What can we learn from a writing collaborative

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What can we learn from a writing collaborative?

• David P Stevens
• Editor, Quality and Safety in Health Care
• and
• Quality Literature Program,
• The Dartmouth Institute for Health Policy and
  Clinical Care

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Writing Collaborative Aim To integrate excellent
scholarly writing into the work of healthcare
improvement research
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Setting

• Preventive Medicine and Leadership Residency at
  Dartmouth Hitchcock Medical Center
• Residents from diverse specialties who are
  engaged in learning and implementing healthcare
  improvement

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Objectives

• Participants
• Establish writing as an integral part of the
  work of residents in healthcare improvement and
  patient safety
• Improve their writing
• Understand the scholarly peer-review and
  editorial processes
• Understand Publication Guidelines and their role
  in scholarly writing for quality improvement

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Strategy

• Examine case studies of the published improvement
  literature
• Use SQUIRE as framework for writing
• Focus on participants writing

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v. 1.0 Ten Sessions Sep 07 - May 08

• Needs assessment, titles and abstracts
• A PIP generating time to write
• Reviewing and editing Case Study
• Reviewing and editing class abstracts
• Quality Improvement Reports
• SQUIRE Context - 1
• SQUIRE Context - 2
• SQUIRE Limitations
• Papers - 1
• Papers - 2

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v. 1.0 Ten Sessions Sep 07 - May 08

• Needs assessment, Titles and abstracts
• Personal Improvement Project time to write
• Reviewing and editing
• Reviewing and editing class abstracts
• Quality Improvement Reports
• SQUIRE Context - 1
• SQUIRE Context - 2
• SQUIRE Limitations
• Papers - 1
• Papers - 2

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What is Quality Improvement?
Generalizable Scientific Evidence
Measured Performance Improvement
Particular Context

-After Batalden and Davidoff, QSHC Feb 2007
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Example Case Study

• Hoe does SQUIRE address Context?
• How does SQUIRE contribute to the Context
  discussion in this particular report?
• As a reader, how does the discussion of context
  contribute to your adapting this work in your
  setting?

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Case Study (cont.)

• Participants prepare up to two paragraphs based
  on their current research that discuss Context
  and its role in their improvement work. The draft
  is anchored using the SQUIRE Guidelines as a
  guide. Relevant sections of SQUIRE V. 3.0 include
• Introduction, (4. Local Problem),
• Methods, (8. Setting),
• Results, (13 a Objectives, Nature of the
  improvement intervention), and
• Discussion, (relevant parts of Limitations).

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Link to residents writing

• Craft a paragraph that describes context for
  your research, using SQUIRE for guidance.

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What is Quality Improvement?
Generalizable Scientific Evidence
Measured Performance Improvement
Particular Context

-After Batalden and Davidoff, QSHC Feb 2007