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Characteristics of health care organizations associated with learning and development: lessons from a pilot study
Medical Management Centre, Department of Learning,Informatics, Management & Ethics, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0003-2281-4622
2009 (English)In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 18, no 4, 285-294 p.Article in journal (Refereed) Published
Abstract [en]

Characteristics of health care organizationsassociated with an ability to learn from experiencesand to develop and manage change were exploredin this study. Understanding of these characteristicsis necessary to identify factors influencing successin learning from the past and achieving futurehealth care quality objectives. A literature review ofthe quality improvement, strategic organizationaldevelopment and change management,organizational learning, and microsystems fieldsidentified 20 organizational characteristics, groupedunder (a) organizational systems, (b) key actors, and(c) change management processes. Qualitativemethods, using interviews, focus group reports, andarchival records, were applied to find associationsbetween identified characteristics and 6 Swedishhealth care units externally evaluated as deliveringhigh-quality care. Strong support for a characteristicwas defined as units having more than 4 sourcesdescribing the characteristic as an importantsuccess factor. Eighteen characteristics had strongsupport from at least 2 units. The strongest evidencewas found for the following: (i) key actors havelong-term commitment, provide support, and makesense of ambiguous situations; (ii) organizationalsystems encourage employee commitment,participation, and involvement; and (iii) changemanagement processes are employedsystematically. Based on the results, a new model of“characteristics associated with learning anddevelopment in health care organizations” isproposed.

Place, publisher, year, edition, pages
Lippincott: Williams & Williams , 2009. Vol. 18, no 4, 285-294 p.
Keyword [en]
change management, health care quality improvement, organizational development, organizational learning
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Research subject
URN: urn:nbn:se:umu:diva-43855OAI: diva2:416701
Available from: 2011-05-12 Created: 2011-05-12 Last updated: 2015-04-29Bibliographically approved

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Nyström, Monica
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