Main SIPC interventions tested and developed: purpose and evidence
| Intervention | Description | Original programme purpose | Relevant evidence |
|---|---|---|---|
| QIC | QICs involve groups of professionals coming together, either from within an organisation or across multiple organisations, to learn from and motivate each other to improve the quality of health services. Collaboratives often use a structured approach, such as setting targets and undertaking rapid cycles of change | To apply QIC methodology to improve knowledge, change behaviours, and share learning and experiences with peers | de Silva, 201419 IHI Breakthrough Series22 |
| Implementation of Care Bundles | Care bundles aim to improve standards of care and patient outcomes by promoting the consistent implementation of a group of effective interventions | To measure the reliability of selected evidence-based clinical care processes and direct improvement efforts | IHI, Innovation Series27 |
| Trigger Review Method (Structured Review of Electronic Patient Records) | The use of ‘triggers’, or clues, to identify adverse events in patient records is a method for measuring the overall level of harm from medical care in a care setting | To facilitate periodic measurement of avoidable harm rates within general practices using a Trigger Tool | de Wet and Bowie3 |
| MFI/PDSA Change Cycles | MFI is a tool that is applied by care practitioners to accelerate care improvement and is used in combination with PDSA cycles to test changes on a small scale | To apply the MFI as the main mechanism for driving rapid change and improvements in practice | Langley et al26 |
| Safety Climate Assessment | Safety climate assessment typically employs a questionnaire tool to capture an objective measure of the safety culture—the ‘way things are done’ in your organisation/team when it comes to safety—as the starting point for improvement. In this study, an online tool was used to capture participants’ attitudes and perceptions in key areas of practice safety and improvement, while guaranteeing anonymity The tool then generates a written graphical report, and provides guidance to help improve local safety culture | To formatively measure perceptions of the safety climate within primary care teams at key junctures in the programme To feed back climate scores to primary care teams to help direct safety-related learning and improvement, and build a positive safety culture | de Wet et al28 |
IHI, Institute for Healthcare Improvement; MFI, model for improvement; PDSA, Plan-Do-Study-Act; QIC, Quality Improvement Collaborative; SIPC, Safety and Improvement in Primary Care.