Desde la publicación de las guías llamadas Normas para la Excelencia en los Reportes sobre la Mejora de la Calidad (SQUIRE 1.0, Standards for Quality Improvement Reporting Excellence), en 2008, la ciencia en ese campo ha avanzado considerablemente. En este manuscrito se describe el desarrollo de SQUIRE 2.0 y sus componentes clave. La revisión se realizó entre 2012 y 2015 utilizando: (1) entrevistas semiestructuradas y grupos focales para evaluar SQUIRE 1.0 además de la retroalimentación de un grupo directivo internacional, (2) dos reuniones de consenso cara a cara para desarrollar borradores provisionales, y (3) pruebas piloto con los autores y un período de comentarios públicos. SQUIRE 2.0 hace hincapié en el reporte de tres componentes clave de los esfuerzos sistemáticos por mejorar la calidad, el valor y la seguridad de la asistencia sanitaria: el uso de la teoría formal e informal en la planificación, implementación y evaluación de los trabajos de mejora; el contexto en que se realiza el trabajo; y el estudio de la o las intervenciones. SQUIRE 2.0 está diseñado para reportar la gama de métodos utilizados para mejorar la atención sanitaria, reconociendo que esto puede ser complejo y multidimensional. Proporciona una base común para compartir estos hallazgos en la literatura académica (www.squire-statement.org).

Autores: Greg Ogrinc[1,2,3], Louise Davies[1,2,3], Daisy Goodman[1,2], Paul Batalden[2,3], Frank Davidoff[3], David Stevens[3,4]

Affiliation:
[1] White River Junction VA Medical Center, White River Junction, Vermont, USA
[2] Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA
[3] The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire, USA
[4] Institute for Healthcare Improvement, Cambridge, Massachusetts, USA

E-mail: greg.ogrinc@med.va.gov

Author address:
[1] White River Junction VA, 215 North Main St (111)
White River Junction, VT
05009
USA

Citation: Ogrinc G, Davies L, Goodman D, Batalden P, Davidoff F, Stevens D. SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): Revised publication guidelines from a detailed consensus process. Medwave 2015 Nov;15(10):e6318 doi: 10.5867/medwave.2015.10.6318

Publication date: 20/11/2015

Type of review: Revised publication guidelines from a detailed consensus process. Publicado originalmente en inglés en: BMJ Quality & Safety Online First, el 14 de septiembre de 2015; doi: as 10.1136/bmjqs-2015-004411

