Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Understanding organisational development, sustainability, and diffusion of innovations within hospitals participating in a multilevel quality collaborative | Duckers et al. Implementation Science 2011 6 18 http content 6 1 18 IMPLEMENTATION SCIENCE Implementation Science RESEARCH Open Access Understanding organisational development sustainability and diffusion of innovations within hospitals participating in a multilevel quality collaborative 12 13 14 Michel LA Duckers Cordula Wagner Leti Vos Peter P Groenewegen Abstract Background Between 2004 and 2008 24 Dutch hospitals participated in a two-year multilevel quality collaborative MQC comprised of a a leadership programme for hospital executives b six quality-improvement collaboratives QICs for healthcare professionals and other staff and c an internal programme organisation to help senior management monitor and coordinate team progress. The MQC aimed to stimulate the development of qualitymanagement systems and the spread of methods to improve patient safety and logistics. The objective of this study is to describe how the first group of eight MQC hospitals sustained and disseminated improvements made and the quality methods used. Methods The approach followed by the hospitals was described using interview and questionnaire data gathered from eight programme coordinators. Results MQC hospitals followed a systematic strategy of diffusion and sustainability. Hospital quality-management systems are further developed according to a model linking plan-do-study-act cycles at the unit and hospital level. The model involves quality norms based on realised successes performance agreements with unit heads organisational support monitoring and quarterly accountability reports. Conclusions It is concluded from this study that the MQC contributed to organisational development and dissemination within participating hospitals. Organisational learning effects were demonstrated. System changes affect the context factors in the theory of organisational readiness organisational culture policies and procedures past experience organisational resources and
