title: Key elements of high-quality practice organisation in primary health care: a systematic review.
abstract: OBJECTIVE
  To identify elements that are integral to high-quality practice and determine considerations relating to high-quality practice organisation in primary care.
  
  
  METHODS
  A narrative systematic review of published and grey literature.
  
  
  METHODS
  Electronic databases (PubMed, CINAHL, the Cochrane Library, Embase, Emerald Insight, PsycInfo, the Primary Health Care Research and Information Service website, Google Scholar) were searched in November 2013 and used to identify articles published in English from 2002 to 2013. Reference lists of included articles were searched for relevant unpublished articles and reports.
  
  
  RESULTS
  Data were configured at the study level to allow for the inclusion of findings from a broad range of study types. Ten elements were most often included in the existing organisational assessment tools. A further three elements were identified from an inductive thematic analysis of descriptive articles, and were noted as important considerations in effective quality improvement in primary care settings.
  
  
  CONCLUSIONS
  Although there are some validated tools available to primary care that identify and build quality, most are single-strategy approaches developed outside health care settings. There are currently no validated organisational improvement tools, designed specifically for primary health care, which combine all elements of practice improvement and whose use does not require extensive external facilitation.
authors.affiliation: Centre of Research Excellence in Primary Health Care Microsystems, University of Queensland, Brisbane, QLD, Australia. l.crossland1@uq.edu.au.
authors.forename: Lisa
authors.initials: L
authors.lastname: Crossland
authors.affiliation: Centre of Research Excellence in Primary Health Care Microsystems, University of Queensland, Brisbane, QLD, Australia.
authors.forename: Tina
authors.initials: T
authors.lastname: Janamian
authors.affiliation: Discipline of General Practice, University of Queensland, Brisbane, QLD, Australia.
authors.forename: Claire L
authors.initials: CL
authors.lastname: Jackson
mesh_terms: D000068:Accreditation; D003142:Communication; D003695:Delivery of Health Care / Q000458:organization & administration; D004502:Education, Medical, Continuing / Q000458:organization & administration; D006302:Health Services Research / Q000458:organization & administration; D006801:Humans; D019451:Information Management / Q000458:organization & administration; D008485:Medical Audit / Q000458:organization & administration; D061214:Patient Safety; D011216:Practice Management, Medical / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration*; D011793:Queensland; D012308:Risk Management / Q000458:organization & administration