PubMed record

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1. Davidoff F, Batalden P. Toward stronger evidence on quality improvement. Draft publication guidelines: the beginning of a consensus project. Qual Saf Health Care. 2005 Oct;14(5):319-25. | PubMed |
2. Expanding Research and Evaluation Designs to Improve the Science Base for Health Care and Public Health Quality Improvement Symposium. Washington DC Sept 15, 2005.
3. Shojania KG, Grimshaw JM. Evidence-based quality improvement: the state of the science. Health Aff (Millwood). 2005 Jan-Feb;24(1):138-50. | PubMed |
4. Grol RP, Bosch MC, Hulscher ME, Eccles MP, Wensing M. Planning and studying improvement in patient care: the use of theoretical perspectives. Milbank Q. 2007;85(1):93-138. | PubMed |
5. Rubenstein LV, Hempel S, Farmer MM, Asch SM, Yano EM, Dougherty D, et al. Finding order in heterogeneity: types of quality-improvement intervention publications. Qual Saf Health Care. 2008 Dec;17(6):403-8. | CrossRef | PubMed |
6. Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney S; SQUIRE Development Group. Publication guidelines for quality improvement in health care: evolution of the SQUIRE project. Qual Saf Health Care. 2008 Oct;17 Suppl 1:i3-9. | CrossRef | PubMed |
7. Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health Aff (Millwood). 2002 Sep-Oct;21(5):103-11. | PubMed |
8. Core Competencies for Interprofessional Collaborative Practice. Washington, DC; 2011.
9. AMMC. Teaching for Quality. 2013. ammc.org [on line] | Link |
10. Cronenwett L, Sherwood G, Barnsteiner J, Disch J, Johnson J, Mitchell P, et al. Quality and Safety Education for Nurses. Nurs Outlook. 2007 May-Jun;55(3):122-31. | PubMed |
11. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system--rationale and benefits. N Engl J Med. 2012 Mar 15;366 (11):1051-6. | CrossRef | PubMed |
12. Davidoff F, Dixon-Woods M, Leviton L, Michie S. Demystifying theory and its use in improvement. BMJ Qual Saf. 2015 Mar;24(3):228-38. | CrossRef | PubMed |
13. Bate P, Robert G, Fulop N, Ovretveit J, Dixon-Woods M. Perspectives on context. London: The Health Foundation; March 2014.
14. Kaplan HC, Provost LP, Froehle CM, Margolis PA. The Model for Understanding Success in Quality (MUSIQ): building a theory of context in healthcare quality improvement. BMJ Qual Saf. 2012 Jan;21(1):13-20. | CrossRef | PubMed |
15. Øvretveit J. Understanding the conditions for improvement: research to discover which context influences affect improvement success. BMJ Qual Saf. 2011 Apr;20 Suppl 1:i18-23. | CrossRef | PubMed |
16. Taylor SL, Dy S, Foy R, Hempel S, McDonald KM, Ovretveit J, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions? BMJ Qual Saf. 2011 Jul;20(7):611-7. | CrossRef | PubMed |
17. Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014 Mar 7;348:g1687. | CrossRef | PubMed |
18. Portela MC, Pronovost PJ, Woodcock T, Carter P, Dixon-Woods M. How to study improvement interventions: a brief overview of possible study types. BMJ Qual Saf. 2015 May;24(5):325-36. | CrossRef | PubMed |
19. Davies L, Batalden P, Davidoff F, Stevens D, Ogrinc G. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015 Jun 18. pii: bmjqs-2015-004116. | CrossRef | PubMed |
20. Howell V, Schwartz AE, O'Leary JD, Mc Donnell C. The effect of the SQUIRE (Standards of QUality Improvement Reporting Excellence) guidelines on reporting standards in the quality improvement literature: a before-and-after study. BMJ Qual Saf. 2015 Jun;24(6):400-6. | CrossRef | PubMed |
21. Stevens DP. SQUIRE and the evolving science of healthcare improvement. BMJ Qual Saf. 2015 Jun;24(6):349-51. | CrossRef | PubMed |
22. Davies L, Donnelly KZ, Goodman DJ, Ogrinc G. Findings from a novel approach to publication guideline revision: user road testing of a draft version of SQUIRE 2.0. BMJ Qual Saf. 2015 Aug 11. pii: bmjqs-2015-004117. | CrossRef | PubMed |
23. Day RA. The origins of the scientific paper: the IMRaD format. AMWA Journal. 1989;4(2):16-18.
24. Huth E. Writing and Publishing in Medicine. Third ed. Baltimore: Williams and Wilkins; 1999.
25. Goodman D, Ogrinc G, Davies L, et al. Explanation and Elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, version 2.0: Examples of SQUIRE elements in the healthcare improvement literature. Qual Saf Health Care 2008;17:i13-i32 | CrossRef |
26. Baily MA, Bottrell M, Lynn J, Jennings B, Hastings Center. The ethics of using QI methods to improve health care quality and safety. Hastings Cent Rep. 2006 Jul-Aug;36(4):S1-40. | PubMed |

Davidoff F, Batalden P. Toward stronger evidence on quality improvement. Draft publication guidelines: the beginning of a consensus project. Qual Saf Health Care. 2005 Oct;14(5):319-25. | PubMed |

Expanding Research and Evaluation Designs to Improve the Science Base for Health Care and Public Health Quality Improvement Symposium. Washington DC Sept 15, 2005.

