Describing methods and interventions : a protocol for the systematic analysis of the perioperative quality improvement literature

摘要

Background: Quality improvement (QI) methods are widely used in surgery in an effort to improve care, often\udusing techniques such as Plan-Do-Study-Act cycles to implement specific interventions. Explicit definition of both\udthe QI method and quality intervention is necessary to enable the accurate replication of effective interventions in\udpractice, facilitate cumulative learning, reduce research waste and optimise benefits to patients. This systematic\udreview aims to assess quality of reporting of QI methods and quality interventions in perioperative care.\udMethods: Studies reporting on quality interventions implemented in perioperative care settings will be identified.\udSearches will be conducted in the Ovid SP version of Medline, Scopus, the Cochrane Central Register of Controlled\udTrials, the Cochrane Effective Practice and Organisation of Care database and the related articles function of\udPubMed. The journal\udBMJ Quality\udwill be searched separately. Search strategy terms will relate to (i) surgery, (ii) QI\udand (iii) evaluation methods. Explicit exclusion and inclusion criteria will be applied. Data from studies will be\udextracted using a data extraction form. The Template for Intervention Description and Replication (TIDieR) checklist\udwill be used to evaluate quality of reporting, together with additional items aimed at assessing QI methods\udspecifically.