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The effect of a national quality improvement collaborative on prehospital care for acute myocardial infarction and stroke in England
Conclusions: This first national prehospital QIC led to significant improvements in ambulance care for AMI and stroke in England. The use of care bundles as measures, clinical engagement, application of quality improvement methods, provider prompts, individualized feedback and opportunities for learning and interaction within and across organizations helped the collaborative to achieve its aims.
Source: Implementation Science - January 23, 2014 Category: Health Management Authors: Aloysius SiriwardenaDeborah ShawNadya EssamFiona TogherZowie DavyAnne SpaightMichael Dewey Source Type: research

Key components of external facilitation in an acute stroke quality improvement collaborative in the Veterans Health Administration
Conclusions: This study shows that external facilitation involves core elements related to communication, relationship building, methods training, monitoring performance over time, and facilitating team-based problem solving. Importantly, this work demonstrates the fluid nature of external facilitation over time, as teams learn, grow, change, and experience changing contexts.
Source: Implementation Science - May 14, 2015 Category: Health Management Authors: Balmatee BidassieLinda WilliamsHeather Woodward-HaggMarianne MatthiasTeresa Damush Source Type: research

Exploring scale-up, spread, and sustainability: an instrumental case study tracing an innovation to enhance dysphagia care
DiscussionResearching spread and sustainability presents methodological and practical challenges. These include fidelity, adaptation latitude, time, and organisational changes. An instrumental case study will allow these confounding factors to be tracked over time and in place. The case study is underpinned by, and will test a conceptual framework about spread, to explore theoretical generalizability.
Source: Implementation Science - October 29, 2013 Category: Health Management Authors: Irene IlottKate GerrishSue PownallSabrina EltringhamAndrew Booth Source Type: research