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Concurrent implementation of quality improvement programs. Coordination or conflict?
Karolinska Institutet, Medical Management Centre.ORCID iD: 0000-0003-2281-4622
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0003-3025-2690
2014 (English)In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, no 3, 190-208 p.Article in journal (Refereed) Published
Abstract [en]

Purpose

– 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.

Design/methodology/approach

– Multiple methods were applied including surveys, observations, interviews, process diaries, documents and organizational measurements. Respondents were unit managers, change facilitators and improvement team members.

Findings

– 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 initiatives, even in favourable circumstances.

Orginality/value

– This article addresses the lesser studied but common situation of coinciding and competing projects in organizations.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2014. Vol. 27, no 3, 190-208 p.
Keyword [en]
Quality improvement, Implementation strategies, Organizational learning, Change management, Hospital acquired infections
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-94713DOI: 10.1108/IJHCQA-08-2012-0085OAI: oai:DiVA.org:umu-94713DiVA: diva2:755773
Available from: 2014-10-15 Created: 2014-10-15 Last updated: 2017-12-05Bibliographically approved

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Nyström, MonicaWesterlund, AnnaWeinehall, Lars
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CiteExportLink to record
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