关于国家安全改进学习合作的见解:使用实施研究综合框架
Lianne Jeffs1, Rui Lin Zeng2, Frances Bruno2
1Scientific Director, Science of Care Institute, Senior Clinician Scientist, Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON.
质量改进协作 (QIC) 正在获得引力,但影响其实施的上下文因素仍然不清楚. 这项研究使用了实施研究综合框架 (CFIR) 来识别加拿大全国QIC中的这些因素.
科学领域:
- 医疗保健质量改善研究 医疗保健质量改善研究
- 在医疗保健机构的实施科学.
- 医疗服务研究 医疗服务研究
背景情况:
- 越来越多的人对质量改进协作 (QIC) 感兴趣,尽管对实施因素的理解有限.
- 需要探索影响QIC内部集体和本地项目执行的上下文因素.
- 专注于加拿大全国的QIC,以了解实施动态.
研究的目的:
- 探索影响全国质量改善协作 (QIC) 实施的上下文因素.
- 使用实施研究综合框架 (CFIR) 作为指导框架.
- 为医疗保健领导人提供关于共同设计,实施和评估改进工作的见解.
主要方法:
- 使用实施研究综合框架 (CFIR) 进行演性的定性内容分析.
- 从文档分析和半结构面试中分析数据.
- 包括来自加拿大30个参与医疗保健组织的参与者.
主要成果:
- 识别影响QIC跨环境采用的各种背景因素.
- 关键因素包括干预特征,外部设置,内部设置和过程元素.
- 证明了以理论为导向的方法对评估质量改进举措的有用性.
结论:
- 提供了对影响更大的QIC内的当地安全项目的上下文因素的见解.
- 为医疗保健领导者提供一个潜在的模板,以指导改进工作.
- 强调多方,理论驱动的方法对于成功实施和评估的重要性.
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