Evidence map›Paper›PMID 34404685›Full record

ArticleBMJ open quality2021

Ethical considerations in quality improvement: key questions and a practical guide.

David Francis Hunt, Michael Dunn, Guy Harrison, Jill Bailey

Open access · goldAbstract read
In one paragraph

Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
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 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  12. Policy Library Redundancy Analysis Using K-means Clustering.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024
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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

4 authors at 3 institutions in 1 country.

David Francis HuntDepartment of Experimental Psychology, University of Oxford Medical Sciences Division, Oxford, UK david.hunt@psy.ox.ac.uk.ORCID 0000-0002-8802-7368
Michael DunnThe Ethox Centre and Wellcome Centre for Ethics and Humanities, University of Oxford, Oxford, Oxfordshire, UK.
Guy HarrisonDepartment of Spiritual and Pastoral Care, Oxford Health NHS Foundation Trust, Oxford, UK.
Jill BaileyFaculty of Health and Life Sciences, Oxford Brookes University, Oxford, Oxfordshire, UK.
Oxford Health NHS Foundation Trust · GBOxford Brookes University · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quality improvement (QI) provides a rigorous and innovative approach to improving patient's lives in the healthcare system. Still, it can pose challenges in understanding what ethical considerations apply to some projects to minimise the possibility of patient harm or prevent other ethical wrongs and potential staff burden. While many commentaries discuss the extent to which QI ethics should match research ethics, there is minimal literature regarding what QI project teams should do when considering ethics at the planning stage. This paper provides a practical walkthrough of some of the ethical considerations across the breadth of QI projects, starting from some of the key questions when planning a QI project and a guide for the different ethical considerations that may apply.

Indexed as

ConfidentialityQuality ImprovementDelivery of Health CareHumanshealthcare quality improvementpatient safetyquality improvement methodologiessafety culture

Identifiers

PMID34404685
PMCPMC8372876
OpenAlexW3195862758

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.