Nursing Quality and Research (Ms Wolak and Dr Hedges) and Inpatient Surgery (Ms Overman), University of North Carolina Hospitals, Chapel Hill; and Operational Efficiency (Ms Willis) and Carolina Value and Operational Efficiency (Mr Spivak), University of North Carolina Health Care, Chapel Hill.
J Nurs Care Qual. 2020 Jul/Sep;35(3):199-205. doi: 10.1097/NCQ.0000000000000438.
Many organizations struggle to efficiently and effectively spread improvement activities. This article presents findings from a model developed to standardize the sharing of innovative ideas within nursing at an academic medical center.
Quality improvement activities were occurring in many nursing units but often did not spread beyond the originating unit. Challenges included variability in operationalizing initiatives, inconsistent understanding of project goals, and the lack of a dissemination process.
The Spread of Innovations Model was developed to ensure structure and resources are in place to spread successful initiatives. The model uses Lean problem-solving and engages frontline nurses with senior leadership when spreading internally developed best practices.
The model was piloted by spreading a catheter-associated urinary tract infection (CAUTI) prevention project throughout nursing. Using the model led to significantly decreased CAUTIs.
Improvement efforts without a process for spreading can lead to inefficiencies and variable outcomes.
许多组织在有效地传播改进活动方面存在困难。本文介绍了一种在学术医疗中心内为护理专业标准化分享创新理念而开发的模型的研究结果。
许多护理单元都在开展质量改进活动，但这些活动往往无法在原单元以外的地方传播。挑战包括在实施计划方面的可变性、对项目目标理解的不一致性，以及缺乏传播过程。
传播创新模型旨在确保有结构和资源来传播成功的举措。该模型采用精益问题解决方法，并在内部传播最佳实践时让一线护士与高级领导层参与进来。
该模型通过在整个护理部门推广导管相关尿路感染（CAUTI）预防项目进行了试点。使用该模型显著降低了 CAUTI 的发生率。
没有传播过程的改进工作可能导致效率低下和结果不一致。
