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Translating research on quality improvement in five European countries into a reflective guide for hospital leaders: the ‘QUASER Hospital Guide’
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College London, London, UK.
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College London, London, UK.
Department of Human Resources and Organizational Behavior, ISCTE-IUL, Lisbon, Portugal.
Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Netherlands.
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2019 (English)In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: The aim was to translate the findings of the QUASER study into a reflective, dialogic guide to help senior hospital leaders develop an organization wide QI strategy.

Design: The QUASER study involved in depth ethnographic research into QI work and practices in two hospitals in each of five European countries. Three translational stakeholder workshops were held to review research findings and advise on the design of the Guide. An extended iterative process involving researchers from each participant country was then used to populate the Guide.

Setting: The research was carried out in two hospitals in each of five European countries.

Participants: In total, 389 interviews with healthcare practitioners and 803 hours of observations.

Intervention: None.

Main outcome measure: None.

Results: The QUASER Hospital Guide was designed for leadership teams to diagnose their organization’s strengths and weaknesses in the eight QI challenges. The Guide supports organizational dialogue about QI challenges, enables leaders to share perspectives, and helps teams to develop solutions to their situated problems. The Guide includes extensive examples of QI strategies drawn from the data and is published online and on paper.

Conclusion: The QUASER Hospital Guide is empirically based, draws on a dialogical approach to Organizational Development and complexity science and can facilitate hospital leadership teams to identify the best solutions for their organization.

Place, publisher, year, edition, pages
Oxford University Press, 2019.
Keywords [en]
: Quality improvement, hospital care, patient safety, quality improvement guide, translational research, leadership
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-46483DOI: 10.1093/intqhc/mzz055PubMedID: 31187862OAI: oai:DiVA.org:hj-46483DiVA, id: diva2:1357920
Note

The QUASER Team Group members: Charles Vincent, Kathryn Charles, Heide Poestges, Anna Renz, Susie Edwards, England; Hester van de Bovenkamp, Julia Quartz, Anne-Marie Weggelaar, the Netherlands; Pär Höglund, Tony Andersson, Johan Calltorp, Sweden; Sara Gomes, and Alexandra Fernandes, Portugal; Christian von Plessen, Norway.

Available from: 2019-10-04 Created: 2019-10-04 Last updated: 2019-10-04Bibliographically approved

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