Can evidence-based medicine and clinical quality improvement learn from each other?

被引:87
作者
Glasziou, Paul [1 ]
Ogrinc, Greg [2 ]
Goodman, Steve [3 ,4 ]
机构
[1] Bond Univ, Ctr Res Evidence Based Practice, Fac Med & Hlth Sci, Gold Coast, Qld 4229, Australia
[2] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, White River Junct VA Med Ctr, Hanover, NH 03756 USA
[3] Johns Hopkins Sch Med, Baltimore, MD USA
[4] Johns Hopkins Sch Publ Hlth, Baltimore, MD USA
基金
澳大利亚国家健康与医学研究理事会;
关键词
IMPACT;
D O I
10.1136/bmjqs.2010.046524
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The considerable gap between what we know from research and what is done in clinical practice is well known. Proposed responses include the Evidence-Based Medicine (EBM) and Clinical Quality Improvement. EBM has focused more on 'doing the right things'-based on external research evidence-whereas Quality Improvement (QI) has focused more on 'doing things right'-based on local processes. However, these are complementary and in combination direct us how to 'do the right things right'. This article examines the differences and similarities in the two approaches and proposes that by integrating the bedside application, the methodological development and the training of these complementary disciplines both would gain.
引用
收藏
页码:I13 / I17
页数:5
相关论文
共 29 条
[11]   EVIDENCE-BASED MEDICINE - A NEW APPROACH TO TEACHING THE PRACTICE OF MEDICINE [J].
GUYATT, G .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (17) :2420-2425
[12]   Randomised controlled trial of two brief interventions against long-term benzodiazepine use: Outcome of intervention [J].
Heather, N ;
Bowie, A ;
Ashton, H ;
McAvoy, B ;
Spencer, I ;
Brodie, J ;
Giddings, D .
ADDICTION RESEARCH & THEORY, 2004, 12 (02) :141-154
[13]   Evidence-based mechanistic reasoning [J].
Howick, Jeremy ;
Glasziou, Paul ;
Aronson, Jeffrey K. .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 2010, 103 (11) :433-441
[14]  
IRWIG L, 1994, NSW PUB HLTH B, V4, P135
[15]  
Kolb D.A., 2000, EXPERIENTIAL LEARNIN, DOI 10.1016/B978-0-7506-7223-8.50017-4
[16]  
Langley G.J., 1996, The improvement guide: A practical guide to enhancing organizational performance
[17]   Glycated haemoglobin below 7% No to QOF target of less than 7%, again [J].
Lehman, Richard ;
Krumholz, Harlan M. .
BRITISH MEDICAL JOURNAL, 2010, 340
[18]   Do health improvement programmes fit with MRC guidance on evaluating complex interventions? [J].
Mackenzie, Mhairi ;
O'Donnell, Catherine ;
Halliday, Emma ;
Sridharan, Sanjeev ;
Platt, Stephen .
BRITISH MEDICAL JOURNAL, 2010, 340 :c185
[19]   Surgical Innovation and Evaluation 3 No surgical innovation without evaluation: the IDEAL recommendations [J].
McCulloch, Peter ;
Altman, Douglas G. ;
Campbell, W. Bruce ;
Flum, David R. ;
Glasziou, Paul ;
Marshall, John C. ;
Nicholl, Jon .
LANCET, 2009, 374 (9695) :1105-1112
[20]   A Randomized effectiveness trial of a Clinical Informatics Consult Service: Impact on evidence-based decision-making and knowledge implementation [J].
Mulvaney, Shelagh A. ;
Bickman, Leonard ;
Giuse, Nunzia B. ;
Lambert, E. Warren ;
Sathe, Nila A. ;
Jerome, Rebecca N. .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2008, 15 (02) :203-211