Concurrent implementation of quality improvement programs

International Journal of Health Care Quality Assurance
Monica Elisabeth NyströmLars Weinehall

Abstract

Competing activities and projects can interfere with implementing new knowledge and approaches. The purpose, therefore, was to investigate processes and impact related to implementing two concurrent quality initiatives in a Swedish hospital. These were a regionally initiated, system-wide organizational learning programme called the Dynamic and Viable Organization (DVO) and a national initiative on stopping healthcare-associated and hospital-acquired infections (SHAI). Both undertakings aspired to increase staff competence in systematic improvement approaches. Multiple methods were applied including surveys, observations, interviews, process diaries, documents and organizational measurements. Respondents were unit managers, change facilitators and improvement team members. Even though both initiatives shared the same improvement approach, there was no strong indication that they were strategically combined to benefit each other. The initiatives existed side by side with some coordination and some conflict. Despite absent management strategies to utilize the national SHAI initiative, positive developments in QI culture and communication were reported. The current study illustrates the inherent difficulties coordinating change ini...Continue Reading

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Citations

Mar 12, 2016·Journal of Health Organization and Management·Elisabet HöögMonica Elisabeth Nyström
Jan 9, 2018·Journal of Aging & Social Policy·Kali S ThomasSusan M Allen

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