Continuous quality improvement (CQI) features assessment reliability and feature prevalence
Item | Feature | Feature reliability | Feature prevalence* | ||||
n=106 articles | All journals (n=106 articles) | Clinical journals (n=68 articles) | QI/HSR journals (n=38 articles) | ||||
% agreement | ICC†95% CI | n (%) | n (%) | n (%) | p | ||
CQI-Q1 | Iterative development process | 59.4 | 0.43 (0.27 to 0.58) | 42 (40) | 24 (35) | 18 (47) | 0.223 |
CQI-Q2 | Feedback at meetings involving participant leaders | 58.5 | 0.54 (0.41 to 0.68) | 49 (46) | 28 (41) | 21 (55) | 0.163 |
CQI-Q3 | Feedback of systematically collected data | 59.4 | 0.45 (0.30 to 0.61) | 68 (64) | 37 (54) | 31 (82) | 0.005¶ |
CQI-Q4 | Recognised change method | 75.5 | 0.62 (0.50 to 0.74) | 30 (28) | 15 (22) | 15 (40) | 0.056 |
CQI-Q5 | Data driven‡ | 59.4 | 0.50 (0.36 to 0.64) | 36 (34) | 17 (25) | 19 (50) | 0.009§ |
CQI-Q6 | Local conditions‡ | 55.7 | 0.52 (0.38 to 0.66) | 65 (61) | 37 (54) | 28 (74) | 0.051 |
↵* Features were considered ‘present’ if both reviewers rated the item ≥2.
↵† Intra-class correlation is reviewer adjusted.
↵‡ Response categories for items CQI-5 and CQI-6 were collapsed to a three-point scale.
↵§ χ2 Group difference between clinical and quality improvement (QI)/Health Services Research (HSR) categories statistically significant at p=0.05 level.
↵¶ χ2 Group difference between clinical and QI/HSR categories statistically significant at p=0.005 level.