scholarly journals The role of place on healthcare quality improvement: A qualitative case study of a teaching hospital

2018 ◽  
Vol 202 ◽  
pp. 136-142
Author(s):  
Sara Melo
Keyword(s):  
Quality Improvement ◽  
Teaching Hospital ◽  
Qualitative Case Study ◽  
Healthcare Quality ◽  
Healthcare Quality Improvement

The Social Role of Technology in Healthcare Quality Improvement

2012 ◽  
pp. 178-186
Author(s):  
Anastasia K. Kadda
Keyword(s):  
Quality Improvement ◽  
Social Role ◽  
Healthcare Quality ◽  
Health Technology ◽  
Healthcare Services ◽  
Healthcare Quality Improvement ◽  
Current Trends ◽  
The Social

The aim of this study is to describe the social role of technology in healthcare quality improvement. Methodologically, the study was based on a review of the relevant literature, Greek and foreign, as well as Internet sources related to the social role of technology in healthcare quality improvement. The main conclusions drawn were the following: a) The development of new technologies in the field of health and their involvement within the social context is today a fast accelerating process; b) The presentday expansion of health-oriented technology is of vital importance because of current trends in the field of healthcare and of the social evolution on healthcare services; c) Information technology is capable of profoundly contributing to the improvement of the quality of health, and thus to the wellbeing of the citizens in a society; d) By the use of health technology, more efficient and productive financial management is achieved with numerous benefits for the economy; e) Electronic health can improve the quality of healthcare thereby facilitating the work of health professionals; f) Greek society is being increasingly influenced by both international and domestic scientific and technological advances in health technology despite the existence of significant legal barriers; g) Current trends in the European Union as far as health technology is concerned are intimately connected with expanding citizen participation in the electronic revolution and their increasing access to the Information Society.

scholarly journals The impact of accreditation on healthcare quality improvement: a qualitative case study

2016 ◽  
Vol 30 (8) ◽  
pp. 1242-1258 ◽  
Author(s):  
Sara Melo
Keyword(s):  
Patient Safety ◽  
Quality Improvement ◽  
Large Scale ◽  
Positive Impact ◽  
Healthcare Quality ◽  
Healthcare Services ◽  
Content Type ◽  
Healthcare Quality Improvement ◽  
The Impact

Purpose Research on accreditation has mostly focused on assessing its impact using large scale quantitative studies, yet little is known on how quality is improved in practice through an accreditation process. Using a case study of an acute teaching hospital in Portugal, the purpose of this paper is to explore the dynamics through which accreditation can lead to an improvement in the quality of healthcare services provided. Design/methodology/approach Data for the case study was collected through 46 in-depth semi-structured interviews with 49 clinical and non-clinical members of staff. Data were analyzed using a framework thematic analysis. Findings Interviewees felt that hospital accreditation contributed to the improvement of healthcare quality in general, and more specifically to patient safety, as it fostered staff reflection, a higher standardization of practices, and a greater focus on quality improvement. However, findings also suggest that the positive impact of accreditation resulted from the approach the hospital adopted in its implementation as well as the fact that several of the procedures and practices required by accreditation were already in place at the hospital, albeit often in an informal way. Research limitations/implications The study was conducted in only one hospital. The design of an accreditation implementation plan tailored to the hospital’s context can significantly contribute to positive outcomes in terms of quality and patient safety improvements. Originality/value This study provides a better understanding of how accreditation can contribute to healthcare quality improvement. It offers important lessons on the factors and processes that potentiate quality improvements through accreditation.

Healthcare quality improvement work: a professional employee perspective

2017 ◽  
Vol 30 (5) ◽  
pp. 410-423 ◽  
Author(s):  
Christian Gadolin ◽  
Thomas Andersson
Keyword(s):  
Quality Improvement ◽  
Employee Engagement ◽  
Healthcare Quality ◽  
Institutional Logics ◽  
Working Relationships ◽  
Employee Perspective ◽  
Content Type ◽  
Healthcare Quality Improvement ◽  
Professional Employee

Purpose The purpose of this paper is to describe and analyze conditions that influence how employees engage in healthcare quality improvement (QI) work. Design/methodology/approach Qualitative case study based on interviews (n=27) and observations (n=10). Findings The main conditions that influence how employees engage in healthcare QI work are professions, work structures and working relationships. These conditions can both prevent and facilitate healthcare QI. Professions and work structures may cement existing institutional logics and thus prevent employees from engaging in healthcare QI work. However, attempts to align QI with professional logics, together with work structures that empower employees, can make these conditions increase employee engagement, which can be accomplished through positive working relationships that foster institutional work, which bridge different competing institutional logics, making it possible to overcome barriers that professions and work structures may constitute. Practical implications Understanding the conditions that influence how employees engage in healthcare QI work will make initiatives more likely to succeed. Originality/value Healthcare QI has mainly been studied from an implementer perspective, and employees have either been neglected or seen as passive resisters. Weak employee perspectives make healthcare QI research incomplete. In our research, healthcare QI work is studied closely at the actor level to understand healthcare QI from an employee perspective.

