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Property Consortium Drainage provides an objective evaluation of site information to determine policy liability in line with our clients’ requirements.
We have a range of pre and post-work validation techniques.
This paper outlines the development and psychometric evaluation of an Internet survey to measure features of clinical networks and provides descriptive results from a sample of members of 19 diverse clinical networks responsible for evidence-based quality improvement across a large geographical region.
Instrument development was based on: a review of published and grey literature; a qualitative study of clinical network members; a program logic framework; and consultation with stakeholders.
Published studies typically focus on one clinical area and provide anecdotal, experiential commentary using a mixed methods approach (e.g. The psychometric properties of measures have rarely been explored or tested, resulting in a lack of standard or validated methodology.
A recent systematic review of measurement instruments developed for use in implementation science (specifically to measure self-report research utilisation) found a large majority of instruments demonstrated weak psychometric properties  there is a need to develop valid instruments to assess intrinsic and extrinsic features related to their performance.
The survey will be of use to health service managers to identify strengths and areas where networks can be improved to increase effectiveness and impact on quality of care and patient outcomes.
Equally, the survey could be adapted for use in the assessment of other types of networks. While there are many different models of clinical network from fully integrated service delivery systems, such as Kaiser Permanente or the Veterans Health Administration in the US, to informal communities of practice, all share the aim of increasing the uptake of evidence based practice and improving quality of care and patient outcomes.
Network managers were perceived to be effective leaders and clinical co-chairs were perceived as champions for change.This process is followed where we believe either costs or scope warrant further review.Where work is not complete we agree the work required and cost based on site conditions.In the current context, we define clinical networks as voluntary clinician groupings that aim to improve clinical care and service delivery using a collegial approach to identify and implement a range of strategies across institutional and professional boundaries .The effectiveness of clinical networks is often not formally evaluated.