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Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs

INTRODUCTION: The dissemination of quality improvement (QI) interventions to a broader range of healthcare settings requires a proactive assessment of local work systems and processes. The objective of this study was to examine the feasibility of using a survey-based work system assessment (WSA) too...

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Autores principales: Xie, Anping, Koontz, Danielle W., Voskertchian, Annie, Fackler, James C., Milstone, Aaron M., Woods-Hill, Charlotte Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190253/
https://www.ncbi.nlm.nih.gov/pubmed/32426645
http://dx.doi.org/10.1097/pq9.0000000000000288
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author Xie, Anping
Koontz, Danielle W.
Voskertchian, Annie
Fackler, James C.
Milstone, Aaron M.
Woods-Hill, Charlotte Z.
author_facet Xie, Anping
Koontz, Danielle W.
Voskertchian, Annie
Fackler, James C.
Milstone, Aaron M.
Woods-Hill, Charlotte Z.
author_sort Xie, Anping
collection PubMed
description INTRODUCTION: The dissemination of quality improvement (QI) interventions to a broader range of healthcare settings requires a proactive assessment of local work systems and processes. The objective of this study was to examine the feasibility of using a survey-based work system assessment (WSA) tool to facilitate the dissemination of a program for optimizing blood culture (BC) use. METHODS: Informed by findings from an onsite, interview-based WSA at 2 hospitals, a 50-item WSA survey was devised and administrated to 15 hospitals participating in a QI collaborative. WSA survey data were summarized, shared, and discussed with individual hospitals to inform the adaptation and implementation of the BC program. Physician champions leading the local QI team assessed the use of the WSA survey by completing an 8-item survey. RESULTS: A total of 347 clinicians completed the WSA survey, and physician champions at 12 hospitals evaluated the use of the WSA survey. Both the WSA survey data and the evaluation of the WSA survey showed that the survey-based WSA tool could help participating hospitals understand their current BC ordering practices and identify potential barriers to implementing the program from the perspectives of different clinicians. CONCLUSIONS: We demonstrated how a survey-based tool could be used to facilitate WSA in the dissemination of a program for improving BC use to a multisite collaborative. A survey-based WSA tool can be used to facilitate future large-scale intervention dissemination efforts.
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spelling pubmed-71902532020-05-18 Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs Xie, Anping Koontz, Danielle W. Voskertchian, Annie Fackler, James C. Milstone, Aaron M. Woods-Hill, Charlotte Z. Pediatr Qual Saf QI Methodology INTRODUCTION: The dissemination of quality improvement (QI) interventions to a broader range of healthcare settings requires a proactive assessment of local work systems and processes. The objective of this study was to examine the feasibility of using a survey-based work system assessment (WSA) tool to facilitate the dissemination of a program for optimizing blood culture (BC) use. METHODS: Informed by findings from an onsite, interview-based WSA at 2 hospitals, a 50-item WSA survey was devised and administrated to 15 hospitals participating in a QI collaborative. WSA survey data were summarized, shared, and discussed with individual hospitals to inform the adaptation and implementation of the BC program. Physician champions leading the local QI team assessed the use of the WSA survey by completing an 8-item survey. RESULTS: A total of 347 clinicians completed the WSA survey, and physician champions at 12 hospitals evaluated the use of the WSA survey. Both the WSA survey data and the evaluation of the WSA survey showed that the survey-based WSA tool could help participating hospitals understand their current BC ordering practices and identify potential barriers to implementing the program from the perspectives of different clinicians. CONCLUSIONS: We demonstrated how a survey-based tool could be used to facilitate WSA in the dissemination of a program for improving BC use to a multisite collaborative. A survey-based WSA tool can be used to facilitate future large-scale intervention dissemination efforts. Wolters Kluwer Health 2020-04-09 /pmc/articles/PMC7190253/ /pubmed/32426645 http://dx.doi.org/10.1097/pq9.0000000000000288 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle QI Methodology
Xie, Anping
Koontz, Danielle W.
Voskertchian, Annie
Fackler, James C.
Milstone, Aaron M.
Woods-Hill, Charlotte Z.
Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs
title Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs
title_full Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs
title_fullStr Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs
title_full_unstemmed Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs
title_short Survey-based Work System Assessment to Facilitate Large-scale Dissemination of Healthcare Quality Improvement Programs
title_sort survey-based work system assessment to facilitate large-scale dissemination of healthcare quality improvement programs
topic QI Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190253/
https://www.ncbi.nlm.nih.gov/pubmed/32426645
http://dx.doi.org/10.1097/pq9.0000000000000288
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