ArticleAmerican journal of medical quality : the official journal of the American College of Medical Quality
Effects of Practice Turnover on Primary Care Quality Improvement Implementation.
Article in American journal of medical quality : the official journal of the American College of Medical Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02560428 (Evaluating System Change to Advance Learning and Take Evidence to Scale), which is not on this map. Cited by 19 papers.
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.
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.
Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)
Who cites it
19 citing papers in PubMed.
- The LEAP Program: Quality Improvement Training to Address Team Readiness Gaps Identified by Implementation Science Findings.Journal of general internal medicine · 2021Trial
- GP turnover in a multiprofessional team-based primary care system: evidence from Sweden.Scandinavian journal of primary health care · 2026Observational
- Continuity in a fragmented healthcare system: - organizational and individual determinants.Scandinavian journal of primary health care · 2026Article
- The HeartHealth Program: A Mixed Methods Study of a Community-Based Text Messaging Support Program for Patients With Cardiovascular Disease From 2020 to 2024.JMIR cardio · 2026Article
- Staff perspectives on a novel pediatric developmental screening and referral program in a community health center.Frontiers in pediatrics · 2026Article
- The role of Advanced Practice Providers in improving primary care capacity: practice perspectives on challenges and opportunities.Frontiers in medicine · 2026Article
- Longitudinal quality improvement project to increase colorectal cancer screening for an underserved population in a resident physician-led primary care clinic.BMJ open quality · 2025Article
- Article
- Sale of Private Equity-Owned Physician Practices and Physician Turnover.JAMA health forum · 2025Article
- Committed leadership: a prerequisite for successful implementation of recovery during the workday.Primary health care research & development · 2025Article
- Pilot of a team-based quality improvement strategy to improve cardiovascular risk factors care in community mental health centers.Frontiers in psychiatry · 2025Article
- Catalyzing System Change: 100 Quality Improvement Projects in 1000 Days.Journal of general internal medicine · 2024Article
- Long-Term Effects of Individual-Focused and Team-Based Training on Health Professionals' Intention to Have Serious Illness Conversations: A Cluster Randomised Trial.Journal of CME · 2024Article
- Effects of individual and organizational factors on job tenure of primary care physicians: A multilevel analysis from Brazil.PloS one · 2023Article
- A comparison of outcomes after lung transplantation between European and North American centers.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2022Article
- Rural general practice staff experiences of patient safety incidents and low quality of care in Norway: an interview study.Family practice · 2022Article
- Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: Findings from a state-of-the-art (SOTA) conference workgroup.Healthcare (Amsterdam, Netherlands) · 2021Review
- What AHRQ Learned While Working to Transform Primary Care.Annals of family medicineArticle
- The Effects of Major Disruptions on Practice Participation in Facilitation During a Primary Care Quality Improvement Initiative.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Primary care practices often engage in quality improvement (QI) in order to stay current and meet quality benchmarks, but the extent to which turnover affects practices' QI ability is not well described. The authors examined qualitative data from practice staff and external facilitators participating in a large-scale QI initiative to understand the relationship between turnover and QI efforts. The examination found turnover can limit practices' ability to engage in QI activities in various ways. When a staff member leaves, remaining staff often absorb additional responsibilities, and QI momentum slows as new staff are trained or existing staff are reengaged. Turnover alters staff dynamics and can create barriers to constructive working relationships and team building. When key practice members leave, they can take with them institutional memory about QI purpose, processes, and long-term vision. Understanding how turnover affects QI may help practices, and those helping them with QI, manage the disruptive effects of turnover.
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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.