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- Title
Deliberation Makes a Difference: Preparation Strategies for TeamSTEPPS Implementation in Small and Rural Hospitals.
- Authors
Zhu, Xi; Baloh, Jure; Ward, Marcia M.; Stewart, Greg L.
- Abstract
Small and rural hospitals face special challenges to implement and sustain organization-wide quality improvement (QI) initiatives due to limited resources and infrastructures. We studied the implementation of TeamSTEPPS, a national QI initiative, in 14 critical access hospitals. Drawing on QI and organization development theories, we propose five strategic preparation steps for TeamSTEPPS: assess needs, reflect on the context, set goals, develop a shared understanding, and select change agents. We explore how hospitals' practices correspond to suggested best practices by analyzing qualitative data collected through quarterly interviews with key informants. We find that the level of deliberation was a key factor that differentiated hospitals' practices. Hospitals that were more deliberate in preparing for the five strategic steps were more likely to experience engagement, perceive efficacy, foresee and manage barriers, and achieve progress during implementation. We discuss potential steps that hospitals may take to better prepare for TeamSTEPPS implementation.
- Subjects
UNITED States; RURAL hospitals; ORGANIZATIONAL change; INFRASTRUCTURE (Economics); MEDICAL care; HOSPITAL research; HEALTH facility administration; HEALTH services administrators; INTERVIEWING; MEDICAL protocols; NEEDS assessment; QUALITY assurance; RESEARCH funding; HUMAN services programs
- Publication
Medical Care Research & Review, 2016, Vol 73, Issue 3, p283
- ISSN
1077-5587
- Publication type
journal article
- DOI
10.1177/1077558715607349