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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 universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.ORCID-id: 0000-0003-3025-2690
2014 (Engelska)Ingår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, nr 3, s. 190-208Artikel i tidskrift (Refereegranskat) 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.

Ort, förlag, år, upplaga, sidor
Emerald Group Publishing Limited, 2014. Vol. 27, nr 3, s. 190-208
Nyckelord [en]
Quality improvement, Implementation strategies, Organizational learning, Change management, Hospital acquired infections
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Identifikatorer
URN: urn:nbn:se:umu:diva-94713DOI: 10.1108/IJHCQA-08-2012-0085OAI: oai:DiVA.org:umu-94713DiVA, id: diva2:755773
Tillgänglig från: 2014-10-15 Skapad: 2014-10-15 Senast uppdaterad: 2018-06-07Bibliografiskt granskad

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Nyström, MonicaWesterlund, AnnaWeinehall, Lars

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Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

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