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Multicenter Study
. 2017 Feb;37(2):150-156.
doi: 10.1038/jp.2016.199. Epub 2016 Nov 17.

Contextual factors influencing the implementation of the obstetrics hemorrhage initiative in Florida

C A Vamos  1 , E L Thompson  1 , A Cantor  1 , L Detman  2   3 , E Bronson  3 , A Phelps  3 , J M Louis  4 , A R Gregg  5 , J S Curran  6 , W Sappenfield  1
Affiliations
Multicenter Study

Contextual factors influencing the implementation of the obstetrics hemorrhage initiative in Florida

C A Vamos et al. J Perinatol. 2017 Feb.

Abstract

Objective: The purpose of this study was to explore the multilevel contextual factors that influenced the implementation of the Obstetric Hemorrhage Initiative (OHI) among hospitals in Florida.

Study design: A qualitative evaluation was conducted via in-depth interviews with multidisciplinary hospital staff (n=50) across 12 hospitals. Interviews were guided by the Consolidated Framework for Implementation Research and analyzed in Atlas.ti using rigorous qualitative analysis procedures.

Result: Factors influencing OHI implementation were present across process (leadership engagement; engaging people; planning; reflecting), inner setting (for example, knowledge/beliefs; resources; communication; culture) and outer setting (for example, cosmopolitanism) levels. Moreover, factors interacted across levels and were not mutually exclusive. Leadership and staff buy-in emerged as important components influencing OHI implementation across disciplines.

Conclusion: Key contextual factors found to influence OHI implementation experiences can be useful in informing future quality improvement interventions given the institutional and provider-level behavioral changes needed to account for evolving the best practices in perinatology.

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References

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