Ogrinc Greg, Davies Louise, Goodman Daisy, Batalden Paul, Davidoff Frank, Stevens David
White River Junction VA Medical Center, White River Junction, Vermont, USA; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire, USA. Address: White River Junction VA, 215 North Main St (111), White River Junction, VT, 05009, USA. Email:
White River Junction VA Medical Center, White River Junction, Vermont, USA; Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire, USA.
Medwave. 2015 Nov 20;15(10):e6318. doi: 10.5867/medwave.2015.10.6318.
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) semi-structured 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 three key components of systematic efforts to improve the quality, value, and safety of healthcare: 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 healthcare, recognizing that they can be complex and multi-dimensional. 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,该领域的科学有了长足发展。在本手稿中,我们描述了SQUIRE 2.0的制定过程及其关键组成部分。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,并结合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设置公众意见征集期。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。