Behaviors of successful interdisciplinary hospital quality improvement teams.
Background: Although interdisciplinary hospital quality improvement (QI) teams are both prevalent and associated with success of (QI) efforts, little is known about the behaviors of successful interdisciplinary QI teams.Objective: We examined the specific behaviors of interdisciplinary QI teams in h...
| Publicado en: | Journal of Hospital Medicine Vol. 6; no. 9; pp. 501 - 507 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104608285&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104608285 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15535592 6BER jtl: Journal of Hospital Medicine issn: 15535592 maglogo: Y pubinfo: dt: Nov2011 vid: 6 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 104608285 NLM22042750 2011391913 10.1002/jhm.927 NLM22042750 PMC4437800 104608285 ppf: 501 ppct: 6 formats: tig: atl: Behaviors of successful interdisciplinary hospital quality improvement teams. aug: au: Santana C Curry LA Nembhard IM Berg DN Bradley EH Santana, Calie Curry, Leslie A Nembhard, Ingrid M Berg, David N Bradley, Elizabeth H affil: Department of Medicine, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, USA sug: subj: Community-Institutional Relations Organizational Efficiency Standards Health Services Accessibility Statistics and Numerical Data Hospitals Standards Multidisciplinary Care Team Administration Quality of Health Care Standards Angioplasty, Transluminal, Percutaneous Coronary Productivity Goals and Objectives Human Learning Myocardial Infarction Therapy Professional Role Qualitative Studies Audiorecording United States ab: Background: Although interdisciplinary hospital quality improvement (QI) teams are both prevalent and associated with success of (QI) efforts, little is known about the behaviors of successful interdisciplinary QI teams.Objective: We examined the specific behaviors of interdisciplinary QI teams in hospitals that successfully redesigned care for patients with ST-elevation myocardial infarction (STEMI) and reduced door-to-balloon times.Design: Qualitative study.Participants: Researchers interviewed 122 administrators, providers, and staff in 11 hospitals with substantial improvements in door-to-balloon times.Measurements: Using data from the in-depth qualitative interviews, the authors identified themes that described the behaviors of interdisciplinary QI teams in successful hospitals.Results: Teams focused on 5 behaviors: (1) motivating involved hospital staff toward a shared goal, (2) creating opportunities for learning and problem-solving, (3) addressing the impact of changes to care processes on staff, (4) protecting the integrity of the new care processes, and (5) representing each involved clinical discipline effectively.Conclusions: The behaviors observed may enhance a QI team's ability to motivate the various disciplines involved, understand the care process they must change, be responsive to front-line concerns while maintaining control over the improvement process, and share information across all levels of the hospital hierarchy. Teams in successful hospitals did not avoid interdisciplinary conflict, but rather allowed each discipline to contribute to the team from its own perspective. Successful QI teams addressed the concerns of each involved discipline, modified protocols guided by clinical outcomes, and became conduits of information on changes to care processes to both executive managers and front-line staff. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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