Published 19 January 2009, doi:10.1136/bmj.a3152
Cite this as: BMJ 2009;338:a3152

Research Methods & Reporting

Publication guidelines for quality improvement studies in health care: evolution of the SQUIRE project

¹ Institute for Healthcare Improvement, 143 Garden Street, Wethersfield, CT 06109, USA, ² Center for Leadership and Improvement, Dartmouth Institute for Health Policy and Clinical Practice Lebanon, NH 03766, USA, ³ White River Junction VA Hospital, White River Junction, VT 05009-0001, USA, ⁴ Alice Peck Day Memorial Hospital, Lebanon, NH 03766, USA

Abstract

In 2005 we published draft guidelines for reporting studies of quality improvement, as the initial step in a consensus process for development of a more definitive version. The current article contains the revised version, which we refer to as standards for quality improvement reporting excellence (SQUIRE). This narrative progress report summarises the special features of improvement that are reflected in SQUIRE, and describes major differences between SQUIRE and the initial draft guidelines. It also briefly describes the guideline development process; considers the limitations of and unresolved questions about SQUIRE; describes ancillary supporting documents and alternative versions under development; and discusses plans for dissemination, testing, and further development of SQUIRE.

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