National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Adverse Events (1)
- Evidence-Based Practice (2)
- Falls (1)
- Health Services Research (HSR) (1)
- (-) Hospitals (8)
- Implementation (4)
- Organizational Change (1)
- Patient Safety (3)
- Quality Improvement (1)
- Quality of Care (1)
- Rural Health (4)
- Surveys on Patient Safety Culture (1)
- Teams (5)
- (-) TeamSTEPPS (8)
- Training (2)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 8 of 8 Research Studies DisplayedBaloh J, Zhu X, Ward MM
What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.
This study looked at the influences on sustainment of internal facilitation activities. For two years the authors followed 10 small rural hospitals implementing TeamSTEPPS, a patient safety program. Factors the authors examined were the influence of senior management support (SMS), middle management support (MMS), facilitator team time availability (TIME), and team continuity (CONTINUITY). Five hospitals sustained facilitation activities and they found that the combination of SMS, MMS, and CONTINUITY was a sufficient condition for sustainment. The five other hospitals that did not sustain facilitation activities either lacked MMS or lacked both TIME and CONTINUITY. They also discussed the implications for research and practice.
AHRQ-funded; HS024112; HS018396.
Citation: Baloh J, Zhu X, Ward MM .
What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.
Med Care Res Rev 2021 Apr;78(2):146-56. doi: 10.1177/1077558719848267..
Keywords: TeamSTEPPS, Teams, Implementation, Hospitals, Patient Safety, Rural Health, Organizational Change
Jones KJ, Crowe J, Allen JA
The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project.
The purpose of this study was to determine associations between conducting post-fall huddles and repeat fall rates and between post-fall huddle participation and perceptions of teamwork and safety culture. The investigators concluded that post-fall huddles may reduce the risk of repeat falls. Staff who participate in post-fall huddles were likely to have positive perceptions of teamwork support for fall-risk reduction and safety culture because huddles are a team-based approach to reporting, adapting, and learning.
AHRQ-funded; HS024630; HS021429.
Citation: Jones KJ, Crowe J, Allen JA .
The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project.
BMC Health Serv Res 2019 Sep 9;19(1):650. doi: 10.1186/s12913-019-4453-y..
Keywords: TeamSTEPPS, Falls, Adverse Events, Surveys on Patient Safety Culture, Patient Safety, Hospitals, Teams
Baloh J, Zhu X, Ward MM
Implementing team huddles in small rural hospitals: how does the Kotter model of change apply?
The purpose of this study was to examine how the process of change prescribed in Kotter's change model applies in implementing team huddles, and to assess the impact of the execution of early change phases on change success in later phases. The investigators found mixed support for the Kotter model.
AHRQ-funded; HS024112.
Citation: Baloh J, Zhu X, Ward MM .
Implementing team huddles in small rural hospitals: how does the Kotter model of change apply?
J Nurs Manag 2018 Jul;26(5):571-78. doi: 10.1111/jonm.12584..
Keywords: Hospitals, Rural Health, Teams, TeamSTEPPS
Baloh J, Zhu X, Ward MM
Types of internal facilitation activities in hospitals implementing evidence-based interventions.
The aim of the study was to examine internal facilitation activities at 10 critical access hospitals in rural Iowa during their implementation of TeamSTEPPS, a patient safety intervention, and to identify characteristics that distinguish different types of facilitation activities. The investigators concluded that there are four types of facilitation activities that hospitals engage in while implementing evidence-based practices, offering a parsimonious way to characterize facilitation activities.
AHRQ-funded; HS024112; HS018396.
Citation: Baloh J, Zhu X, Ward MM .
Types of internal facilitation activities in hospitals implementing evidence-based interventions.
Health Care Manage Rev 2018 Jul/Sep;43(3):229-37. doi: 10.1097/hmr.0000000000000145..
Keywords: TeamSTEPPS, Implementation, Hospitals, Evidence-Based Practice, Health Services Research (HSR)
Ward MM, Baloh J, Zhu X
Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals.
An evidence-based program focused on quality enhancement in health care, termed TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), has been widely promoted by AHRQ. The authors apply the Promoting Action on Research Implementation in Health Services (PARIHS) framework in studying its implementation to identify elements that are most closely related to successful implementation. The current findings provide support for the PARIHS framework.
AHRQ-funded; HS018396.
Citation: Ward MM, Baloh J, Zhu X .
Promoting Action on Research Implementation in Health Services framework applied to TeamSTEPPS implementation in small rural hospitals.
Health Care Manage Rev 2017 Jan/Mar;42(1):2-13. doi: 10.1097/hmr.0000000000000086.
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Keywords: Evidence-Based Practice, Hospitals, Rural Health, TeamSTEPPS, Implementation
Zhu X, Baloh J, Ward MM
Deliberation makes a difference: preparation strategies for TeamSTEPPS implementation in small and rural hospitals.
The researchers studied the implementation of TeamSTEPPS in 14 critical access hospitals, proposing five strategic preparation steps for TeamSTEPPS. They discussed potential steps that hospitals may take to better prepare for TeamSTEPPS implementation.
AHRQ-funded; HS024112; HS018396.
Citation: Zhu X, Baloh J, Ward MM .
Deliberation makes a difference: preparation strategies for TeamSTEPPS implementation in small and rural hospitals.
Med Care Res Rev 2016 Jun;73(3):283-307. doi: 10.1177/1077558715607349.
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Keywords: TeamSTEPPS, Teams, Rural Health, Hospitals, Implementation, Quality Improvement, Quality of Care
Stewart GL, Manges KA, Ward MM
Empowering sustained patient safety: the benefits of combining top-down and bottom-up approaches.
Implementation of TeamSTEPPS for improving patient safety is examined via descriptive qualitative analysis of semistructured interviews with 21 informants at 12 hospitals. Implementation approaches fit 3 strategies: top-down, bottom-up, and combination. The top-down approach failed to develop enough commitment to spread implementation. The bottom-up approach was unable to marshal the resources necessary to spread implementation. Combining top-down and bottom-up, processes best facilitated the implementation and spread of the TeamSTEPPS safety initiative.
AHRQ-funded; HS018396.
Citation: Stewart GL, Manges KA, Ward MM .
Empowering sustained patient safety: the benefits of combining top-down and bottom-up approaches.
J Nurs Care Qual 2015 Jul-Sep;30(3):240-6. doi: 10.1097/ncq.000000000000103.
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Keywords: Patient Safety, TeamSTEPPS, Hospitals, Training
Ward MM, Zhu X, Lampman M
TeamSTEPPS implementation in community hospitals: adherence to recommended training approaches.
The purpose of this paper is to examine approaches taken by community hospital personnel and compare those to the best practices recommended by Weaver et al. The authors find that training implementation in community hospitals differs significantly from the established, research-based principles for effective team training described in the research literature, which is largely based in academic medical centers.
AHRQ-funded; HS018396.
Citation: Ward MM, Zhu X, Lampman M .
TeamSTEPPS implementation in community hospitals: adherence to recommended training approaches.
Int J Health Care Qual Assur 2015;28(3):234-44. doi: 10.1108/ijhcqa-10-2013-0124..
Keywords: TeamSTEPPS, Hospitals, Training, Teams