A balanced approach to identifying, prioritising and evaluating all potential consequences of quality improvement: modified Delphi study.

ABSTRACT:

Objectives

Healthcare is a complex system, so quality improvement will commonly lead to unintended consequences which are rarely evaluated. In previous qualitative work, we proposed a framework for considering the range of these potential consequences, in terms of their desirability and the extent to which they were predictable or expected during planning. This paper elaborates on the previous findings, using consensus methods to examine what consequences should be identified, why and how to prioritise, evaluate and interpret all identified consequences, and what stakeholders should be involved throughout this process.

Design

Two-round modified Delphi consensus study.

Setting and participants

Both rounds were completed by 60 panellists from an academic, clinical or ma

SUBMITTER: Toma M 

PROVIDER: S-EPMC6475234 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature