Evidence map›Paper›PMID 30381328›Full record

ArticleBMJ quality & safety2019

Ten tips for advancing a culture of improvement in primary care.

Tara Kiran, Noor Ramji, Mary Beth Derocher, Rajesh Girdhari, Samantha Davie, Margarita Lam-Antoniades

Abstract read
In one paragraph

Article in BMJ quality & safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
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  10. Understanding disparities in primary care patient experience.Canadian family physician Medecin de famille canadien · 2021
    Article
  11. Article
  12. Article
  13. Working with patients to improve care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Article
  14. Article
  15. Effects of Practice Turnover on Primary Care Quality Improvement Implementation.American journal of medical quality : the official journal of the American College of Medical Quality
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tara KiranDepartment of Family and Community Medicine, St Michael's Hospital, Toronto, Ontario, Canada tara.kiran@utoronto.ca.
Noor RamjiDepartment of Family and Community Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Mary Beth DerocherDepartment of Family and Community Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Rajesh GirdhariDepartment of Family and Community Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Samantha DavieDepartment of Family and Community Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Margarita Lam-AntoniadesDepartment of Family and Community Medicine, St Michael's Hospital, Toronto, Ontario, Canada.

Funding

CIHR
6 · The paper itself

Abstract

Embracing practice-based quality improvement (QI) represents one way for clinicians to improve the care they provide to patients while also improving their own professional satisfaction. But engaging in care redesign is challenging for clinicians. In this article, we describe our experience over the last 7 years transforming the care delivered in our large primary care practice. We reflect on our journey and offer 10 tips to healthcare leaders seeking to advance a culture of improvement. Our organisation has developed a cadre of QI leaders, tracks a range of performance measures and has demonstrated sustained improvements in important areas of patient care. Success has required deep engagement with both patients and clinicians, a long-term vision, and requisite patience.

Indexed as

Organizational CultureQuality ImprovementGuidelines as TopicHumansLeadershipOntarioOrganizational Case StudiesPrimary Health Caremedical homesprimary carequality improvementteamwork

Identifiers

PMID30381328
PMCPMC6593644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.