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What Does a Systems Approach to Quality Improvement Look Like in Practice?

Sharon Williams Orcid Logo, Stephanie Best

International Journal of Environmental Research and Public Health, Volume: 19, Issue: 2, Start page: 747

Swansea University Authors: Sharon Williams Orcid Logo, Stephanie Best

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DOI (Published version): 10.3390/ijerph19020747

Abstract

Universally improving healthcare systems is difficult to achieve in practice with organisations implementing a range of quality improvement (QI) approaches, in varying and changing contexts, and efforts ranging from project-based improvements to whole system change. This study aimed to identify how...

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Published in: International Journal of Environmental Research and Public Health
ISSN: 1660-4601
Published: MDPI AG 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa59185
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first_indexed 2022-01-14T19:46:11Z
last_indexed 2022-01-15T04:26:17Z
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spelling 2022-01-14T19:57:08.1031582 v2 59185 2022-01-14 What Does a Systems Approach to Quality Improvement Look Like in Practice? ab46582012179a28370922a05774d3e3 0000-0001-5377-7401 Sharon Williams Sharon Williams true false 6c5e9f19f4c08123900e4c69ceaae4ef Stephanie Best Stephanie Best true false 2022-01-14 PHAC Universally improving healthcare systems is difficult to achieve in practice with organisations implementing a range of quality improvement (QI) approaches, in varying and changing contexts, and efforts ranging from project-based improvements to whole system change. This study aimed to identify how organisations overcome the challenges to improving the quality of the services they deliver. Drawing on the eight challenges from the ‘Quality and Safety in Europe by Research (QUASER) hospital guide, we assessed eight cases reported by the UK-based regulator Care Quality Commission as improving their performance. A thematic analysis of these secondary data established that all eight challenges had been addressed or considered in varying degrees. Education and physical and technological challenges seemed less prominent than developments made to address other challenges such as developing leadership, structure, and culture to support improving quality. This paper relies on the analysis of secondary case data and one framework to assess improvement efforts. Further research is required to consider other models and frameworks and to collate longitudinal data to capture the dynamics and increasing the maturity of improving healthcare systems in practice. Journal Article International Journal of Environmental Research and Public Health 19 2 747 MDPI AG 1660-4601 health systems, quality improvement, QUASER, process improvement, systems thinking, NHS 10 1 2022 2022-01-10 10.3390/ijerph19020747 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2022-01-14T19:57:08.1031582 2022-01-14T19:44:33.6033383 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Sharon Williams 0000-0001-5377-7401 1 Stephanie Best 2 59185__22149__a2eaf9c0c3594a98b46f2ce66bac6113.pdf 59185.pdf 2022-01-14T19:46:29.2626236 Output 356611 application/pdf Version of Record true © 2022 by the authors. This is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license true eng https://creativecommons.org/licenses/by/4.0/
title What Does a Systems Approach to Quality Improvement Look Like in Practice?
spellingShingle What Does a Systems Approach to Quality Improvement Look Like in Practice?
Sharon Williams
Stephanie Best
title_short What Does a Systems Approach to Quality Improvement Look Like in Practice?
title_full What Does a Systems Approach to Quality Improvement Look Like in Practice?
title_fullStr What Does a Systems Approach to Quality Improvement Look Like in Practice?
title_full_unstemmed What Does a Systems Approach to Quality Improvement Look Like in Practice?
title_sort What Does a Systems Approach to Quality Improvement Look Like in Practice?
author_id_str_mv ab46582012179a28370922a05774d3e3
6c5e9f19f4c08123900e4c69ceaae4ef
author_id_fullname_str_mv ab46582012179a28370922a05774d3e3_***_Sharon Williams
6c5e9f19f4c08123900e4c69ceaae4ef_***_Stephanie Best
author Sharon Williams
Stephanie Best
author2 Sharon Williams
Stephanie Best
format Journal article
container_title International Journal of Environmental Research and Public Health
container_volume 19
container_issue 2
container_start_page 747
publishDate 2022
institution Swansea University
issn 1660-4601
doi_str_mv 10.3390/ijerph19020747
publisher MDPI AG
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
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description Universally improving healthcare systems is difficult to achieve in practice with organisations implementing a range of quality improvement (QI) approaches, in varying and changing contexts, and efforts ranging from project-based improvements to whole system change. This study aimed to identify how organisations overcome the challenges to improving the quality of the services they deliver. Drawing on the eight challenges from the ‘Quality and Safety in Europe by Research (QUASER) hospital guide, we assessed eight cases reported by the UK-based regulator Care Quality Commission as improving their performance. A thematic analysis of these secondary data established that all eight challenges had been addressed or considered in varying degrees. Education and physical and technological challenges seemed less prominent than developments made to address other challenges such as developing leadership, structure, and culture to support improving quality. This paper relies on the analysis of secondary case data and one framework to assess improvement efforts. Further research is required to consider other models and frameworks and to collate longitudinal data to capture the dynamics and increasing the maturity of improving healthcare systems in practice.
published_date 2022-01-10T04:16:18Z
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