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  • SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process

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Research and reporting methodology
SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process
  1. Greg Ogrinc1,2,3,
  2. Louise Davies1,2,3,
  3. Daisy Goodman1,2,
  4. Paul Batalden2,3,
  5. Frank Davidoff3,
  6. David Stevens3,4
  1. 1White River Junction VA Medical Center, White River Junction, Vermont, USA
  2. 2Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA
  3. 3The Dartmouth Institute for Health Policy and Clinical Practice, Hanover, New Hampshire, USA
  4. 4Institute for Healthcare Improvement, Cambridge, Massachusetts, USA
  1. Correspondence to Dr Greg Ogrinc, Associate Chief of Staff for Education, White River Junction VA, 215 North Main St (111), White River Junction, VT, 05009, USA; greg.ogrinc{at}med.va.gov

Abstract

Since the publication of Standards for QUality Improvement Reporting Excellence (SQUIRE 1.0) guidelines in 2008, the science of the field has advanced considerably. In this manuscript, we describe the development of SQUIRE 2.0 and its key components. We undertook the revision between 2012 and 2015 using (1) semistructured interviews and focus groups to evaluate SQUIRE 1.0 plus feedback from an international steering group, (2) two face-to-face consensus meetings to develop interim drafts and (3) pilot testing with authors and a public comment period. SQUIRE 2.0 emphasises the reporting of three key components of systematic efforts to improve the quality, value and safety of healthcare: the use of formal and informal theory in planning, implementing and evaluating improvement work; the context in which the work is done and the study of the intervention(s). SQUIRE 2.0 is intended for reporting the range of methods used to improve healthcare, recognising that they can be complex and multidimensional. It provides common ground to share these discoveries in the scholarly literature (http://www.squire-statement.org).

  • Quality improvement
  • Quality improvement methodologies
  • Healthcare quality improvement

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bmjqs-2015-004411

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    Footnotes

    • This paper is being co-published in: American Journal of Critical Care, American Journal of Medical Quality, Canadian Journal of Diabetes, Journal of Continuing Education in Nursing, Journal of American College of Surgeons, Journal of Surgical Research, Joint Commission Journal on Quality and Patient Safety, Journal of Nursing Care Quality, The Permanente Journal, GIMBE Evidence for Health (Italy), MedWave (Chile), and Scandinavian Journal of Trauma, Resuscitation, and Emergency Medicine.

    • Collaborators Name and affiliation of members of the SQUIRE 2.0 advisory group: Davina Allen, Cardiff University, UK. Ross Baker, University of Toronto, Canada. Helen Crisp, Health Foundation, UK. Mary Dixon-Woods, University of Leicester, UK. Don Goldmann, Institute for Healthcare Improvement, USA. Steve Goodman, Stanford University, USA. Leora Horwitz, New York University, USA. Pam Ironside, Indiana University, USA. Peter Margolis, University of Cincinnati, USA. Paul Miles, American Board of Pediatrics, USA. Shirley Moore, Case Western Reserve University, USA. Peter Pronovost, Johns Hopkins University, USA. Lisa Rubenstein, University of California Los Angeles, USA. Gwen Sherwood, University of North Carolina, USA. Kaveh Shojania, University of Toronto, Canada. Richard Thomson, Newcastle University, UK. Charles Vincent, Imperial College London, UK. Hub Wollersheim, Radboud University Medical Center, the Netherlands.

    • Contributors Each member of the author list contributed to the design, execution, writing, editing and approval of this work.

    • Funding Robert Wood Johnson Foundation (grant number 70024) and Health Foundation (grant number 7099).

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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