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A measurement strategy monitors specific indicators to track progress over time, while evaluation assesses the overall success of a project. Evaluating a QI project involves determining if it led to sustained improvements and understanding what worked, what didn't, and why.


Why is it important?

Evaluating the success of a QI intervention:

  • Measures impact and effectiveness
  • Identifies strengths and weaknesses
  • Ensures sustainability
  • Demonstrates value to stakeholders
  • Guides future QI work.

How to evaluate a QI project

The NHS Institute for Innovation and Improvement (2005, pp. 13-15) identifies 5 key areas which should be considered when designing an evaluation plan:

  1. Summative or formative evaluation -- i.e. Were objectives met or why these results occurred.
  2. Outcome or process evaluations -- i.e. impact or internal operations.
  3. Quantitative or qualitative data
  4. Unitary approach or pluralistic approach -- i.e. single or multiple perspectives.
  5. Experimental approach or naturalistic approach -- i.e. using controls vs. naturally occurring activities

Example
Robinson, A. C., et al. (2023). Evaluating the Utilization of a Perioperative Hyperglycemic Protocol: A Quality Improvement Project. Journal of perianesthesia nursing, 38(4), 553–559. 

Recommended resources:

Health Innovation West of England. (2016). What is evaluation?

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