Comparison of practice based research network based quality improvement technical assistance and evaluation to other ongoing quality improvement efforts for changes in agency culture

215 Background: The HMO Cancer Research Network, funded by the National Cancer Institute, provides infrastructure support to facilitate cancer research in non-profit integrated healthcare delivery systems. A key CRN goal to improve quality and outcomes through research and research-based methods for accelerating implementation of innovations in cancer care. Methods: The CRN is led by a Steering Committee and an Executive Committee. CRN Scientific Working Groups support activity within distinct areas; the CRN Communication and Dissemination Scientific Working Group (C&D SWG) supports the design, conduct and reporting of research on (1) communication and decision makin in cancer care and (2) dissemination and implementation of cancer research findings and best practices. C&D SWG activities include monthly calls presenting C&D research resources, project ideas and funding opportunities; individual consultation and technical assistance to support CRN researchers developing funding applications and conducting research in relevant areas; and mentorship for CRN Scholars. General CRN resources to facilitate research to improve cancer care quality include a multi-institution Virtual Data Warehouse with accompanying query tools to facilitate preparatory-to-research and collaborative research studies and specific cancer-related data items; funding for Developmental and Pilot Studies; and an Outreach and External Collaborations Core to facilitate research collaborations among (a) CRN institution-based scientists, (b) scientists at other institutions, and (c) clinical and operations partners. Results: The CRN C&D SWG continues to stimulate increased awareness and interest in conducting dissemination and implementation studies and quality improvement research in cancer care, and to support the development of new project ideas and funding applications and the successful completion and publication of such studies. Conclusions: CRN activities facilitate innovative multi-site, multi-disciplinary cancer studies in the integrated delivery system setting, and motivate continued evolution of CRN institutions as the nation's premier learning health care systems. Supported by U24 CA171524.

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Improving Diabetes Care Through a Multicomponent Quality Improvement Model in a Practice-Based Research Network

American Journal of Medical Quality ◽

10.1177/1062860606295206 ◽

2007 ◽

Vol 22 (1) ◽

pp. 34-41 ◽

Cited By ~ 17

Author(s):

Steven Ornstein ◽

Paul J. Nietert ◽

Ruth G. Jenkins ◽

Andrea M. Wessell ◽

Lynne S. Nemeth ◽

...

Keyword(s):

Quality Improvement ◽

Diabetes Care ◽

Research Network ◽

Practice Based Research

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Utilizing Practice-Based Research Networks to Teach and Implement Quality Improvement in Academic Medicine

Family Medicine ◽

10.22454/fammed.2020.411271 ◽

2020 ◽

Vol 52 (9) ◽

pp. 642-646

Author(s):

Clarissa Hoff ◽

Luisito Caleon ◽

Grace Lee ◽

Mathew Quan

Keyword(s):

Quality Improvement ◽

Family Medicine ◽

Leadership Skills ◽

Research Network ◽

Improvement Project ◽

Residency Programs ◽

Before And After ◽

Practice Based Research ◽

Attending Physicians ◽

Family Medicine Residents

Background and Objectives: A 2019 study found that between 2014 and 2017, family medicine residents had little improvement in self-assessed preparedness to lead quality improvement projects. This study explored the effectiveness of leveraging a practice-based research network (PBRN) across multiple family medicine residencies not only for implementing quality improvement projects, but also as a teaching tool designed to improve knowledge, attitudes, beliefs, and leadership skills in family medicine faculty and residents. Methods: Residents in family medicine residency programs and one community internal medicine program and family medicine teaching faculty participated in a PBRN-led quality improvement project (QIP) to improve colon cancer screening in their clinic. Of 101 participants, 79 (78%) were residents and 22 (22%) were faculty or attending physicians. Questions surveying participants’ knowledge and confidence related to QIP before and after the QIP were given. Results: Overall, participants reported an improvement in their basic understanding of QI concepts (P=.004). They also reported having sufficient staff and ancillary support to meaningfully participate (P=.033). Participants indicated they had more confidence in their ability to participate in a QI project (P=.002), initiate, design, and lead such a project (P=.001), and teach their peers and staff basic QI concepts (P<.001). Conclusions: PBRNs appear to be a unique way to subjectively improve residents’ confidence in their quality improvement skills. PBRNs should be further explored as a method for educating family medicine residents in quality improvement.

