| Autor: |
Howe, Cathy, Randall, Katie, Chalkley, Sylvia, Bell, Derek |
| Zdroj: |
British Journal of Healthcare Management; Sep2013, Vol. 19 Issue 9, p424-432, 9p, 5 Charts |
| Abstrakt: |
Quality improvement collaboratives seek to address the mandate to improve healthcare quality and reduce inappropriate variations in care through the use of defined methods and change concepts. There are indications of positive effects, but less evidence of the effectiveness of the methods-the 'black box' of the intervention-and how to effectively implement a collaborative. This study uses an assessment framework to quantify engagement with and uptake of collaborative methodology in 17 projects in a quality improvement collaborative in North West London. The framework developed by the NIHR CLAHRC for Northwest London showed variation in uptake and use of methods within and across projects. For example, most projects involved patients and the public and disseminated learning. There was more limited engagement with the NHS Institute for Innovation and Improvement Sustainability Model. The framework provides detailed methods-related information that collaborative leaders could use for generative learning to meet participants' needs, and identify peer exemplars. This study raises important questions about implementation fidelity and highlights the need to open the 'black box' both while the work is in progress to allow generative learning, and for the purposes of evaluation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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