ArticleImplementation science : IS2011
Understanding organisational development, sustainability, and diffusion of innovations within hospitals participating in a multilevel quality collaborative.
Article in Implementation science : IS, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- How and under what circumstances do quality improvement collaboratives lead to better outcomes? A systematic review.Implementation science : IS · 2020Pooled it
- Identifying relevant concepts and factors for the sustainability of evidence-based practices within acute care contexts: a systematic review and theory analysis of selected sustainability frameworks.Implementation science : IS · 2019Pooled it
- Evaluation of four learning collaboratives for improving diagnostic excellence in radiology.Learning health systems · 2025Article
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- Scaling up tobacco cessation within TB programmes: findings from a multi-country, mixed-methods implementation study.Health research policy and systems · 2022Article
- Sustaining a nursing best practice guideline in an acute care setting over 10 years: A mixed methods case study.Frontiers in health services · 2022Article
- The influence of contextual factors on healthcare quality improvement initiatives: a realist review.Systematic reviews · 2020Review
- Sustainment, Sustainability, and Spread Study (SSaSSy): protocol for a study of factors that contribute to the sustainment, sustainability, and spread of practice changes introduced through an evidence-based quality-improvement intervention in Canadian nursing homes.Implementation science : IS · 2019Article
- Transferring skills in quality collaboratives focused on improving patient logistics.BMC health services research · 2018Article
- How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study.BMJ quality & safety · 2018Article
- Sustainability of a proactive geriatric trauma consultation service.Canadian journal of surgery. Journal canadien de chirurgie · 2017Article
- An organizational perspective on the long-term sustainability of a nursing best practice guidelines program: a case study.BMC health services research · 2015Article
- A qualitative analysis of hospital leaders' opinions about publicly reported measures of health care quality.Joint Commission journal on quality and patient safety · 2015Article
- Quality improvement collaboratives and the wisdom of crowds: spread explained by perceived success at group level.Implementation science : IS · 2014Article
- Primary care staff perspectives on a virtual learning collaborative to support medical home implementation.Journal of general internal medicine · 2014Article
- Development and validation of an index to assess hospital quality management systems.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2014Article
- The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change.Implementation science : IS · 2013Article
- Sustainability of healthcare innovations (SUSHI): long term effects of two implemented surgical care programmes (protocol).BMC health services research · 2012Article
- The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research.Implementation science : IS · 2012Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBetween 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 quality-management 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.
methodsThe approach followed by the hospitals was described using interview and questionnaire data gathered from eight programme coordinators.
resultsMQC 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.
conclusionsIt 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 organisational structure. Programme coordinator responses indicate that these factors are utilised to manage spread and sustainability. Further research is needed to assess long-term effects.
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