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This Week in JAMA
January 26, 2011

This Week in JAMA

JAMA. 2011;305(4):329. doi:10.1001/jama.2011.27

Evidence-based practices improve intensive care unit (ICU) outcomes; however, changing behaviors to improve care quality can be challenging in ICUs where diverse clinicians provide care to patients defined by hospital location rather than disease and in community hospitals where few resources may be available for quality improvement. In a cluster randomized trial that involved a collaborative network of 15 geographically dispersed community hospital ICUs in Ontario, Canada, Scales and colleagues Article assessed whether a videoconference-based intervention that included audit and feedback, expert-led educational sessions, and dissemination of algorithms would increase delivery of 6 evidence-based ICU practices. The authors found that the multifaceted quality improvement intervention was associated with improved adoption of evidence-based care practices. In an editorial, Curtis and Levy Article discuss ways in which this investigation advances the science and politics of quality improvement.