A Quality Improvement Project to Decrease Length of Stay after Total Hip and Total Knee Arthroplasty Surgery at a Veteran Affairs Academic Medical Center

Wong, William Chi Wai; Bridges, Carla; Serebin, Molly; Gordon, Adam M.; Jones, Sherréa; Ebert, Thomas J.; Scheidt, Karl B.

doi:10.1016/j.pcorm.2021.100230

Cited by 1 publication

(12 citation statements)

References 14 publications

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“…Most included studies were conducted in the USA ( n = 47, 67%). 27-58,74,75,88,89,93,95-98,100-105 The only other countries represented by more than two manuscripts are the United Kingdom ( n = 10, 14%) 59-67,99 and Australia ( n = 4, 5.7%). 68-71…”

Section: Resultsmentioning

confidence: 99%

“…The acute care setting accounted for the largest number of included studies ( n = 41, 59%), 27,28,33,34,37,39-42,45,46,48,50,52,53,55,58,59,62,66,68,70-74,76-78,88,89,95-98,100-105 followed by the outpatient setting ( n = 19, 27%). 29-32,36,38,47,49,54,56,60,61,64,67,69,79,80,93,99 Other practice settings included inpatient rehabilitation ( n = 6, 8.6%), 36,43,57,65,75,76 home health ( n = 2, 2.9%), 44,63 other ( n = 2, 2.9%), 19,81 and academia ( n = 2, 2.9%).…”

Section: Resultsmentioning

confidence: 99%

“…Of the 70 total included studies in this review, 18 (26%) 28,37,39,40,43-45,48,52,60,68,70,73,74,77,79,96,102 were approved by local ethics boards, 19 (27%) 32-34,36,41,46,47,49,50,53,55,56,58,63,64,67,81,97,100 sought approval but were considered exempt, 15 (21%) 19,35,38,42,57,59,61,62,65,71,72,75,78,80,93 reported that seeking approval was not necessary at their institution based on the type of project proposed and current regulations, and 18 (26%) 27,29-31,51,54,66,69,76,88,89,95,98,99,101,103-105 made no mention of ethics oversight.…”

Section: Resultsmentioning

confidence: 99%

“…We defined QI models and tools as formal methods applied to structure the intended QI effort. Twentytwo studies (31%) 27,29,30,32,[39][40][41]48,50,60,70,74,79,81,88,89,96,98,99,101,102,105 used none of these to guide their QI effort. The most commonly cited model/tool was Plan-Do-Study-Act cycles (n 5 19, 27%) 35,38,46,52,54,55,57,58,[63][64][65][66]73,75,78,80,93,100,103 followed by the Model for Improvement (N 5 8, 11%).…”

Section: Qi Models or Toolsmentioning

confidence: 99%

“…Of the 70 total included studies in this review, 18 (26%) 28,37,39,40,[43][44][45]48,52,60,68,70,73,74,77,79,96,102 were approved by local ethics boards, 19 (27%) [32][33][34]36,41,46,47,49,50,53,55,56,58,63,64,67,81,97,100 sought approval but were considered exempt, 15 (21%) 19,35,38,42,57,59,61,62,65,71,72,75,78,80,…”

Section: Qi Models or Toolsmentioning

confidence: 99%

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The Use of Quality Improvement in the Physical Therapy Literature: A Scoping Review

Crick¹,

Rethorn²,

Beauregard³

et al. 2023

J Healthc Qual

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Introduction: Quality improvement (QI) is a useful methodology for improving healthcare, often through iterative changes. There is no prior review on the application of QI in physical therapy (PT). Purpose and Relevance: To characterize and evaluate the quality of the QI literature in PT. Methods: We searched four electronic databases from inception through September 1, 2022. Included publications focused on QI and included the practice of PT. Quality was assessed using the 16-point QI Minimum Quality Criteria Set (QI-MQCS) appraisal tool. Results: Seventy studies were included in the review, 60 of which were published since 2014 with most (n = 47) from the United States. Acute care (n = 41) was the most prevalent practice setting. Twenty-two studies (31%) did not use QI models or approaches and only nine studies referenced Revised Standards for QI Reporting Excellence guidelines. The median QI-MQCS score was 12 (range 7–15). Conclusions/Implications: Quality improvement publications in the PT literature are increasing, yet there is a paucity of QI studies pertaining to most practice settings and a lack of rigor in project design and reporting. Many studies were of low-to-moderate quality and did not meet minimum reporting standards. We recommend use of models, frameworks, and reporting guidelines to improve methodologic rigor and reporting.

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Section: Resultsmentioning

confidence: 99%