The Ethical Review of Health Care Quality Improvement Initiatives: Findings from the Field

×

Questions have been raised about whether and how health care quality improvement (QI) initiatives ought to be reviewed to address possible ethical issues associated with them. These questions have focused primarily on whether some QI initiatives meet the regulatory criteria for human subject research and should therefore be regulated and reviewed as such. Based on surveys of health care system professionals conducting QI initiatives and hospital CEOs, this issue brief finds that QI initiatives are routinely reviewed by a variety of internal mechanisms prior to implementation, although rarely through an institutional review board or another independent body charged specifically with ethical oversight of QI initiatives. Further research, the authors say, is needed to achieve a better understanding of how review mechanisms for QI initiatives are structured, including information on who reviews these activities, how they are reviewed, and whether such processes include an ethical assessment of the proposed QI initiative.

Downloads

Publication Details

Publication Date: August 19, 2010
Authors: Holly A. Taylor, Ph.D., M.P.H., Peter J. Pronovost, M.D., Ph.D., Ruth R. Faden, Ph.D., M.P.H., Nancy E. Kass, Sc.D., and Jeremy Sugarman, M.D., M.P.H., M.A.
Citation:

H. A. Taylor, P. J. Pronovost, R. R. Faden et al., The Ethical Review of Health Care Quality Improvement Initiatives: Findings from the Field, The Commonwealth Fund, August 2010.

Related Topics
Health Care Delivery

Forgot Password

An email has been sent to {{email}} with your reset password.

Account was not found. Please go to the login page and enter a new password.

Account was not found. Please try again with a different email address.

There was an error when attempting to send to {{email}}. Please contact an administrator.