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. 2011 Sep;128(3):e678-86.
doi: 10.1542/peds.2010-0809. Epub 2011 Aug 15.

Strategies for addressing barriers to publishing pediatric quality improvement research

Jeanne Van Cleave  1 , Denise Dougherty, James M Perrin
Affiliations

Strategies for addressing barriers to publishing pediatric quality improvement research

Jeanne Van Cleave et al. Pediatrics. 2011 Sep.

Abstract

Background: Advancing the science of quality improvement (QI) requires dissemination of the results of QI. However, the results of few QI interventions reach publication.

Objective: To identify barriers to publishing results of pediatric QI research and provide practical strategies that QI researchers can use to enhance publishability of their work.

Methods: We reviewed and summarized a workshop conducted at the Pediatric Academic Societies 2007 meeting in Toronto, Ontario, Canada, on conducting and publishing QI research. We also interviewed 7 experts (QI researchers, administrators, journal editors, and health services researchers who have reviewed QI manuscripts) about common reasons that QI research fails to reach publication. We also reviewed recently published pediatric QI articles to find specific examples of tactics to enhance publishability, as identified in interviews and the workshop.

Results: We found barriers at all stages of the QI process, from identifying an appropriate quality issue to address to drafting the manuscript. Strategies for overcoming these barriers included collaborating with research methodologists, creating incentives to publish, choosing a study design to include a control group, increasing sample size through research networks, and choosing appropriate process and clinical quality measures. Several well-conducted, successfully published QI studies in pediatrics offer guidance to other researchers in implementing these strategies in their own work.

Conclusion: Specific, feasible approaches can be used to improve opportunities for publication in pediatric, QI, and general medical journals.

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Conflict of interest statement

FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.

Figures

FIGURE 1. Example of a logic model for a QI intervention centered around asthma care in a pediatric primary care practice.
FIGURE 1
Example of a logic model for a QI intervention centered around asthma care in a pediatric primary care practice.
See this image and copyright information in PMC

Comment in

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