Journal article
Impacts of organizational context on quality improvement
American journal of medical quality, Vol.28(3), pp.196-205
05/2013
DOI: 10.1177/1062860612456730
PMID: 22942122
Abstract
Variation in how hospitals perform on similar quality improvement (QI) efforts argues for a need to understand how different organizational characteristics affect QI performance. The objective of this study was to use data-mining methods to evaluate relationships between measures of organizational characteristics and hospital QI performance. Organizational characteristics were extracted from 2 surveys and analyzed in 3 separate decision-tree models. The decision trees did not find any predictive associations in this sample of 100 hospitals participating in a national QI collaborative. Further model review identified that measures of QI Experience were associated with an ability to make improvements, whereas measures of Staffing and Culture were associated with an ability to sustain improvements. A key area for future research is to understand the challenges faced as QI teams transition from improving care to sustaining quality and to ascertain what organizational characteristics can best overcome those challenges.
Details
- Title: Subtitle
- Impacts of organizational context on quality improvement
- Creators
- Justin M Glasgow - Iowa City VA Healthcare System, Iowa City, IA 52246-2208, USA. justin.glasgow@va.govElizabeth M YanoPeter J Kaboli
- Resource Type
- Journal article
- Publication Details
- American journal of medical quality, Vol.28(3), pp.196-205
- DOI
- 10.1177/1062860612456730
- PMID
- 22942122
- ISSN
- 1062-8606
- eISSN
- 1555-824X
- Grant note
- T32 GM007337 / NIGMS NIH HHS 5TL1 RR024981-03 / NCRR NIH HHS
- Language
- English
- Date published
- 05/2013
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9984094357002771
Metrics
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