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Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives

Variation in patient outcomes among institutions and within institutions is a major problem in healthcare. Some of this variation is due to differences in practice, termed practice variation. Some practice variation is expected due to appropriately personalized care for a given patient. However, som...

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Autores principales: Payton, Kurlen S. E., Gould, Jeffrey B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9818599/
https://www.ncbi.nlm.nih.gov/pubmed/36611468
http://dx.doi.org/10.3390/healthcare11010007
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author Payton, Kurlen S. E.
Gould, Jeffrey B.
author_facet Payton, Kurlen S. E.
Gould, Jeffrey B.
author_sort Payton, Kurlen S. E.
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description Variation in patient outcomes among institutions and within institutions is a major problem in healthcare. Some of this variation is due to differences in practice, termed practice variation. Some practice variation is expected due to appropriately personalized care for a given patient. However, some practice variation is due to the individual preference or style of the clinicians. Quality improvement collaboratives are commonly used to disseminate quality care on a wide scale. Practice variation is a notable barrier to any quality improvement effort. A detailed and accurate understanding of practice variation can help optimize the quality improvement efforts. The traditional survey methods do not capture the complex nuances of practice variation. Vignette methods have been shown to accurately measure the actual practice variation and quality of care delivered by clinicians. Vignette methods are cost-effective relative to other methods of measuring quality of care. This review describes our experience and lessons from implementing vignette research methods in quality improvement collaboratives in California neonatal intensive care units. Vignette methodology is an ideal tool to address practice variation in quality improvement collaboratives, actively engage a large number of participants, and support more evidence-based practice to improve outcomes.
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spelling pubmed-98185992023-01-07 Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives Payton, Kurlen S. E. Gould, Jeffrey B. Healthcare (Basel) Commentary Variation in patient outcomes among institutions and within institutions is a major problem in healthcare. Some of this variation is due to differences in practice, termed practice variation. Some practice variation is expected due to appropriately personalized care for a given patient. However, some practice variation is due to the individual preference or style of the clinicians. Quality improvement collaboratives are commonly used to disseminate quality care on a wide scale. Practice variation is a notable barrier to any quality improvement effort. A detailed and accurate understanding of practice variation can help optimize the quality improvement efforts. The traditional survey methods do not capture the complex nuances of practice variation. Vignette methods have been shown to accurately measure the actual practice variation and quality of care delivered by clinicians. Vignette methods are cost-effective relative to other methods of measuring quality of care. This review describes our experience and lessons from implementing vignette research methods in quality improvement collaboratives in California neonatal intensive care units. Vignette methodology is an ideal tool to address practice variation in quality improvement collaboratives, actively engage a large number of participants, and support more evidence-based practice to improve outcomes. MDPI 2022-12-20 /pmc/articles/PMC9818599/ /pubmed/36611468 http://dx.doi.org/10.3390/healthcare11010007 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Commentary
Payton, Kurlen S. E.
Gould, Jeffrey B.
Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives
title Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives
title_full Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives
title_fullStr Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives
title_full_unstemmed Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives
title_short Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives
title_sort vignette research methodology: an essential tool for quality improvement collaboratives
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9818599/
https://www.ncbi.nlm.nih.gov/pubmed/36611468
http://dx.doi.org/10.3390/healthcare11010007
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