Recommendations for Evaluation of Health Care Improvement Initiatives

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Recommendations for Evaluation of Health Care Improvement Initiatives Gareth J. Parry, PhD, Andrew Carson-Stevens, MBBCh, MPhil, Donna F. Luff, PhD, Marianne E. McPherson, PhD, MS, Donald A. Goldmann, MD  Academic Pediatrics  Volume 13, Issue 6, Pages S23-S30 (November 2013) DOI: 10.1016/j.acap.2013.04.007 Copyright © 2013 Terms and Conditions

Figure 1 Degree of belief in an idea and the three phases of improvement. The degree of belief in an idea or intervention will indicate the improvement phase. Ideas associated with a low degree of belief are likely to require thorough exploration and amendment in a small number of settings before they are considered ready for wider testing or spread in more settings. Only those ideas associated with a high degree of belief should be spread widely. Of the many ideas that are identified in the innovation phase, it is likely that only some of those will be considered ready for wider testing and even fewer will be developed and considered ready for wide-scale spread. Academic Pediatrics 2013 13, S23-S30DOI: (10.1016/j.acap.2013.04.007) Copyright © 2013 Terms and Conditions

Figure 2 Reduction in effectiveness of a new improvement idea as it is spread as a fixed-protocol intervention. Academic Pediatrics 2013 13, S23-S30DOI: (10.1016/j.acap.2013.04.007) Copyright © 2013 Terms and Conditions