Quality improvement for self-management: the DIALOG+QI framework (Santos, Shah, 2026)

Delgado P; Santos C; Adley L; Shah A

BMJ Open Quality. 15(1), 2026 Jan 22.

Available here via the QI website

“If we can use these tools in our work, why can’t I use them to take control of my care?”

A powerful lightbulb moment after attending an introductory QI session led Lenna to apply basic QI tools to map group her symptoms and track patterns over several months, meaning her doctors could no longer challenge her experience and symptoms.

This article proposes using the DIALOG+QI framework to extend continuous quality improvement (CQI) methods to support self-management as no structured framework currently exists for this.