The Growth of Partnerships to Support Patient Safety Practice Adoption

Mendel, Peter; Damberg, Cheryl L.; Sorbero, Melony E.; Varda, Danielle M.; Farley, Donna O.

doi:10.1111/j.1475-6773.2008.00932.x

Cited by 16 publications

(24 citation statements)

References 35 publications

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“…In essence, they can facilitate communication and trust 27. However, the centrality of key players holding a network together can also be a vulnerability of such networks if they are relied on excessively and then leave, change roles or become marginalised 32 34…”

Section: Discussionmentioning

confidence: 99%

Health professional networks as a vector for improving healthcare quality and safety: a systematic review

et al. 2011

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BackgroundWhile there is a considerable corpus of theoretical and empirical literature on networks within and outside of the health sector, multiple research questions are yet to be answered.ObjectiveTo conduct a systematic review of studies of professionals' network structures, identifying factors associated with network effectiveness and sustainability, particularly in relation to quality of care and patient safety.MethodsThe authors searched MEDLINE, CINAHL, EMBASE, Web of Science and Business Source Premier from January 1995 to December 2009.ResultsA majority of the 26 unique studies identified used social network analysis to examine structural relationships in networks: structural relationships within and between networks, health professionals and their social context, health collaboratives and partnerships, and knowledge sharing networks. Key aspects of networks explored were administrative and clinical exchanges, network performance, integration, stability and influences on the quality of healthcare. More recent studies show that cohesive and collaborative health professional networks can facilitate the coordination of care and contribute to improving quality and safety of care. Structural network vulnerabilities include cliques, professional and gender homophily, and over-reliance on central agencies or individuals.ConclusionsEffective professional networks employ natural structural network features (eg, bridges, brokers, density, centrality, degrees of separation, social capital, trust) in producing collaboratively oriented healthcare. This requires efficient transmission of information and social and professional interaction within and across networks. For those using networks to improve care, recurring success factors are understanding your network's characteristics, attending to its functioning and investing time in facilitating its improvement. Despite this, there is no guarantee that time spent on networks will necessarily improve patient care.

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Section: Discussionmentioning

confidence: 99%

Health professional networks as a vector for improving healthcare quality and safety: a systematic review

et al. 2011

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“… Assessment of Contributions to Patient Safety Knowledge by the AHRQ‐Funded Patient Safety Projects (Sorbero et al) (knowledge of epidemiology, safe practice development). Experiences of AHRQ‐Funded Projects That Implemented Safe Practices (Taylor et al) (safe practice development). Adopting Information Technology to Drive Improvements in Patient Safety: Lessons from the AHRQ Health IT Grantees (Damberg et al.) (safe practice development). Training a Patient Safety Work Force: The Patient Safety Improvement Corps (Teleki et al) (building infrastructure). The Growth of National Partnerships to Support Patient Safety Practice Adoption (Mendel et al) (building infrastructure). …”

Section: Evaluation Results Covered In This Issuementioning

confidence: 99%

“…The Growth of National Partnerships to Support Patient Safety Practice Adoption (Mendel et al) (building infrastructure).…”

Section: Evaluation Results Covered In This Issuementioning

confidence: 99%

Evaluation of the AHRQ Patient Safety Initiative: Framework and Approach

Farley

Battles

2009

Health Services Research

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Objective. Describe the evaluation performed of the patient safety initiative operated by the Agency for Healthcare Research and Quality (AHRQ). AHRQ Patient Safety Initiative. When patient safety became a national priority in 2000, Congress charged and funded AHRQ to improve health care safety. Over the next 6 years, AHRQ funded more than 300 research projects and other activities, addressing diverse patient safety issues and practices. The Patient Safety Evaluation. AHRQ contracted with RAND in 2002 to perform a 4-year evaluation of the initiative, which was completed in 2006. This formative evaluation used the CIPP program evaluation model, which emphasizes multiple stakeholders' interests (e.g., patients, providers, funded researchers). We monitored the progress of the patient safety initiative and provided AHRQ annual feedback that assessed each year's activities, identifying issues and offering suggestions for actions by AHRQ. Given the size and complexity of the initiative, the evaluation needed to examine key individual components and synthesize results across them, and it also had to be responsive to changes in the initiative over time. We used a conceptual framework to bring together the disparate pieces to synthesize overall findings. The remaining articles in this issue describe selected results from this evaluation.Key Words. Program evaluation, evaluation design and research, quality carepatient safety (measurement) In January 2000, the Institute of Medicine (IOM) published the report To Err Is Human: Building a Safer Health System, which stimulated national efforts to improve the safety of the U.S. health care system (IOM 2000). In FY 2001, the U.S. Congress identified patient safety as a national priority and appropriated an initial $50 million for the Agency for Healthcare Research and Quality (AHRQ) to support a patient safety initiative. AHRQ subsequently funded a range of activities, including research and demonstration projects to develop new knowledge and tools on patient safety epidemiology and practices, as well as dissemination activities to encourage adoption of effective practices by health care providers. AHRQ also funded a Patient Safety Evaluation Center The purpose of this supplemental issue is to discuss some key findings from the patient safety evaluation and to illustrate what was involved in performing a comprehensive program evaluation for a large, complex initiative that is evolving and maturing over time. One of the most comprehensive evaluations commissioned by an agency, AHRQ pursued the evaluation to provide feedback that AHRQ could use to strengthen the patient safety initiative over time. In this introductory paper, we describe the AHRQ patient safety initiative and discuss the framework and approach used to evaluate it. We then highlight some of the evaluation findings regarding the context and strategy of the initiative, and we introduce the subsequent papers presented in this issue, each of which addresses an assessment of a specific activity undertaken within the...

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“…Eewer studies have examined networks longitudinally. Mendel et al (2009) report increased productivity in a patient safety network over a two year period but warned that increasing network centralization was a threat to network stability, Lewis, Baeza, & Alexander (2008) measured network dynamics in two government led primary care partnerships at three yearly intervals. They describe increasing network density and fluctuating levels of centrality.…”

Section: Introductionmentioning

confidence: 98%

Social network analysis as a metric for the development of an interdisciplinary, inter-organizational research team

Ryan¹,

Émond²,

Lamontagne³

2013

Journal of Interprofessional Care

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The development of an interdisciplinary and inter-organizational research team among eight of Canada's leading emergency, geriatric medicine and rehabilitation researchers affiliated with six academic centers has provided an opportunity to study the development of a distributed team of interdisciplinary researchers using the methods of social network theory and analysis and to consider whether these methods are useful tools in the science of team science. Using traditional network analytic methods, the team of investigators were asked to rate their relationships with one another retrospectively at one year prior to the team's first meeting and contemporaneously at two subsequent yearly intervals. Using network analytic statistics and visualizations the data collected finds an increase in network density and reciprocity of relationships together with more distributed centrality consistent with the findings of other researchers. These network development characteristics suggest that the distributed research team is developing as it should and supports the assertion that network analysis is a useful science of team science research tool.

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The Growth of Partnerships to Support Patient Safety Practice Adoption

Cited by 16 publications

References 35 publications

Health professional networks as a vector for improving healthcare quality and safety: a systematic review

Health professional networks as a vector for improving healthcare quality and safety: a systematic review

Evaluation of the AHRQ Patient Safety Initiative: Framework and Approach

Social network analysis as a metric for the development of an interdisciplinary, inter-organizational research team

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