracture guideline adherence for time to surgery and early mobilization: a systematic review and meta-analysis.BMC geriatrics · 2025Pooled it
- Key interventions and outcomes in perioperative care pathways in emergency laparotomy: a systematic review.World journal of emergency surgery : WJES · 2025Pooled it
- A rapid realist review of clinical neuropsychology rehabilitation programmes to improve psychological wellbeing and quality of life for people with acquired brain injuries.Neuropsychological rehabilitation · 2024Pooled it
- A systematic review of the quality of reporting of interventions in the surgical treatment of Crohn's anal fistula: an assessment using the TIDiER and Blencowe frameworks.Techniques in coloproctology · 2021Pooled it
- Barriers and facilitators to disseminating quality improvement and patient safety research: a scoping review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010-2023.BMJ quality & safety · 2024Review
- Reporting characteristics of nonsurgical periodontal therapy trials registered in ClinicalTrials.gov: an observational study.Journal of comparative effectiveness research · 2023Observational
- Article
- A scoping review of local quality improvement using data from UK perioperative National Clinical Audits.Perioperative medicine (London, England) · 2022Article
- Expect the Unexpected: A Qualitative Study of the Ripple Effects of Children's Mental Health Services Implementation Efforts.Implementation research and practice · 2022Article
- Are quality improvement plans perceived to improve the quality of primary care in Ontario? Qualitative study.Canadian family physician Medecin de famille canadien · 2021Article
- The current status of daycase hip and knee arthroplasty within the English National Health Service: a retrospective analysis of hospital episode statistics data.Annals of the Royal College of Surgeons of England · 2021Observational
- The Quality Improvement Challenge-How Nurses and Allied Health Professionals Can Solve the Knowing-Doing Gap in Enhanced Recovery after Surgery (ERAS).Medicina (Kaunas, Lithuania) · 2020Review
- Article
- How to improve healthcare improvement-an essay by Mary Dixon-Woods.BMJ (Clinical research ed.) · 2019Article
- Why is reporting quality improvement so hard? A qualitative study in perioperative care.BMJ open · 2019Article
- Article
- Identifying and resolving the frustrations of reviewing the improvement literature: The experiences of two improvement researchers.BMJ open quality · 2019Article
- Harveian Oration 2018: Improving quality and safety in healthcare .Clinical medicine (London, England) · 2019Article
- Getting messier with TIDieR: embracing context and complexity in intervention reporting.BMC medical research methodology · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundQuality improvement (QI) approaches are widely used across health care, but how well they are reported in the academic literature is not clear. A systematic review was conducted to assess the completeness of reporting of QI interventions and techniques in the field of perioperative care.
methodsSearches were conducted using Medline, Scopus, the Cochrane Central Register of Controlled Trials, the Cochrane Effective Practice and Organization of Care database, and PubMed. Two independent reviewers used the Template for Intervention Description and Replication (TIDieR) check list, which identifies 12 features of interventions that studies should describe (for example, How: the interventions were delivered [e. g., face to face, internet]), When and how much: duration, dose, intensity), to assign scores for each included article. Articles were also scored against a small number of additional criteria relevant to QI.
resultsThe search identified 16,103 abstracts from databases and 19 from other sources. Following review, full-text was obtained for 223 articles, 100 of which met the criteria for inclusion. Completeness of reporting of QI in the perioperative care literature was variable. Only one article was judged fully complete against the 11 TIDieR items used. The mean TIDieR score across the 100 included articles was 6.31 (of a maximum 11). More than a third (35%) of the articles scored 5 or lower. Particularly problematic was reporting of fidelity (absent in 74% of articles) and whether any modifications were made to the intervention (absent in 73% of articles).
conclusionsThe standard of reporting of quality interventions and QI techniques in surgery is often suboptimal, making it difficult to determine whether an intervention can be replicated and used to deliver a positive effect in another setting. This suggests a need to explore how reporting practices could be improved.
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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.