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Implementation Science

, 9:91

First Online: 22 July 2014Received: 15 August 2013Accepted: 27 June 2014DOI: 10.1186-s13012-014-0091-2

Cite this article as: Dückers, M.L.A., Groenewegen, P.P. & Wagner, C. Implementation Sci 2014 9: 91. doi:10.1186-s13012-014-0091-2

Abstract

BackgroundMany studies have been conducted to evaluate the impact of quality improvement collaboratives QICs on the quality of healthcare. This article addresses an underexplored topic, namely the use of QICs as ‘intentional spread strategy.’ Its objective is to predict the dissemination of projects within hospitals participating in a change programme based on several QICs. We tested whether the average project success at QIC level based on opinions of individual project team leaders explains the dissemination of projects one year later.

FindingsAfter one year, 148 project team leaders of 16 hospitals participating in the two-year programme were asked to rate the success of their improvement project on a scale from 1 to 10. At the end of the second year, the programme coordinator of each hospital provided information on the second-year dissemination. Average success scores and dissemination statistics were calculated for each QIC N = 12. The non-parametric correlation between team leader judgment and dissemination rate at QIC level is 0.73 P < 0.01.

ConclusionsPrevious work, focusing on the team and hospital level, showed which factors contributed to local success stories. It also illustrated how successes play a role in dissemination processes within programme hospitals. The current study suggests that we cannot ignore the extent to which the dissemination potential of individual projects is defined by their QIC. Aggregated team leader judgments at the QIC level might predict the future dissemination in participating organizations. The findings, however, need to be replicated in larger, independent samples.

KeywordsQuality improvement collaboratives Quality of healthcare Hospitals Dissemination Diffusion of innovation The Netherlands Electronic supplementary materialThe online version of this article doi:10.1186-s13012-014-0091-2 contains supplementary material, which is available to authorized users.

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Autor: Michel L A Dückers - Peter P Groenewegen - Cordula Wagner

Fuente: https://link.springer.com/







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