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Anticoagulation management services in community pharmacy: Feasibility of implementing a quality improvement programme through a practice-based research network

Journal of Clinical Pharmacy and Therapeutics ◽

10.1111/jcpt.12745 ◽

2018 ◽

Vol 43 (6) ◽

pp. 877-887

Author(s):

Mylène Chartrand ◽

Lyne Lalonde ◽

Ariane Cantin ◽

Alexandre Lahaie ◽

Bojan Odobasic ◽

...

Keyword(s):

Quality Improvement ◽

Community Pharmacy ◽

Research Network ◽

Anticoagulation Management ◽

Quality Improvement Programme ◽

Practice Based Research ◽

Improvement Programme ◽

Management Services

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Developing a Practice-Based Research Network by Integrating Quality Improvement: Challenges and Ingredients for Success

Clinical and Translational Science ◽

10.1111/j.1752-8062.2012.00405.x ◽

2012 ◽

Vol 5 (4) ◽

pp. 351-355 ◽

Cited By ~ 9

Author(s):

Laura-Mae Baldwin ◽

Gina A. Keppel ◽

Ardis Davis ◽

Janelle Guirguis-Blake ◽

Rex W. Force ◽

...

Keyword(s):

Quality Improvement ◽

Research Network ◽

Practice Based Research

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Residents’ Views on Research and Quality Improvement Training Can Guide Practice-Based Research Network Collaboration

West Virginia Medical Journal ◽

10.21885/wvmj.2018.14 ◽

2018 ◽

Vol 2018 ◽

Author(s):

Treah Haggerty MD, MS ◽

◽

Jun Xiang MS ◽

Christine Plaugher MS ◽

Stacey Whanger, MPH ◽

...

Keyword(s):

Quality Improvement ◽

Research Network ◽

Practice Based Research ◽

Network Collaboration

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Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Antibiotics ◽

10.3390/antibiotics10030303 ◽

2021 ◽

Vol 10 (3) ◽

pp. 303

Author(s):

Kevimy Agossa ◽

Kadiatou Sy ◽

Théo Mainville ◽

Marjolaine Gosset ◽

Sylvie Jeanne ◽

...

Keyword(s):

Antibiotic Use ◽

Aggressive Periodontitis ◽

Periodontal Therapy ◽

Research Network ◽

Prescribing Practices ◽

French Society ◽

Private Practitioners ◽

First Line Therapy ◽

Practice Based Research ◽

Systemic Antibiotics

The aim of the present survey is to investigate the use of antibiotics during periodontal therapy among French dentists with a focus on exploring potential differences between various groups of practitioners. A self-administered questionnaire was distributed to different groups of practitioners including members of (i) the French Society of Periodontology and Implantology; (ii) the College of University Teachers in Periodontology and, (iii) private practitioners participating in the French general dental practice-based research network. 272 questionnaires were included in the analysis. Prescription patterns were globally in line with the current recommendations. Systemic antibiotics are most frequently used as a first-line therapy in necrotizing periodontitis (92%) and aggressive periodontitis (53.3% to 66.1%). However, malpractice still exists, including in the management of periodontal abscesses. Antibiotics are prescribed (i) less frequently for periodontal abscesses and (ii) more frequently for generalized aggressive periodontitis by members of the periodontal society and University college (p < 0.05). Amoxicillin (59.9%) and the amoxicillin + metronidazole (59.6%) combination were the most frequently prescribed molecules. Providing a high number of periodontal treatments per week, being more recently graduated, having a post-graduate certificate in periodontology and holding or having held an academic position/hospital practice were all factors associated with a better knowledge of and/or more adequate antibiotic use.

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