The influence of organizational context on quality improvement and patient safety efforts in infection prevention: A multi-center qualitative study
The influence of organizational context on quality improvement and patient safety efforts in infection prevention: A multi-center qualitative study
复制标题
DOI：
10.1016/j.socscimed.2010.07.041
复制
发表时间：
2010-11-01
影响因子：
5.4
通讯作者：
Saint, Sanjay
中科院分区：
文献类型：
--
作者：
Krein, Sarah L.;Damschroder, Laura J.;Saint, Sanjay
患者安全是全球医疗保健的优先事项，大多数医院都参与了提高护理质量的活动，安全性和结果尽管做出了这些努力，但我们对质量改进工作在某些医院取得成功而在其他医院却没有取得成功的原因了解有限。使用作为多中心研究一部分收集的数据，我们仔细检查了质量改进工作和建议实践的实施情况，以防止中心线-相关血流感染（CLABSI）在美国医院我们比较和对比医院之间的经验，以更好地了解如何和为什么某些医院更成功的实践实施时，考虑到具体方面的组织背景。这项研究表明，在一些医院，侧重于实施的做法，以防止CLABSI，尽管使用了类似的实施策略，但经验和结果差异很大。此外，我们的研究结果提供了重要的见解，说明了不同的质量改进策略如何以及为什么会在具有不同背景特征的组织中发挥作用。
Patient safety is a healthcare priority worldwide with most hospitals engaging in activities to improve care quality, safety and outcomes Despite these efforts we have limited understanding of why quality improvement efforts are successful in some hospitals and not others Using data collected as part of a multi-center study we closely examined quality improvement efforts and the implementation of recommended practices to prevent central line-associated bloodstream infections (CLABSI) in US hospitals We compare and contrast the experiences among hospitals to better understand how and why certain hospitals were more successful with practice implementation when taking into consideration specific aspects of the organizational context This study reveals that among a number of hospitals that focused on implementing practices to prevent CLABSI, the experience and outcomes varied considerably despite using similar implementation strategies Moreover, our findings provide important insights about how and why different quality improvement strategies might perform across organizations with differing contextual characteristics Published by Elsevier Ltd