Ogrinc Greg, Davies Louise, Goodman Daisy, Batalden Paul, Davidoff Frank, Stevens David
Greg Ogrinc is senior associate dean for medical education, Geisel School of Medicine at Dartmouth, associate chief of staff for education, White River Junction VA, and associate professor of community and family medicine, medicine, and The Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire. Louise Davies is senior scholar, Quality Scholars Program, Department of Veterans Affairs Medical Center, White River Junction, Vermont, and associate professor of surgery, Geisel School of Medicine and The Dartmouth Institute for Health Policy & Clinical Practice, Hanover, New Hampshire. Daisy Goodman is fellow, VA Quality Scholars Fellowship Program and instructor of obstetrics and gynecology and community and family medicine at the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire. Paul Batalden is active emeritus professor, pediatrics and community and family medicine, Geisel School of Medicine and The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire. Frank Davidoff is editor emeritus, Annals of Internal Medicine, and adjunct professor at The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire. David Stevens is adjunct professor, The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire; editor emeritus, BMJ Quality and Safety, London, England; and senior fellow, Institute for Healthcare Improvement, Cambridge, Massachusetts.
Am J Crit Care. 2015 Nov;24(6):466-73. doi: 10.4037/ajcc2015455.
Since the publication of Standards for Quality Improvement Reporting Excellence (SQUIRE 1.0) guidelines in 2008, the science of the field has advanced considerably. In this manuscript, we describe the development of SQUIRE 2.0 and its key components. We undertook the revision between 2012 and 2015 using (1) semistructured interviews and focus groups to evaluate SQUIRE 1.0 plus feedback from an international steering group, (2) two face-to-face consensus meetings to develop interim drafts, and (3) pilot testing with authors and a public comment period. SQUIRE 2.0 emphasizes the reporting of 3 key components of systematic efforts to improve the quality, value, and safety of health care: the use of formal and informal theory in planning, implementing, and evaluating improvement work; the context in which the work is done; and the study of the intervention(s). SQUIRE 2.0 is intended for reporting the range of methods used to improve health care, recognizing that they can be complex and multidimensional. It provides common ground to share these discoveries in the scholarly literature (www.squire-statement.org).
自2008年《卓越质量改进报告标准》(SQUIRE 1.0)指南发布以来,该领域的科学已经取得了长足的进步。在本手稿中,我们描述了SQUIRE 2.0的制定及其关键组成部分。我们在2012年至2015年期间进行了修订,采用了以下方法:(1)通过半结构化访谈和焦点小组评估SQUIRE 1.0,并收集国际指导小组的反馈;(2)召开两次面对面的共识会议以制定中期草案;(3)与作者进行试点测试并开展公众意见征询期。SQUIRE 2.0强调报告为提高医疗质量、价值和安全性而进行的系统性努力的三个关键组成部分:在规划、实施和评估改进工作中使用正式和非正式理论;开展工作的背景;以及对干预措施的研究。SQUIRE 2.0旨在报告用于改善医疗保健的一系列方法,认识到这些方法可能复杂且具有多维度性。它为在学术文献(www.squire-statement.org)中分享这些发现提供了共同基础。