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We designed an ED-based qualimprovementmentrialal focused on the initial care of patients with community-acquired pneumonia.
In observational studies this intervention improved the quality of cardiovascular disease management [ 14, 15], and has also been used in a quality improvement trial [ 16]; where it has produced a modest but statistically significant drop in systolic BP compared with usual practice [ 17].
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A relatively recent systematic review of 142 trials of quality improvement strategies or financial incentives to improve the management of adult outpatients with diabetes, identified that nearly half the trials were judged to have high risk of bias, and it emphasised the need to improve reporting of quality improvement trials.
The quality of quality improvement trials does not seem to be improving over time.
As a consequence, incorrect conclusions are often reached from inappropriately designed plant improvement trials.
The number of published quality improvement trials has increased rapidly over time.
Nearly half of quality improvement trials for diabetes are at high risk of bias.
Policy-makers, administrators, clinicians and research funders must carefully scrutinize the methods used in quality improvement trials to ensure evidence-based quality improvement.
By including an interventional study aiming at improving the diagnostic processes for bloodstream infections, AlertsNet evaluates directly its capability to provide a platform for quality improvement trials.
We describe the design of the Managing Anti-coagulation Services Trial (MAST), a practice-improvement trial testing whether anticoagulation services are a preferred method of managing anticoagulation for stroke prevention among patients with atrial fibrillation.
Practice-improvement trials are effectiveness trials that examine the management of a clinical problem in the context in which care is usually given.
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CEO of Professional Science Editing for Scientists @ prosciediting.com