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báo cáo khoa học: " Validity and usefulness of members reports of implementation progress in a quality improvement initiative: findings from the Team Check-up Tool (TCT)"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Validity and usefulness of members reports of implementation progress in a quality improvement initiative: findings from the Team Check-up Tool (TCT) | Chan et al. Implementation Science 2011 6 115 http www.implementationscience.eom content 6 1 115 Implementation Science IMPLEMENTATION SCIENCE RESEARCH Open Access Validity and usefulness of members reports of implementation progress in a quality improvement initiative findings from the Team Check-up Tool TCT Kitty S Chan1 Yea-Jen Hsu1 Lisa H Lubomski2 and Jill A Marsteller1 2 Abstract Background Team-based interventions are effective for improving safety and quality of healthcare. However contextual factors such as team functioning leadership and organizational support can vary significantly across teams and affect the level of implementation success. Yet the science for measuring context is immature. The goal of this study is to validate measures from a short instrument tailored to track dynamic context and progress for a team-based quality improvement QI intervention. Methods Design Secondary cross-sectional and longitudinal analysis of data from a clustered randomized controlled trial RCT of a team-based quality improvement intervention to reduce central line-associated bloodstream infection CLABSI rates in intensive care units ICUs . Setting Forty-six ICUs located within 35 faith-based not-for-profit community hospitals across 12 states in the U.S. Population Team members participating in an ICU-based QI intervention. Measures The primary measure is the Team Check-up Tool TCT an original instrument that assesses context and progress of a team-based QI intervention. The TCT is administered monthly. Validation measures include CLABSI rate Team Functioning Survey TFS and Practice Environment Scale PES from the Nursing Work Index. Analysis Temporal stability responsiveness and validity of the TCT. Results We found evidence supporting the temporal stability construct validity and responsiveness of TCT measures of intervention activities perceived group-level behaviors and barriers to team progress. Conclusions The TCT demonstrates good measurement reliability .