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. 2020 Jul/Sep;35(3):199-205.
doi: 10.1097/NCQ.0000000000000438.

Maximizing the Benefit of Quality Improvement Activities: A Spread of Innovations Model

Erica Wolak  1 , Angela Overman, Beth Willis, Christine Hedges, Glen F Spivak
Affiliations

Maximizing the Benefit of Quality Improvement Activities: A Spread of Innovations Model

Erica Wolak et al. J Nurs Care Qual. 2020 Jul/Sep.

Abstract

Background: 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.

Problem: 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.

Approach: 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.

Outcomes: 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.

Conclusions: Improvement efforts without a process for spreading can lead to inefficiencies and variable outcomes.

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References

    1. Westerlund A, Garvare R, Hoog E, Nystrom M. Facilitating system-wide organizational change in health care. Int J Qual Serv Sci. 2015;7(1):72–89.
    1. Berwick DM. Disseminating innovations in health care. JAMA. 2003;289(15):1969–1975.
    1. Ploeg J, Markle-Reid M, Davies B, et al. Spreading and sustaining best practices for home care of older adults; a grounded theory study. Implement Sci. 2014;9(1):162. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-.... Accessed March 10, 2015.
    1. Mittman B. Factors that influence the scale up and spread of innovations. AHRQ Health Care Innovations Exchange. https://innovations.ahrq.gov/perspectives/factors-influence-scale-and-sp.... Published January 29, 2014. Accessed March 1, 2015.
    1. Rutherford P, Lee B, Greiner A. Transforming care at the bedside. IHI Innovation Series white paper. Boston, MA: Institute for Healthcare Improvement; 2004. http://www.ihi.org/resources/Pages/IHIWhitePapers/TransformingCareattheB.... Accessed March 1, 2015.

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