Abstract
What are the Barriers and Facilitators to the Implementation and/or Success of Quality Improvement and Risk Management in Hospitals: A Systematic Literature Review
Highlights
Most of the research papers and literature reviews on barriers and facilitators of quality and safety improvement programs and actions in hospitals failed to have a comprehensive approach, in particular regarding the individual factors, which in a daily practice appear to be key
Conclusion:While implementing quality/safety actions, it is probably just as important to take the barriers into account as facilitators; they are possibly more difficult to identify than the facilitators as they are apparently more often psychosocial in nature or relate to interactions between professionals
In the context of a French Ministry of health funded research program, we developed a project into factors that determine progress and outcome in hospitals’ risk management actions in France, with a particular focus on individual factors
Summary
Most of the research papers and literature reviews on barriers and facilitators of quality and safety improvement programs and actions in hospitals failed to have a comprehensive approach, in particular regarding the individual factors, which in a daily practice appear to be key. We need evidence to convince healthcare professionals, customers, managers and regulators that these programs are effective and efficient and implementation science is here to create generalizable knowledge that can be applied across settings and contexts, beyond the local specificities. In the context of a French Ministry of health funded research program, we developed a project into factors that determine progress and outcome in hospitals’ risk management actions in France, with a particular focus on individual factors. As the literature failed to provide a list of this type of factors, we performed a literature review covering all types of factors
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