title: Quality tools and resources to support organisational improvement integral to high-quality primary care: a systematic review of published and grey literature.
abstract: OBJECTIVE
  To conduct a systematic review of the literature to identify existing online primary care quality improvement tools and resources to support organisational improvement related to the seven elements in the Primary Care Practice Improvement Tool (PC-PIT), with the identified tools and resources to progress to a Delphi study for further assessment of relevance and utility.
  
  
  METHODS
  Systematic review of the international published and grey literature.
  
  
  METHODS
  CINAHL, Embase and PubMed databases were searched in March 2014 for articles published between January 2004 and December 2013. GreyNet International and other relevant websites and repositories were also searched in March-April 2014 for documents dated between 1992 and 2012.
  
  
  METHODS
  All citations were imported into a bibliographic database. Published and unpublished tools and resources were included in the review if they were in English, related to primary care quality improvement and addressed any of the seven PC-PIT elements of a high-performing practice. Tools and resources that met the eligibility criteria were then evaluated for their accessibility, relevance, utility and comprehensiveness using a four-criteria appraisal framework.
  
  
  METHODS
  We used a data extraction template to systematically extract information from eligible tools and resources. A content analysis approach was used to explore the tools and resources and collate relevant information: name of the tool or resource, year and country of development, author, name of the organisation that provided access and its URL, accessibility information or problems, overview of each tool or resource and the quality improvement element(s) it addresses. If available, a copy of the tool or resource was downloaded into the bibliographic database, along with supporting evidence (published or unpublished) on its use in primary care.
  
  
  CONCLUSIONS
  This systematic review identified 53 tools and resources that can potentially be provided as part of a suite of tools and resources to support primary care practices in improving the quality of their practice, to achieve improved health outcomes.
authors.affiliation: Discipline of General Practice, Centre of Research Excellence &ndash; Building Primary Care Quality, Performance and Sustainability via Research Co-Creation, University of Queensland, Brisbane, QLD t.janamian1@uq.edu.au.
authors.forename: Tina
authors.initials: T
authors.lastname: Janamian
authors.affiliation: Discipline of General Practice, Centre of Research Excellence &ndash; Building Primary Care Quality, Performance and Sustainability via Research Co-Creation, University of Queensland, Brisbane, QLD.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Upham
authors.affiliation: Discipline of General Practice, Centre of Research Excellence &ndash; Building Primary Care Quality, Performance and Sustainability via Research Co-Creation, University of Queensland, Brisbane, QLD.
authors.forename: Lisa
authors.initials: L
authors.lastname: Crossland
authors.affiliation: Discipline of General Practice, Centre of Research Excellence &ndash; Building Primary Care Quality, Performance and Sustainability via Research Co-Creation, University of Queensland, Brisbane, QLD.
authors.forename: Claire L
authors.initials: CL
authors.lastname: Jackson
mesh_terms: D001315:Australia; D003625:Data Collection / Q000379:methods; D019992:Databases as Topic; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration / Q000592:standards; D058996:Quality Improvement; D012196:Review Literature as Topic