使用实施科学框架来确定质量改进学习协作学习的核心组成部分和可持续性特征
Deborah A McNamara1,2, Peter E Lonergan3,4, Paul Rafferty5
1Department of Surgery, Beaumont Hospital, Beaumont Road, Dublin, Ireland. deborahmcnamara@rcsi.ie.
BMC health services research
|October 1, 2025
概括
实施科学 (IS) 框架帮助分析了质量改进学习协作 (QILC). 这项分析确定了成功实施和可持续性的关键因素,为未来的举措提供了指导.
科学领域:
- 医疗保健管理的管理
- 实施科学 实施科学
- 提高质量 提高质量
背景情况:
- 实施科学 (IS) 框架有助于定义干预措施的基本和可选组件,以确保成功实施和可持续性.
- 一个以医院为基础的跨学科质量改进学习协作 (QILC) 的特点是使用IS框架来开发一线工作人员的能力.
- 该研究旨在确定QILC的实施促进者,可持续性威胁和传播因素.
研究的目的:
- 用实施科学 (IS) 框架来描述基于医院的跨学科质量改进学习协作 (QILC).
- 确定支持实施QILC的因素.
- 识别对可持续性的潜在威胁和影响其传播到其他环境的因素.
主要方法:
- 评估了五个IS框架,选择了主动实施框架和实施研究综合框架.
- 将QILC与所选框架的驱动程序和结构进行映射.
- 使用选择的IS框架对QILC的回顾性分析.
主要成果:
- 关键的实施因素包括领导力,为变革创造紧张局势,以及使用内部/外部网络.
- 前线所有权,代开发和部落性是QILC成功的核心驱动力.
- 可持续性风险涉及不完整的实施,需要组织调整,指导和继任计划.
结论:
- 实施科学框架提供了一种方法,用于对质量改进学习协作的回顾性分析.
- 分析确定了影响可持续性的关键因素,并突出了成功复制的要素.
- 结果可以指导形成性评估和组织框架,用于在不同的环境中类似的举措.
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