Changing hospital organisational culture for improved patient outcomes: developing and implementing the leadership saves lives intervention.

BMJ Quality & Safety
Erika L LinnanderLeslie A Curry

Abstract

Leadership Saves Lives (LSL) was a prospective, mixed methods intervention to promote positive change in organisational culture across 10 diverse hospitals in the USA and reduce mortality for patients with acute myocardial infarction (AMI). Despite the potential impact of complex interventions such as LSL, descriptions in the peer-reviewed literature often lack the detail required to allow adoption and adaptation of interventions or synthesis of evidence across studies. Accordingly, here we present the underlying design principles, overall approach to intervention design and core content of the intervention. Hospitals were selected for participation from the membership of the Mayo Clinic Care Network using random sampling with a purposeful component. The intervention was designed based on the Assess, Innovate, Develop, Engage, Devolve model for diffusion of innovation, with attention to pressure testing of the intervention with user groups, creation of a think tank to develop a comprehensive assessment of the landscape, and early and continued engagement with strategically identified stakeholders in multiple arenas. We provide in-depth descriptions of the design and delivery of the three intervention components (three annual me...Continue Reading

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Sep 24, 2021·Applied Clinical Informatics·Liza Prudente Moorman

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