Ethical frameworks for quality improvement activities: An analysis of international practice

Show simple item record

dc.contributor.author Naughton, Corina
dc.contributor.author Meehan, Elaine
dc.contributor.author Lehane, Elaine
dc.contributor.author Landers, Ciara
dc.contributor.author Flaherty, Sarah Jane
dc.contributor.author Lane, Aoife
dc.contributor.author Landers, Margaret
dc.contributor.author Kilty, Caroline
dc.contributor.author Saab, Mohamad M.
dc.contributor.author Goodwin, John
dc.contributor.author Walshe, Nuala
dc.contributor.author Wills, Teresa
dc.contributor.author McCarthy, Vera
dc.contributor.author Murphy, Siobhan
dc.contributor.author McCarthy, Joan
dc.contributor.author Cummins, Helen
dc.contributor.author Madden, Deirdre
dc.contributor.author Hegarty, Josephine
dc.date.accessioned 2020-09-18T11:22:20Z
dc.date.available 2020-09-18T11:22:20Z
dc.date.issued 2020-08-14
dc.identifier.citation Naughton, C., Meehan, E., Lehane, E., Landers, C., Flaherty, S. J, Lane, A., Landers, M., Kilty, C., Saab, M. M., Goodwin, J., Walshe, N., Wills, T., McCarthy, V., Murphy, S., McCarthy, J., Cummins, H., Madden, D. and Hegarty, J. (2020) ‘Ethical frameworks for quality improvement activities: An analysis of international practice’, International Journal for Quality in Health Care, mzaa092. doi: 10.1093/intqhc/mzaa092 en
dc.identifier.issn 1353-4505
dc.identifier.uri http://hdl.handle.net/10468/10553
dc.identifier.doi 10.1093/intqhc/mzaa092 en
dc.description.abstract Purpose: To examine international approaches to the ethical oversight and regulation of quality improvement and clinical audit in healthcare systems. Data sources: We searched grey literature including websites of national research and ethics regulatory bodies and health departments of selected countries. Study selection: National guidance documents were included from six countries: Ireland, England, Australia, New Zealand, the United States of America and Canada. Data extraction: Data were extracted from 19 documents using an a priori framework developed from the published literature. Results: We organised data under five themes: ethical frameworks; guidance on ethical review; consent, vulnerable groups and personal health data. Quality improvement activity tended to be outside the scope of the ethics frameworks in most countries. Only New Zealand had integrated national ethics standards for both research and quality improvement. Across countries, there is consensus that this activity should not be automatically exempted from ethical review, but requires proportionate review or organisational oversight for minimal risk projects. In the majority of countries, there is a lack of guidance on participant consent, use of personal health information and inclusion of vulnerable groups in routine quality improvement. Conclusion: Where countries fail to provide specific ethics frameworks for quality improvement, guidance is dispersed across several organisations which may lack legal certainty. Our review demonstrates a need for appropriate oversight and responsive infrastructure for quality improvement underpinned by ethical frameworks that build equivalence with research oversight. It outlines aspects of good practice, especially The New Zealand framework that integrates research and quality improvement ethics. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Oxford University Press en
dc.rights © 2020, the Authors. Published by Oxford University Press on behalf of International Society for Quality in Health Care. All rights reserved. This is a pre-copyedited, author-produced version of an article accepted for publication in the International Journal for Quality in Health Care, following peer review. The version of record [Naughton, C., Meehan, E., Lehane, E., Landers, C., Flaherty, S. J, Lane, A., Landers, M., Kilty, C., Saab, M. M., Goodwin, J., Walshe, N., Wills, T., McCarthy, V., Murphy, S., McCarthy, J., Cummins, H., Madden, D. and Hegarty, J. (2020) ‘Ethical frameworks for quality improvement activities: An analysis of international practice’, International Journal for Quality in Health Care, mzaa092, doi: 10.1093/intqhc/mzaa092] is available online at: https://doi.org/10.1093/intqhc/mzaa092 en
dc.subject Quality improvement en
dc.subject Clinical audit en
dc.subject Ethics en
dc.subject Consent en
dc.subject Personal health data en
dc.title Ethical frameworks for quality improvement activities: An analysis of international practice en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Corina Naughton, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: corina.naughton@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2021-08-14
dc.date.updated 2020-09-18T11:04:57Z
dc.description.version Accepted Version en
dc.internal.rssid 537029705
dc.internal.pmid 32797153
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal for Quality in Health Care en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress corina.naughton@ucc.ie en
dc.internal.IRISemailaddress sarahjane.flaherty@ucc.ie en
dc.internal.bibliocheck In press. Check vol / issue / page range. Amend citation and copyright statement as necessary. Add supplementary files. en
dc.identifier.eissn 1464-3677


Files in this item

This item appears in the following Collection(s)

Show simple item record

This website uses cookies. By using this website, you consent to the use of cookies in accordance with the UCC Privacy and Cookies Statement. For more information about cookies and how you can disable them, visit our Privacy and Cookies statement