Center for Child and Adolescent Health Policy, Mass General Hospital for Children, Boston, Massachusetts 02114, USA.
Pediatrics. 2011 Sep;128(3):e678-86. doi: 10.1542/peds.2010-0809. Epub 2011 Aug 15.
Advancing the science of quality improvement (QI) requires dissemination of the results of QI. However, the results of few QI interventions reach publication.
To identify barriers to publishing results of pediatric QI research and provide practical strategies that QI researchers can use to enhance publishability of their work.
We reviewed and summarized a workshop conducted at the Pediatric Academic Societies 2007 meeting in Toronto, Ontario, Canada, on conducting and publishing QI research. We also interviewed 7 experts (QI researchers, administrators, journal editors, and health services researchers who have reviewed QI manuscripts) about common reasons that QI research fails to reach publication. We also reviewed recently published pediatric QI articles to find specific examples of tactics to enhance publishability, as identified in interviews and the workshop.
We found barriers at all stages of the QI process, from identifying an appropriate quality issue to address to drafting the manuscript. Strategies for overcoming these barriers included collaborating with research methodologists, creating incentives to publish, choosing a study design to include a control group, increasing sample size through research networks, and choosing appropriate process and clinical quality measures. Several well-conducted, successfully published QI studies in pediatrics offer guidance to other researchers in implementing these strategies in their own work.
Specific, feasible approaches can be used to improve opportunities for publication in pediatric, QI, and general medical journals.
推进质量改进（QI）科学需要传播 QI 的结果。然而，很少有 QI 干预措施的结果能够发表。
确定发表儿科 QI 研究结果的障碍，并提供 QI 研究人员可以用来提高工作可发表性的实用策略。
我们回顾并总结了在加拿大安大略省多伦多举行的 2007 年儿科学会会议上进行的一项关于进行和发表 QI 研究的研讨会。我们还采访了 7 名专家（QI 研究人员、管理人员、期刊编辑和审查 QI 手稿的卫生服务研究人员），了解 QI 研究未能发表的常见原因。我们还审查了最近发表的儿科 QI 文章，以找到在访谈和研讨会上确定的提高可发表性的具体策略示例。
我们发现从确定要解决的适当质量问题到起草手稿，在整个 QI 过程的各个阶段都存在障碍。克服这些障碍的策略包括与研究方法学家合作、创造发表激励、选择包括对照组的研究设计、通过研究网络增加样本量，以及选择适当的过程和临床质量措施。儿科中一些经过良好设计、成功发表的 QI 研究为其他研究人员在自己的工作中实施这些策略提供了指导。
可以使用特定的、可行的方法来提高在儿科、QI 和一般医学期刊上发表的机会。
