Influencing Factors Associated with Implementation of INTERACT (Interventions to Reduce Acute Care Transfers) in VA Community Living Centers (CLCs) Using the Consolidated Framework.

Influencing Factors Associated with Implementation of INTERACT (Interventions to Reduce Acute Care Transfers) in VA Community Living Centers (CLCs) Using the Consolidated Framework.
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DOI:
10.1080/08959420.2021.1926862
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发表时间:
2022-09-03
影响因子:
5.1
通讯作者:
Mittman BS
Mittman BS
中科院分区:
法学3区
文献类型:
--
作者:
Mochel AL;Holle CL;Rudolph JL;Ouslander JG;Saliba D;Mor V;Mittman BS

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我们的目标是确定与国家医疗系统内实施InterAct(减少急性护理转移的干预措施)质量改进计划相关的影响因素。InterAct的重点是及早发现和管理居民病情的变化,从而减少潜在的可预防的医院转移。综合框架用于评估八个退伍军人社区生活中心的执行数据。定性的执行数据表明,两个有影响的综合框架领域具有很强的影响力:1)干预的关键属性(例如,适应性或复杂性)和2)内部组织因素(例如,文化或兼容性)。使用综合框架可以帮助将来适应这个和其他复杂的质量改进计划。
Our objective was to identify the influencing factors associated with the implementation of the INTERACT (Interventions to Reduce Acute Care Transfers) Quality Improvement program within a national healthcare system. INTERACT focuses on early identification and management of changes in residents’ condition leading to a reduction in potentially preventable hospital transfers. The Consolidated Framework was used to evaluate implementation data from eight VA Community Living Centers. Qualitative implementation data suggest two influencing Consolidated Framework domains had a strong influence: 1) key attributes of the intervention (e.g., adaptability or complexity) and 2) internal organizational factors (e.g., culture or compatibility). Using the Consolidated Framework can assist future adaptations to this and other complex quality improvement initiatives.
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期刊: Implementation science : IS
影响因子: --
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