Hempel Susanne, Miake-Lye Isomi, Brega Angela G, Buckhold Fred, Hassell Susan, Nowalk Mary Patricia, Rubenstein Lisa, Schreiber Kathryn, Spector William D, Kilbourne Amy M, Ganz David A
RAND Corporation, Santa Monica, CA.
VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Am J Med Qual. 2019 Nov/Dec;34(6):538-544. doi: 10.1177/1062860618822102. Epub 2019 Jan 24.
A burgeoning number of toolkits dedicated to improving health care exist but development guidance is lacking. The authors convened a panel of health care stakeholders, including developers, purchasers, users, funders, and disseminators of toolkits. The panel was informed by a literature review that analyzed 44 publications and 27 toolkits. A modified Delphi process established recommendations and suggestions to guide toolkit development. The panel established 12 recommendations for content and 1 recommendation for toolkit development methods. The recommendations are accompanied by 11 suggestions for toolkit content, 9 suggestions for development methods, and 6 suggestions for toolkit evaluation methods. The authors established a set of key recommendations and suggestions addressing the content, development, and evaluation methods of quality improvement toolkits, together with a ready-to use checklist. The guidance aims to advance the value of toolkits as an emerging method to effectively disseminate interventions to improve the quality of care.
致力于改善医疗保健的工具包数量不断增加，但缺乏开发指导。作者召集了一个医疗保健利益相关者小组，包括工具包的开发者、购买者、使用者、资助者和传播者。该小组参考了一项文献综述，该综述分析了44份出版物和27个工具包。一个经过改进的德尔菲法确定了指导工具包开发的建议。该小组确定了12条关于内容的建议和1条关于工具包开发方法的建议。这些建议还附带了11条关于工具包内容的建议、9条关于开发方法的建议和6条关于工具包评估方法的建议。作者制定了一套关键建议和意见，涉及质量改进工具包的内容、开发和评估方法，以及一份现成的清单。该指南旨在提升工具包作为一种新兴方法的价值，以有效传播干预措施来提高医疗质量。
