高绩效的质量改进协作团队的特点是什么? 一个全州协作计划的定性案例研究
James G McGowan1, Graham P Martin2, Greta L Krapohl3
1The Healthcare Improvement Studies Institute (THIS Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK james.mcgowan@thisinstitute.cam.ac.uk.
成功的质量改进协作团队具有共同的关键特征,如从积极偏差中学习,强有力的协调和专业的领导力. 这些因素推动了医疗保健质量的持续改善.
科学领域:
- 医疗保健 改善 科学 科学
- 医疗保健服务研究 医疗服务研究
- 医疗保健中的组织行为
背景情况:
- 对质量改善协作协作的有效性的证据是混合的.
- 关于成功的协作设计和实施存在缺乏清晰度.
- 持续改善医疗保健质量需要了解有效的合作策略.
研究的目的:
- 确定一个成功的全州质量改善协作计划的独特特征.
- 了解有助于持续改善医疗保健质量的因素.
- 为优化未来质量改进协作提供见解.
主要方法:
- 定性案例研究方法.
- 针对38名参与者 (临床医生,管理人员,项目工作人员) 进行了有目的的抽样.
- 通过采访,观察和文档分析收集数据.
主要成果:
- 确定了五个关键的成功因素:从积极的偏差中学习,高质量的协调,强大的测量和反,有效的激励策略和专业的领导力.
- 严格的测量,专业的参与,协作文化和问责制至关重要.
- 减少参与者负担可以提高高绩效.
结论:
- 结果为优化基于协作的医疗保健改进提供了有价值的学习.
- 对质量改善协作的设计,结构和资源的影响.
- 对于临床医生,管理人员,政策制定者和多组织质量改进工作的领导者来说是有用的.
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