Advancement in quality improvement will depend on the theory- and consensus-based development and testing of a generalizable framework for identifying QII evaluations. Quality improvement. healthcare quality. organisational change. implementation research. evidence-based medicine. healthcare quality improvement..How To Identify andess Well-Designed Trial Research. Identify trials with large groups of parti.nts. Trials should include randomization. Check for adequate blinding. Trials should describe methods used. Look for systematic reviews and meta-.yses.ess placebo methods, shams, and controls..