Shojania KG, Grimshaw JM. Evidence-based quality improvement: the state of the science. Health Aff (Millwood). 2005 Jan-Feb;24(1):138-50. | PubMed |

Grol RP, Bosch MC, Hulscher ME, Eccles MP, Wensing M. Planning and studying improvement in patient care: the use of theoretical perspectives. Milbank Q. 2007;85(1):93-138. | PubMed |

Rubenstein LV, Hempel S, Farmer MM, Asch SM, Yano EM, Dougherty D, et al. Finding order in heterogeneity: types of quality-improvement intervention publications. Qual Saf Health Care. 2008 Dec;17(6):403-8. | CrossRef | PubMed |

Davidoff F, Batalden P, Stevens D, Ogrinc G, Mooney S; SQUIRE Development Group. Publication guidelines for quality improvement in health care: evolution of the SQUIRE project. Qual Saf Health Care. 2008 Oct;17 Suppl 1:i3-9. | CrossRef | PubMed |

Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in graduate medical education. Health Aff (Millwood). 2002 Sep-Oct;21(5):103-11. | PubMed |

Core Competencies for Interprofessional Collaborative Practice. Washington, DC; 2011.

AMMC. Teaching for Quality. 2013. ammc.org [on line] | Link |

Cronenwett L, Sherwood G, Barnsteiner J, Disch J, Johnson J, Mitchell P, et al. Quality and Safety Education for Nurses. Nurs Outlook. 2007 May-Jun;55(3):122-31. | PubMed |

Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system--rationale and benefits. N Engl J Med. 2012 Mar 15;366 (11):1051-6. | CrossRef | PubMed |

Davidoff F, Dixon-Woods M, Leviton L, Michie S. Demystifying theory and its use in improvement. BMJ Qual Saf. 2015 Mar;24(3):228-38. | CrossRef | PubMed |

Bate P, Robert G, Fulop N, Ovretveit J, Dixon-Woods M. Perspectives on context. London: The Health Foundation; March 2014.

Kaplan HC, Provost LP, Froehle CM, Margolis PA. The Model for Understanding Success in Quality (MUSIQ): building a theory of context in healthcare quality improvement. BMJ Qual Saf. 2012 Jan;21(1):13-20. | CrossRef | PubMed |

Øvretveit J. Understanding the conditions for improvement: research to discover which context influences affect improvement success. BMJ Qual Saf. 2011 Apr;20 Suppl 1:i18-23. | CrossRef | PubMed |

Taylor SL, Dy S, Foy R, Hempel S, McDonald KM, Ovretveit J, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions? BMJ Qual Saf. 2011 Jul;20(7):611-7. | CrossRef | PubMed |

Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014 Mar 7;348:g1687. | CrossRef | PubMed |

Portela MC, Pronovost PJ, Woodcock T, Carter P, Dixon-Woods M. How to study improvement interventions: a brief overview of possible study types. BMJ Qual Saf. 2015 May;24(5):325-36. | CrossRef | PubMed |

Davies L, Batalden P, Davidoff F, Stevens D, Ogrinc G. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015 Jun 18. pii: bmjqs-2015-004116. | CrossRef | PubMed |

Howell V, Schwartz AE, O'Leary JD, Mc Donnell C. The effect of the SQUIRE (Standards of QUality Improvement Reporting Excellence) guidelines on reporting standards in the quality improvement literature: a before-and-after study. BMJ Qual Saf. 2015 Jun;24(6):400-6. | CrossRef | PubMed |

Stevens DP. SQUIRE and the evolving science of healthcare improvement. BMJ Qual Saf. 2015 Jun;24(6):349-51. | CrossRef | PubMed |

Davies L, Donnelly KZ, Goodman DJ, Ogrinc G. Findings from a novel approach to publication guideline revision: user road testing of a draft version of SQUIRE 2.0. BMJ Qual Saf. 2015 Aug 11. pii: bmjqs-2015-004117. | CrossRef | PubMed |

Day RA. The origins of the scientific paper: the IMRaD format. AMWA Journal. 1989;4(2):16-18.

Huth E. Writing and Publishing in Medicine. Third ed. Baltimore: Williams and Wilkins; 1999.

Goodman D, Ogrinc G, Davies L, et al. Explanation and Elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, version 2.0: Examples of SQUIRE elements in the healthcare improvement literature. Qual Saf Health Care 2008;17:i13-i32 | CrossRef |

Baily MA, Bottrell M, Lynn J, Jennings B, Hastings Center. The ethics of using QI methods to improve health care quality and safety. Hastings Cent Rep. 2006 Jul-Aug;36(4):S1-40. | PubMed |