Table 4

Continuous quality improvement (CQI) features assessment reliability and feature prevalence

ItemFeatureFeature reliabilityFeature prevalence*
n=106 articlesAll journals (n=106 articles)Clinical journals (n=68 articles)QI/HSR journals (n=38 articles)
% agreementICC95% CIn (%)n (%)n (%)p
CQI-Q1Iterative development process59.40.43 (0.27 to 0.58)42 (40)24 (35)18 (47)0.223
CQI-Q2Feedback at meetings involving participant leaders58.50.54 (0.41 to 0.68)49 (46)28 (41)21 (55)0.163
CQI-Q3Feedback of systematically collected data59.40.45 (0.30 to 0.61)68 (64)37 (54)31 (82)0.005
CQI-Q4Recognised change method75.50.62 (0.50 to 0.74)30 (28)15 (22)15 (40)0.056
CQI-Q5Data driven59.40.50 (0.36 to 0.64)36 (34)17 (25)19 (50)0.009§
CQI-Q6Local conditions55.70.52 (0.38 to 0.66)65 (61)37 (54)28 (74)0.051
  • * Features were considered ‘present’ if both reviewers rated the item ≥2.

  • Intra-class correlation is reviewer adjusted.

  • Response categories for items CQI-5 and CQI-6 were collapsed to a three-point scale.

  • § χ2 Group difference between clinical and quality improvement (QI)/Health Services Research (HSR) categories statistically significant at p=0.05 level.

  • χ2 Group difference between clinical and QI/HSR categories statistically significant at p=0.005 level.