Notas metodológicas
Medwave 2015 Nov;15(10):e6318 doi: 10.5867/medwave.2015.10.6318
Normas para la excelencia en los reportes sobre mejoras de la calidad (SQUIRE 2.0): guías de publicación revisadas a partir de un proceso de consenso detallado
SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): Revised publication guidelines from a detailed consensus process
Greg Ogrinc, Louise Davies, Daisy Goodman, Paul Batalden, Frank Davidoff, David Stevens
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Abstract

Since the publication of Standards for Quality Improvement Reporting Excellence (SQUIRE 1.0) guidelines in 2008, the science of the field has advanced considerably. In this manuscript, we describe the development of SQUIRE 2.0 and its key components. We undertook the revision between 2012 and 2015 using (1) semi-structured interviews and focus groups to evaluate SQUIRE 1.0 plus feedback from an international steering group, (2) two face-to-face consensus meetings to develop interim drafts, and (3) pilot testing with authors and a public comment period. SQUIRE 2.0 emphasizes the reporting of three key components of systematic efforts to improve the quality, value, and safety of healthcare: the use of formal and informal theory in planning, implementing, and evaluating improvement work; the context in which the work is done; and the study of the intervention(s). SQUIRE 2.0 is intended for reporting the range of methods used to improve healthcare, recognizing that they can be complex and multi-dimensional. It provides common ground to share these discoveries in the scholarly literature (www.squire-statement.org).


 

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Since the publication of Standards for Quality Improvement Reporting Excellence (SQUIRE 1.0) guidelines in 2008, the science of the field has advanced considerably. In this manuscript, we describe the development of SQUIRE 2.0 and its key components. We undertook the revision between 2012 and 2015 using (1) semi-structured interviews and focus groups to evaluate SQUIRE 1.0 plus feedback from an international steering group, (2) two face-to-face consensus meetings to develop interim drafts, and (3) pilot testing with authors and a public comment period. SQUIRE 2.0 emphasizes the reporting of three key components of systematic efforts to improve the quality, value, and safety of healthcare: the use of formal and informal theory in planning, implementing, and evaluating improvement work; the context in which the work is done; and the study of the intervention(s). SQUIRE 2.0 is intended for reporting the range of methods used to improve healthcare, recognizing that they can be complex and multi-dimensional. It provides common ground to share these discoveries in the scholarly literature (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]

Filiación:
[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

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

Citación: 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

Fecha de publicación: 20/11/2015

Tipo de revisión: publicación en español de SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): 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

Ficha PubMed

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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 |