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Hospital Culture of Transitions in Care: Survey Development
Mark McClelland1, Danielle Lazar, Lindsay Wolfe
1Office of Nursing Research and Innovation, Cleveland Clinic Health System, Cleveland, Ohio (Dr McClelland); Office for Clinical Practice Innovation, School of Medicine and Health Sciences (Ms Lazar, Mr Zocchi, and Dr Pines), and Department of Health Policy, Center for Healthcare Quality, Milken Institute School of Public Health (Dr Goetz Goldberg), George Washington University, Washington, District of Columbia; Network for Regional Healthcare Improvement, Portland, Maine (Ms Wolfe); and Prevent Cancer Foundation, Alexandria, Virginia (Ms Twesten).
Abstract:
Understanding hospital culture is important to effectively manage patient flow. The purpose of this study was to develop a survey instrument that can assess a hospital's culture related to in-hospital transitions in care. Key transition themes were identified using a multidisciplinary team of experts from 3 health care systems. Candidate items were rigorously evaluated using a modified Delphi technique. Findings indicate 8 themes associated with hospital culture-mediating transitions. Forty-four items reflect the themes.
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