| 1. |
- Anderson, Janet E., et al.
(författare)
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Translating research on quality improvement in five European countries into a reflective guide for hospital leaders : the ‘QUASER Hospital Guide’
- 2019
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Ingår i: International Journal for Quality in Health Care. - : Oxford University Press. - 1353-4505 .- 1464-3677. ; 31:8, s. G87-G96
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim was to translate the findings of the QUASER study into a reflective, dialogic guide to help senior hospital leaders develop an organization wide QI strategy.Design: The QUASER study involved in depth ethnographic research into QI work and practices in two hospitals in each of five European countries. Three translational stakeholder workshops were held to review research findings and advise on the design of the Guide. An extended iterative process involving researchers from each participant country was then used to populate the Guide.Setting: The research was carried out in two hospitals in each of five European countries.Participants: In total, 389 interviews with healthcare practitioners and 803 hours of observations.Intervention: None.Main outcome measure: None.Results: The QUASER Hospital Guide was designed for leadership teams to diagnose their organization’s strengths and weaknesses in the eight QI challenges. The Guide supports organizational dialogue about QI challenges, enables leaders to share perspectives, and helps teams to develop solutions to their situated problems. The Guide includes extensive examples of QI strategies drawn from the data and is published online and on paper.Conclusion: The QUASER Hospital Guide is empirically based, draws on a dialogical approach to Organizational Development and complexity science and can facilitate hospital leadership teams to identify the best solutions for their organization.
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| 2. |
- Karltun, Anette, 1956-, et al.
(författare)
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Knowledge management infrastructure to support quality improvement : A qualitative study of maternity services in four European hospitals
- 2020
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Ingår i: Health Policy. - : Elsevier. - 0168-8510 .- 1872-6054. ; 124:2, s. 205-215
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Tidskriftsartikel (refereegranskat)abstract
- The influence of multilevel healthcare system interactions on clinical quality improvement (QI) is still largely unexplored. Through the lens of knowledge management (KM) theory, this study explores how hospital managers can enhance the conditions for clinical QI given the specific multilevel and professional interactions in various healthcare systems.The research used an in-depth multilevel analysis in maternity departments in four purposively sampled European hospitals (Portugal, England, Norway and Sweden). The study combines analysis of macro-level policy documents and regulations with semi-structured interviews (96) and non-participant observations (193 hours) of hospital and clinical managers and clinical staff in maternity departments.There are four main conclusions: First, the unique multilevel configuration of national healthcare policy, hospital management and clinical professionals influence the development of clinical QI efforts. Second, these different configurations provide various and often insufficient support and guidance which affect professionals’ action strategies in QI efforts. Third, hospital managers’ opportunities and capabilities for developing a consistent KM infrastructure with reinforcing enabling conditions which merge national policies and guidelines with clinical reality is crucial for clinical QI. Fourth, understanding these interrelationships provides an opportunity for improvement of the KM infrastructure for hospital managers through tailored interventions.
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| 3. |
- Warneryd, Martin, et al.
(författare)
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Microgrid communities: disclosing the path to future system-active communities
- 2022
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Ingår i: Sustainable Futures. - Göterborg : IVL Svenska Miljöinstitutet AB. - 2666-1888. ; 4, s. 100079-100079
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Tidskriftsartikel (refereegranskat)abstract
- To increase sustainability in future energy systems, both technical and social measures must be taken. Microgrid communities offer local balancing of supply and demand, while also integrating the community as an active part of the energy system. This study investigates two cases of microgrid communities; how they were realized and what wider effects they offered its communities and other stakeholders. The study shows that the microgrid collaboration between community and utility offers a new organizational division that can overcome the traditional locked-in position of the utility. This brings forward communities as system-active participants and a sustainably beneficial energy system for the future.
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