Why is the PSQRD a useful framework for research and practice?

a. It explains why using computer applications is the best way to support better patient outcomes.
b. It supports implementation, performance improvement, and rigorous research methodologies.
c. It ensures successful implementation of a clinical process change.
d. It increases communication among clinical staff.


ANS: B
PSQRD is a useful framework for quality and safety projects whether or not they use health information technology as a tool. While the PSQRD framework may improve communication and implementation, a critical strength of this framework is its systems approach and comprehensive strategy for ongoing monitoring and evaluation. The PSQRD framework provides a means to introduce health IT interventions in a systematic way, and it serves as a reminder to incorporate measures of success across the causal chain. This approach supports implementation, performance improvement, and research projects with an appreciation for the effects and the limitations of health IT and other intervention components. Adoption of the PSQRD framework for both research and organizational implementations will provide a means to plan for successful implementation and to collect data on the structural and process factors that may affect adoption and use of health IT interventions and ultimately patient outcomes. This type of measurement is appropriate for both research-based and operational implementations of health IT.

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