Disrupting activities in quality improvement initiatives: a qualitative case study of the QuICR Door-To-Needle initiative

2019 ◽  
pp. bmjqs-2018-008898
Author(s):  
Jo-Louise Huq ◽  
Jaana Woiceshyn
Keyword(s):  
Quality Improvement ◽  
Qualitative Case Study ◽  
Healthcare Quality ◽  
Clinical Problem ◽  
Improve Quality ◽  
Modest Improvement ◽  
Semistructured Interviews ◽  
Specific Activities ◽  
Regular Work

BackgroundHealthcare quality improvement (QI) efforts are ongoing but often create modest improvement. While knowledge about factors, tools and processes that encourage QI is growing, research has not attended to the need to disrupt established ways of working to facilitate QI efforts.ObjectiveTo examine how a QI initiative can disrupt professionals’ established way of working through a study of the Alberta Stroke Quality Improvement and Clinical Research (QuICR) Door-to-Needle Initiative.DesignA multisite, qualitative case study, with data collected through semistructured interviews and focus groups. Inductive data analysis allowed findings to emerge from the data and supported the generation of new insights.FindingsIn stroke centres where improvements were realised, professionals’ established understanding of the clinical problem and their belief in the adequacy of existing treatment approaches shifted—they no longer believed that their established understanding and treating the clinical problem were appropriate. This shift occurred as participants engaged in specific activities to improve quality. We identify these activities as ones that create urgency, draw professionals away from regular work and encourage questioning about established processes. These activities constituted disrupting action in which both clinical and non-clinical persons were engaged.ConclusionsDisrupting action is an important yet understudied element of QI. Disrupting action can be used to create gaps in established ways of working and may help encourage professionals’ involvement and support of QI efforts. While non-clinical professionals can be involved in disrupting action, it needs to engage clinical professionals on their own terms.

scholarly journals The role of the practice facilitators in Ontario primary healthcare quality improvement

2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Jyoti Kotecha ◽  
Han Han ◽  
Michael Green ◽  
Grant Russell ◽  
Mary I Martin ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Primary Healthcare ◽  
Healthcare Quality ◽  
Healthcare Quality Improvement

scholarly journals Improvement Science: conceptual and theoretical foundations for its application to healthcare quality improvement

2016 ◽  
Vol 32 (suppl 2) ◽  
Author(s):  
Margareth Crisóstomo Portela ◽  
Sheyla Maria Lemos Lima ◽  
Mônica Martins ◽  
Claudia Travassos
Keyword(s):  
Social Sciences ◽  
Quality Improvement ◽  
Healthcare Quality ◽  
Improvement Science ◽  
Healthcare Quality Improvement ◽  
The Social ◽  
Improvement Interventions ◽  
Quality Improvement Interventions ◽  
Theoretical Foundations

Abstract: The development and study of healthcare quality improvement interventions have been reshaped, moving from more intuitive approaches, dominated by biomedical vision and premised on easy transferability, to gradually acknowledge the need for more planning and systematization, with greater incorporation of the social sciences and enhancement of the role of context. Improvement Science has been established, with a conceptual and methodological framework for such studies. Considering the incipient of the debate and scientific production on Improvement Science in Brazil, this article aims to expound its principal conceptual and theoretical fundamentals, focusing on three central themes: the linkage of different disciplines; recognition of the role of context; and the theoretical basis for the design, implementation, and evaluation of interventions.

scholarly journals Talking it better: conversations and normative complexity in healthcare improvement

2021 ◽  
pp. medhum-2020-012129
Author(s):  
Alan Cribb ◽  
Vikki Entwistle ◽  
Polly Mitchell
Keyword(s):  
Quality Improvement ◽  
Complex Systems ◽  
Crucial Role ◽  
Healthcare Quality ◽  
Inherent Difficulty ◽  
Healthcare Quality Improvement ◽  
Institutional Conditions ◽  
Healthcare Improvement

In this paper, we consider the role of conversations in contributing to healthcare quality improvement. More specifically, we suggest that conversations can be important in responding to what we call ‘normative complexity’. As well as reflecting on the value of conversations, the aim is to introduce the dimension of normative complexity as something that requires theoretical and practical attention alongside the more recognised challenges of complex systems, which we label, for short, as ‘explanatory complexity’. In brief, normative complexity relates to the inherent difficulty of deciding what kinds of changes are ‘improvements’ or, more broadly, what is valuable in healthcare. We suggest that explanatory and normative complexity intersect and that anyone interested in healthcare improvement needs to be sensitive to both. After briefly introducing the idea of normative complexity, we consider some contrasting examples of conversations, reflecting on how they do and might contribute to healthcare quality. We discuss both conversations that are deliberately organised and facilitated (‘orchestrated conversations’) and more informally occurring and routine conversations. In the first half of the paper, we draw on some examples of orchestrated and routine conversations to open up these issues. In the second half of the paper, we bring some more theoretical lenses to bear on both conversations and normative complexity, summarise what we take to be the value of conversations and draw together some of the implications of our discussion. In summary, we argue that conversations can play a crucial role in negotiating the normative complexity of healthcare quality improvement because of their capacity to hold together a plurality of perspectives, to contribute and respond to emergence and to help underpin institutional conditions for empathy and imagination.

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