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Quality improvement collaboratives and the wisdom of crowds: spread explained by perceived success at group level

机译:质量改进协作和人群智慧:通过在团队一级的成功感知来解释传播

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Background Many studies have been conducted to evaluate the impact of quality improvement collaboratives (QICs) on the quality of healthcare. This article addresses an underexplored topic, namely the use of QICs as ‘intentional spread strategy.’ Its objective is to predict the dissemination of projects within hospitals participating in a change programme based on several QICs. We tested whether the average project success at QIC level (based on opinions of individual project team leaders) explains the dissemination of projects one year later. Findings After one year, 148 project team leaders of 16 hospitals participating in the two-year programme were asked to rate the success of their improvement project on a scale from 1 to 10. At the end of the second year, the programme coordinator of each hospital provided information on the second-year dissemination. Average success scores and dissemination statistics were calculated for each QIC (N?=?12). The non-parametric correlation between team leader judgment and dissemination rate at QIC level is 0.73 (P?
机译:背景技术已经进行了许多研究,以评估质量改进合作组织(QIC)对医疗质量的影响。本文讨论了一个尚未充分探讨的主题,即使用QIC作为“有意传播策略”。其目的是根据多个QIC预测参与变更计划的医院中项目的传播。我们测试了QIC级别的平均项目成功(基于各个项目团队负责人的观点)是否可以解释一年后项目的传播。调查结果一年后,要求参加两年计划的16家医院的148个项目团队负责人以1到10的等级对他们的改善项目的成功进行评分。在第二年末,每个计划的协调员医院提供了有关第二年传播的信息。计算每个QIC的平均成功分数和传播统计数据(N≥12)。 QIC级别的团队领导者判断与传播率之间的非参数相关性为0.73(P <0.01)。结论先前针对团队和医院水平的工作表明哪些因素有助于当地取得成功。它还说明了成功如何在计划医院的传播过程中发挥作用。当前的研究表明,我们不能忽略各个项目的QIC定义了其传播潜力的程度。 QIC级别的团队领导者综合判断可能会预测未来在参与组织中的传播。但是,研究结果需要复制到较大的独立样本中。

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