@article{5868,
  author = {Christine A. Goeschel and William M. Weiss and Peter Pronovost},
  title = {Using a logic model to design and evaluate quality and patient safety improvement programs.},
  abstract = {<p>Quality improvement programs often pose unique project management challenges, including multi-faceted interventions that evolve over time and teams with few resources for data collection. Thus, it is difficult to report methods and results. We developed a program to reduce central line-associated bloodstream infections (CLABSIs) and improve safety culture in intensive care units (ICUs). As previously reported, we worked with 103 Michigan ICUs to implement this program, and they achieved a 66% reduction in the median CLABSI rate and sustained the reduction. This success prompted the spread of this program to Spain, England, Peru and across the USA. We developed a logical framework approach (LFA) to guide project management; to incorporate the cultural, clinical and capacity variations among countries; and to ensure early alignment of the project's design and evaluation. In this paper, we describe the use of the LFA to systematically design, implement and evaluate large-scale, multi-faceted, quality improvement programs.</p>},
  year = {2012},
  journal = {Int J Qual Health Care},
  volume = {24},
  pages = {330-7},
  month = {08/2012},
  issn = {1464-3677},
  doi = {10.1093/intqhc/mzs029},
  language = {eng},
}