Abdallah Abdallah
Talal Abu-Ghazaleh Graduate School of Business, German Jordanian University, Amman, Jordan.
Int J Health Care Qual Assur. 2014;27(3):166-81. doi: 10.1108/IJHCQA-05-2012-0047.
Various quality initiatives seem to have successful implementation in some healthcare organizations yet fail in others. This paper sets out to study the literature trying to understand drivers and challenges facing quality initiatives implementation in healthcare organizations then compare findings from literature with those of a structured questionnaire answered by 60 representatives from 18 hospitals. Finally it proposes a framework that mitigates challenges and utilizes drivers to ensure best implementation results.
DESIGN/METHODOLOGY/APPROACH: Literature regarding implementing various quality initiatives in the healthcare sector was reviewed. Representatives from several healthcare organizations were surveyed. Results from both approaches are compared to highlight the key challenges and drivers facing implementers.
This research reveals that internal factors related to leadership and employees greatly affect quality initiative success or failure. Design and relevance play a major role in successful implementation. PRACTICAL IMPLICATIONs: This research offers healthcare professionals greater success when implementing certain quality initiatives by taking success/failure factors into consideration. A general framework for successful implementation in the healthcare sector is provided.
ORIGINALITY/VALUE: This article uncovers reasons behind success or failure in a comprehensive and practical way. It also explores how most popular quality initiatives are applied in hospitals.
各种质量改进举措在一些医疗保健组织中似乎得到了成功实施，但在其他组织中却遭遇失败。本文旨在研究相关文献，试图了解医疗保健组织在实施质量改进举措时面临的驱动因素和挑战，然后将文献研究结果与来自18家医院的60名代表所回答的结构化问卷结果进行比较。最后，本文提出一个框架，以减轻挑战并利用驱动因素来确保最佳的实施效果。
设计/方法/途径：对医疗保健领域实施各种质量改进举措的相关文献进行了综述。对多个医疗保健组织的代表进行了调查。将两种方法的结果进行比较，以突出实施者面临的关键挑战和驱动因素。
本研究表明，与领导能力和员工相关的内部因素对质量改进举措的成败有很大影响。设计和相关性在成功实施中起着重要作用。
本研究为医疗保健专业人员在实施某些质量改进举措时考虑成败因素提供了更大的成功机会。提供了医疗保健领域成功实施的总体框架。
原创性/价值：本文以全面且实际的方式揭示了成败背后的原因。它还探讨了最流行的质量改进举措在医院中的应用情况。
