Orchestrated Testing.
Document Type
Article
Publication Date
1-1-2017
Identifier
DOI: 10.1177/1062860615609994
Abstract
Health care quality improvement collaboratives implement care bundles to target critical parts of a complex system to improve a specific health outcome. The quantitative impact of each component of the care bundle is often unknown. Orchestrated testing (OT) is an application of planned experimentation that allows simultaneous examination of multiple practices (bundle elements) to determine which intervention or combination of interventions affects the outcome. The purpose of this article is to describe the process needed to design and implement OT methodology for improvement collaboratives. Examples from a multicenter collaborative to reduce central line-associated bloodstream infections highlight the practical application of this approach. The key components for implementation of OT are the following: (1) define current practice and evidence, (2) develop a factorial matrix and calculate power, (3) formulate structure for engagement, (4) analyze results, and (5) replicate findings.
Journal Title
American journal of medical quality : the official journal of the American College of Medical Quality
Volume
32
Issue
1
First Page
87
Last Page
92
MeSH Keywords
Catheter-Related Infections; Central Venous Catheters; Cooperative Behavior; Humans; Intensive Care Units, Neonatal; Patient Care Bundles; Quality Improvement
Keywords
orchestrated testing; patient safety; planned experimentation; quality improvement; statistical process control; CLABSI
Recommended Citation
Pallotto EK, Chuo J, Piazza AJ, et al. Orchestrated Testing. Am J Med Qual. 2017;32(1):87-92. doi:10.1177/1062860615609994
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