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Translating research on quality improvement in five European countries into a reflective guide for hospital leaders: the 'QUASER Hospital Guide'

Anderson, J. E. ORCID: 0000-0002-1452-8370, Robert, G., Nunes, F. G., Bal, R., Burnett, S., Karltun, A., Sanne, J. M., Aase, K., Wiig, S., Fulop, N. J. and Team, Quaser (2019). Translating research on quality improvement in five European countries into a reflective guide for hospital leaders: the 'QUASER Hospital Guide'. International Journal for Quality in Health Care, 31(8), G87-G96. doi: 10.1093/intqhc/mzz055

Abstract

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.

Conclusions
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.

Publication Type: Article
Additional Information: © The Author(s) 2019. Published by Oxford University Press in association with the International Society for Quality in Health Care. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
Publisher Keywords: Quality improvement, hospital care, patient safety, quality improvement guide, translational research, leadership
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Departments: School of Health Sciences > Nursing
Date Deposited: 18 Sep 2020 09:32
URI: https://openaccess.city.ac.uk/id/eprint/24934
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