Online from: 1988
Subject Area: Health Care Management/Healthcare
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|Title:||Evolution and outcomes of a quality improvement program|
|Author(s):||Johan Thor, (The Medical Management Centre, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden), Bo Herrlin, (Karolinska University Hospital, Stockholm, Sweden), Karin Wittlöv, (Sundbyberg, Sweden), John Øvretveit, (The Medical Management Centre, Karolinska Institutet, Stockholm, Sweden), Mats Brommels, (The Medical Management Centre, Karolinska Institutet, Stockholm, Sweden)|
|Citation:||Johan Thor, Bo Herrlin, Karin Wittlöv, John Øvretveit, Mats Brommels, (2010) "Evolution and outcomes of a quality improvement program", International Journal of Health Care Quality Assurance, Vol. 23 Iss: 3, pp.312 - 327|
|Keywords:||Case studies, Health services, Leadership, Quality improvement, Sweden, Total quality management|
|Article type:||Research paper|
|DOI:||10.1108/09526861011029370 (Permanent URL)|
|Publisher:||Emerald Group Publishing Limited|
Purpose – The purpose of this paper is to examine the outcomes and evolution over a five-year period of a Swedish university hospital quality improvement program in light of enduring uncertainty regarding the effectiveness of such programs in healthcare and how best to evaluate it.
Design/methodology/approach – The paper takes the form of a case study, using data collected as part of the program, including quality indicators from clinical improvement projects and participants' program evaluations.
Findings – Overall, 58 percent of the program's projects (39/67) demonstrated success. A greater proportion of projects led by female doctors demonstrated success (91 percent,
Research limitations/implications – Quality measurement, which is important for conducting and evaluating improvement efforts, was weak with limited reliability. Nevertheless, the present study adds evidence about the effectiveness of healthcare improvement programs. Gender differences in improvement team leadership merit further study. Improvement program evaluation should assess the extent to which improvement methods are locally adapted and applied.
Originality/value – This case study reports the outcomes of all improvement projects undertaken in one healthcare organization over a five-year period and provides in-depth insight into an improvement program's changeable nature.
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