Learning and Improving in Quality Improvement Collaboratives: Which Collaborative Features Do Participants Value Most?
Learning and Improving in Quality Improvement Collaboratives: Which Collaborative Features Do Participants Value Most?
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DOI：
10.1111/j.1475-6773.2008.00923.x
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发表时间：
2009-04-01
影响因子：
3.4
通讯作者：
Nembhard, Ingrid M.
中科院分区：
文献类型：
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作者：
Nembhard, Ingrid M.
了解参与者对协作者各种特征的相对有用性的看法，为什么每个特征是有帮助的，以及哪些特征被最成功的参与者视为对他们的成功最重要的。来自IHI和人口统计学来源的次要数据。进行横断面分析以评估参与者对12个特征的看法，以及他们的观点和绩效改善之间的关系。参与者对功能的看法是通过自填式调查和半自动问卷获得的。结构化电话面试。绩效改进数据来自IHI和人口统计数据来自二手sources.Participants认为六个功能最有助于推进他们的改进工作的整体和知识的获取，特别是：协作教师，征求他们的员工的想法，改变包，计划做学习行为周期，学习会话的互动，和协作experience。这些功能还为参与者提供了动力，社会支持和项目管理技能。功能，使组织间的学习被评为更高的团队，其组织的显着改善比其他teams.Findings识别功能的协作设计和实施，参与者认为是最有帮助的，并强调组织间的功能的重要性，至少对于那些组织，最改善。
To understand participants' views on the relative helpfulness of various features of collaboratives, why each feature was helpful and which features the most successful participants viewed as most central to their success.Primary data collected from 53 teams in four 2004-2005 Institute for Healthcare Improvement (IHI) Breakthrough Series collaboratives; secondary data from IHI and demographic sources.Cross-sectional analyses were conducted to assess participants' views of 12 features, and the relationship between their views and performance improvement.Participants' views on features were obtained via self-administered surveys and semi-structured telephone interviews. Performance improvement data were obtained from IHI and demographic data from secondary sources.Participants viewed six features as most helpful for advancing their improvement efforts overall and knowledge acquisition in particular: collaborative faculty, solicitation of their staff's ideas, change package, Plan-Do-Study-Act cycles, Learning Session interactions, and collaborative extranet. These features also provided participants with motivation, social support, and project management skills. Features enabling interorganizational learning were rated higher by teams whose organizations improved significantly than by other teams.Findings identify features of collaborative design and implementation that participants view as most helpful and highlight the importance of interorganizational features, at least for those organizations that most improve.