Weaver Sallie J, Lofthus Jennifer, Sawyer Melinda, Greer Lee, Opett Kristin, Reynolds Catherine, Wyskiel Rhonda, Peditto Stephanie, Pronovost Peter J
Department of Anesthesiology and Critical Care Medicine, and Carey Business School, The Johns Hopkins University, Baltimore, Ohio, USA.
Jt Comm J Qual Patient Saf. 2015 Apr;41(4):147-59. doi: 10.1016/s1553-7250(15)41020-7.
Collaborative improvement networks draw on the science of collaborative organizational learning and communities of practice to facilitate peer-to-peer learning, coaching, and local adaption. Although significant improvements in patient safety and quality have been achieved through collaborative methods, insight regarding how collaborative networks are used by members is needed. Improvement Strategy: The Comprehensive Unit-based Safety Program (CUSP) Learning Network is a multi-institutional collaborative network that is designed to facilitate peer-to-peer learning and coaching specifically related to CUSP. Member organizations implement all or part of the CUSP methodology to improve organizational safety culture, patient safety, and care quality. Qualitative case studies developed by participating members examine the impact of network participation across three levels of analysis (unit, hospital, health system). In addition, results of a satisfaction survey designed to evaluate member experiences were collected to inform network development.
Common themes across case studies suggest that members found value in collaborative learning and sharing strategies across organizational boundaries related to a specific improvement strategy.
The CUSP Learning Network is an example of network-based collaborative learning in action. Although this learning network focuses on a particular improvement methodology-CUSP-there is clear potential for member-driven learning networks to grow around other methods or topic areas. Such collaborative learning networks may offer a way to develop an infrastructure for longer-term support of improvement efforts and to more quickly diffuse creative sustainment strategies.
协作改进网络借鉴协作组织学习科学和实践社区，以促进 peer-to-peer 学习、指导及本地适应。虽然通过协作方法已在患者安全和质量方面取得显著改进，但仍需要了解成员如何使用协作网络。改进策略：基于单元的综合安全计划（CUSP）学习网络是一个多机构协作网络，旨在促进与 CUSP 具体相关的 peer-to-peer 学习和指导。成员组织实施全部或部分 CUSP 方法，以改善组织安全文化、患者安全和护理质量。参与成员开展的定性案例研究在三个分析层面（单元、医院、卫生系统）考察网络参与的影响。此外，收集旨在评估成员体验的满意度调查结果，为网络发展提供信息。
案例研究中的共同主题表明，成员们发现跨组织边界就特定改进策略进行协作学习和分享策略具有价值。
CUSP 学习网络是实际开展的基于网络的协作学习的一个范例。虽然这个学习网络专注于一种特定的改进方法——CUSP，但成员驱动的学习网络围绕其他方法或主题领域发展具有明显潜力。此类协作学习网络可能提供一种方式，来建立一个为改进工作提供长期支持的基础设施，并更快地传播创新性维持策略。
