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Users' Guides to the Medical Literature
Guyatt G, Rennie D, Meade MO, Cook DJ
Part G Moving from Evidence to Action
Chapter e23. How to Use an Article About Quality Improvement 
Eddy Fan, MD, Andreas Laupacis, MD, MSc, Peter J. Pronovost, MD, PhD, Gordon H. Guyatt, MD, MSc, Dale M. Needham, MD, PhD

Sections:  Clinical Scenario, The Search, Quality Improvement—An Overview, Are the Results Valid?, What Were the Results?, How Can I Apply the Results?, Resolution of the Clinical Scenario, Conclusions, References

Topics Discussed: care tenor, quality improvement

Excerpt: "You, the medical director of an intensive care unit (ICU), discover that mortality has increased for patients with sepsis. You are considering a quality improvement (QI) initiative to improve the care and outcomes of your patients. However, you are concerned that many QI studies have weak designs and poor data quality and often overestimate potential benefits. Before beginning, you decide to identify and evaluate existing QI interventions...."
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