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Barriers and facilitators to implementing continuous quality improvement programs in colonoscopy services: a mixed
Bernard Candas1, Gilles Jobin2, Catherine Dubé3
1Institut d'excellence en santé et services sociaux du Québec, Quebec City, Quebec, Canada; Université Laval - Department of Social and Preventive Medicine, Quebec City, Quebec, Canada.
Endoscopy International Open
|February 16, 2016
Summary
Implementing continuous quality improvement (CQI) in colonoscopy services faces challenges. Key facilitators include perceived feasibility and training, but knowledge gaps exist for nurses, patients, and managers.
Area of Science:
- Gastroenterology
- Healthcare Quality Improvement
- Implementation Science
Background:
- Continuous quality improvement (CQI) programs aim to enhance care quality and outcomes in healthcare settings.
- Implementing CQI programs, particularly in specialized services like colonoscopy, presents significant challenges.
- Understanding barriers and facilitators is crucial for successful CQI program adoption.
Purpose of the Study:
- To systematically review barriers and facilitators for implementing CQI programs in colonoscopy services.
- To analyze these factors from the perspectives of endoscopists, nurses, managers, and patients.
- To identify knowledge gaps regarding CQI implementation in colonoscopy care.
Main Methods:
- A mixed methods systematic review was conducted using a comprehensive search strategy across 15 databases.
- Studies reporting on CQI interventions and associated barriers/facilitators for colonoscopy stakeholders were included.
- Extracted findings were synthesized using a customized iterative process after quality assessment.
Main Results:
- Ninety-nine findings were extracted from 15 publications, with a primary focus on endoscopist perspectives.
- Key facilitators include perceived feasibility, formative approaches, training, confidentiality, and limited quality indicators.
- An inclusive, supportive organizational environment with adequate resources is essential for successful CQI.
Conclusions:
- Study findings align with existing models of innovation adoption.
- A notable knowledge gap persists concerning barriers and facilitators for nurses, patients, and managers in CQI implementation.
- Further research is needed to address these gaps for comprehensive CQI in colonoscopy services.
