“Practice Inquiry” is proposed as a set of small-group, practice-based learning and improvement (PBLI) methods designed to help clinicians better manage case-based clinical uncertainty. Clinicians meet regularly at their offices/clinics to present dilemma cases, share clinical experience, review evidence for blending with experience, and draw implications for practice improvement.
Health promotion is one of the practice inquiry that I have seen in my clinical site. Every woman who comes to the clinic for their GYN problems my preceptor asks them about their well women exam which includes pap smear and mammogram. Evidence-based practice (EBP) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions. My clinic also has a reminder of well women appointments and medical assistants often call patients to schedule their appointments. PI’s usefulness for practice improvement will require more focused modeling and assessment. Timeliness: reduce waits and sometimes harmful delays for both those who receive care and those who give care. It is a practice inquiry that I have not observed in my clinical setting and needs to be implemented.
Sommers, L. S., Morgan, L., Johnson, L., & Yatabe, K. (2007). Practice Inquiry: Clinical Uncertainty as a Focus for Small-Group Learning and Practice Improvement. Journal of General Internal Medicine, 22(2), 246–252. http://doi.org/10.1007/s11606-006-0059-2
Mayberry, R. M., Nicewander, D. A., Qin, H., & Ballard, D. J. (2006). Improving quality and reducing inequities: a challenge in achieving best care. Proceedings (Baylor University. Medical Center), 19(2), 103–118.