ArticleBMJ quality & safety2019
Facilitators of interdepartmental quality improvement: a mixed-methods analysis of a collaborative to improve pediatric community-acquired pneumonia management.
Article in BMJ quality & safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Barriers, Facilitators, and Time Costs of Implementing a Pediatric Clinical Pathway Intervention.Hospital pediatrics · 2025Trial
- The latent system factors that influence antimicrobial use and governance in healthcare: a scoping review of high-income health systems.EClinicalMedicine · 2025Review
- The use of positive deviance approach to improve health service delivery and quality of care: a scoping review.BMC health services research · 2024Article
- Barriers and Facilitators of High-Efficiency Clinical Pathway Implementation in Community Hospitals.Hospital pediatrics · 2023Article
- Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.BMJ quality & safety · 2022Article
- ICD-11 Morbidity Pilot in Kuwait: Methodology and Lessons Learned for Future Implementation.International journal of environmental research and public health · 2022Article
- Pathways for Improving Inpatient Pediatric Asthma Care (PIPA): A Multicenter, National Study.Pediatrics · 2020Observational
- Radiologic Diagnosis and Hospitalization among Children with Severe Community Acquired Pneumonia: A Prospective Cohort Study.BioMed research international · 2019Article
- Behavioral and Psychological Aspects of the Physician Experience with Deimplementation.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundEmergency medicine and paediatric hospital medicine physicians each provide a portion of the initial clinical care for the majority of hospitalised children in the USA. While these disciplines share goals to increase quality of care, there are scant data describing their collaboration. Our national, multihospital learning collaborative, which aimed to increase narrow-spectrum antibiotic prescribing for paediatric community-acquired pneumonia, provided an opportunity to examine factors influencing the success of quality improvement efforts across these two clinical departments.
objectiveTo identify barriers to and facilitators of interdepartmental quality improvement implementation, with a particular focus on increasing narrow-spectrum antibiotic use in the emergency department and inpatient settings for children hospitalised with pneumonia.
methodsWe used a mixed-methods design, analysing interviews, written reports and quality measures. To describe hospital characteristics and quality measures, we calculated medians/IQRs for continuous variables, frequencies for categorical variables and Pearson correlation coefficients. We conducted in-depth, semistructured interviews by phone with collaborative site leaders; interviews were transcribed verbatim and, with progress reports, analysed using a general inductive approach.
results47 US-based hospitals were included in this analysis. Qualitative analysis of 35 interview transcripts and 142 written reports yielded eight inter-related domains that facilitated successful interdepartmental quality improvement: (1) hospital leadership and support, (2) quality improvement champions, (3) evidence supporting the intervention, (4) national health system influences, (5) collaborative culture, (6) departments' structure and resources, (7) quality improvement implementation strategies and (8) interdepartmental relationships.
conclusionsThe conceptual framework presented here may be used to identify hospitals' strengths and potential barriers to successful implementation of quality improvement efforts across clinical departments.
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