This paper seeks to explain some of the science and concepts used in quality improvement, including the use of run charts and control charts, the development and use of ‘bundles’ and the need to reduce variability to improve quality in critical care.
PronovostPSextonB. Assessing safety culture: guidelines and recommendations. Qual Saf Health Care2005;14: 231–33.
4.
KellumJAUchinoS. International differences in the treatment of sepsis: Are they justified?. JAMA2009;301: 2496–97.
5.
FinferSChittockDRSuSYon behalf of the NICE-SUGAR Study Investigators. Intensive versus conventional glucose control in critically ill patients. New Engl J Med2009;360: 1283–97.
6.
ClemmerTPSpuhlerVJOnikiTA. Results of a collaborative quality improvement program on outcomes and costs in a tertiary critical care unit. Crit Care Med1999;27: 1768–74.
7.
LangleyGJMoenRDNolanKM. The Improvement Guide: A practical approach to enhancing organizational performance. San Francisco, CA: Jossey-Bass: 2009.
DemingWE. Out of the crisis. Cambridge, MA: Massachusetts Institute of Technology Center for Advanced Engineering Study; 1992.
14.
LloydR. Quality Health Care: A guide to developing and using indicators. Boston, MA: Jones and Bartlett Publishers. 2004.
15.
Institute of Medicine. To Err is Human: Building a safer health system. Washington: National Academy Press; 2000.
16.
ResarRpersonal communication.
17.
ResarRPronovostPHaradenC. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. J Qual Pat Safety2005;31: 243–48.
18.
WipCNapolitanoL. Bundles to prevent ventilator-associated pneumonia: how valuable are they?. Curr Opin Infect Dis2009;22: 159–66.
19.
LachmanPYuenS. Using care bundles to prevent infection in neonatal and paediatric ICUs. Curr Opin Infect Dis2009;22: 224–28.
20.
PronovostPNeedhamDBerenholtzS. An intervention to decrease catheter-related bloodstream infections in the ICU. New Engl J Med2006;355: 2725–32.
21.
PronovostPJBerenholtzSMGoeschelC. Improving patient safety in intensive care units in Michigan. J Crit Care2008;23: 207–21.
22.
DavidoffFBataldenPStevensD. Publication guidelines for quality improvement in health care: evolution of the SQUIRE project. Qual Saf Health2008;17(Suppl 1):i3–i9.
23.
GarlandA. Improving the ICU. Chest2005;127: 2151–64.
24.
GarlandA. Improving the ICU. Chest2005;127: 2165–79.
25.
PronovostPJNolanTZegerS. How can clinicians measure safety and quality in acute care?. Lancet2004;363: 1061–67.
26.
BalasEABorenSA. Managing clinical knowledge for health care improvement. In: BemmelJMcCrayAT, eds. Yearbook of Medical Informatics: Patient-Centered Systems. Stuttgart: Schattauer Verlagsgesellschaft mbH; 2000.
27.
Ospina-TasconGBucheleG LuizVincentJL. Multicenter, randomized, controlled trials evaluating mortality in intensive care: Doomed to fail?. Crit Care Med2008;36: 1311–22.
