The CLABs Collaborative: A Regionwide Effort to Improve the Quality of Care in Hospitals

How does context affect interventions to improve patient safety? An assessment of evidence from studies of five patient safety practices and proposals for research

“…Some made brief notes about type of hospital, or analysed and described context qualitatively. Koll (2008) conducted an interventions survey of hospitals participating in a collaborative based on a ‘bundle intervention.’13 The study describes some context factors in those hospitals which performed highly in the collaborative, including leadership involvement, teamwork (nursing staff empowerment and interdisciplinary rounds) and training resources (educational programmes). The study does not describe how an assessment was made to know these context factors were influential.…”

“…Involvement of hospital leadership, project leadership, quality improvement experience, education, and motivation13…”

Central Line-associated Bloodstream Infections: A Critical Look at the Role and Research of Quality Improvement Interventions and Strategies

“…In a quality improvement study, 70% of surveyed hospitals reported having a procedure for conducting root cause analysis [23]. Another used corporate process-improvement Six Sigma methods to minimize variability or defects in their catheter-related BSI prevention procedures.…”

“…Three studies implemented their quality improvement strategies using a plando-study-act (PDSA) model for improvement [23,29,30]. The PDSA cycle is a four-step plan, which consists of planning processes, implementing them, studying the results, and subsequently analyzing the processes to correct for gaps between actual and planned results.…”

Improving Care and Service Coordination for Vulnerable Populations Through Collaboratives: One Funder’s Approach, Impact, and Implications for the Field

“…Other studies demonstrate the impact of collaboratives in a range of health care topics and settings (IHI, July 2011;Pronovost, Berenholtz, & Needham, 2008;Koll et al, 2008;Gould et al, 2007;Halpin et al, 2012).…”