Using a logic model to design and evaluate quality and patient safety improvement programs

Christine A. Goeschel, William M. Weiss, Peter J. Pronovost

Research output: Contribution to journalArticlepeer-review


Quality improvement programs often pose unique project management challenges, including multi-faceted interventions that evolve over time and teams with few resources for data collection. Thus, it is difficult to report methods and results. We developed a program to reduce central line-associated bloodstream infections (CLABSIs) and improve safety culture in intensive care units (ICUs). As previously reported, we worked with 103 Michigan ICUs to implement this program, and they achieved a 66% reduction in the median CLABSI rate and sustained the reduction. This success prompted the spread of this program to Spain, England, Peru and across the USA. We developed a logical framework approach (LFA) to guide project management; to incorporate the cultural, clinical and capacity variations among countries; and to ensure early alignment of the project's design and evaluation. In this paper, we describe the use of the LFA to systematically design, implement and evaluate large-scale, multi-faceted, quality improvement programs.

Original languageEnglish (US)
Pages (from-to)330-337
Number of pages8
JournalInternational Journal for Quality in Health Care
Issue number4
StatePublished - Aug 2012


  • Design for safety
  • General methodology
  • Measurement of quality
  • Patient safety
  • Quality management
  • Quality measurement

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health


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