There are many different approaches to designing and implementing a QI activity, each being individualised by:
For palliative care services, high-quality QI activity outcomes are measured against benchmarking or service quality elements within the Palliative Care National Standards (2018) and are mapped to Australian Commission on Safety and Quality in Health Care (ACSQHC) National Safety and Quality Health Service (NSQHS) Standards for practice accreditation.
There are many freely accessible resources available to support staff to design a high-quality activity, these include project guides, toolkits, websites and peer-reviewed articles. Some examples are provided here, and your organisation might also have a guide to QI.
The Australian Commission on Safety and Quality in Health Care (ACSQHC) has developed a freely accessible practical resource for healthcare professionals and organisations to support high-quality QI activity. Measurement for Improvement Toolkit (841kb pdf) (2006) provides:
Measurement for Improvement Toolkit (841kb pdf)
Palliative Care Outcomes Collaboration (PCOC)
Some Primary Healthcare Networks have developed a QI toolkit to support general practice provision of end of life care in the community including:
PHN Quality Improvement Toolkit for General Practice (1.3MB pdf)
PHN Workbook for General Practice (5MB pdf)
End of Life Directions for Aged Care (ELDAC) toolkit
NSW Health Clinical Excellence Commission - Last days of life
Quality Improvement Project Guide (30.6kb docx) published on the BMJ Open Quality website is a downloadable, interactive document (with linked examples of articles and websites) that helps to focus QI objectives providing a systematic planning guide to high-quality QI activities.
Aspects of QI design discussed within this document include:
Health Foundation UK has produced a guide to make QI understanding accessible for everyone.
Health Foundation QI Guide (363kb pdf)
Your health service is likely to have its own template for reporting QI activities. Detailed, structured reporting of findings of QI studies within the scientific literature also has the potential to progress QI practice within healthcare through contributions to an expanding evidence base.
To help with this the Standards for QUality Improvement Reporting Excellence (SQUIRE) group developed detailed guidance for reporting evaluations of QI interventions within a standardised format. This can help report writers but also reviewers. The SQUIRE guidelines are available on the SQUIRE website with detailed information on how to develop a report including a Quality improvement report submission template (16kb docx).
This interactive template addressed four critical questions about the QI activities:
There are also a variety of critical appraisal tools that can be used to assess the quality and the applicability of intervention outcomes to a localised context. The Quality Improvement Minimum Quality Criteria Set (QI-MQCS)  is an example of a validated and reliable critical appraisal tool for assessment of QI intervention publications within the scientific literature. This tool assists reviewers to identify higher-quality studies.
QI-MQCS provides a framework for critical appraisal in which staff can evaluate levels of quality by assessing and scoring against minimum standards for 16 content domains.
Search CareSearch's palliative care Grey Literature collection for QI reports
CareSearch Grey Literature
Video from BMJ
Page created 28 March 2022