An integrative model for organization-wide quality improvement: lessons from the field.
This article describes a model of CQI that is designed to characterize the elements necessary for successfully improving quality at an organization-wide level; describe and understand the organizational dynamics in implementing an organization-wide effort; and aid in diagnosing and solving common implementation challenges. Three cases illustrate the model and how it can be used.
O'Brien
J L
JL
University of Chicago, IL, USA.
Shortell
S M
SM
Hughes
E F
EF
Foster
R W
RW
Carman
J M
JM
Boerstler
H
H
O'Connor
E J
EJ
D006302:Health Services Research; D016519:Hospitals, Religious / Q000458:organization & administration / Q000592:standards; D006784:Hospitals, Teaching / Q000458:organization & administration / Q000592:standards; D008505:Medical Staff, Hospital; D017146:Models, Organizational; D015279:Organizational Culture; D017063:Outcome Assessment, Health Care; D010817:Physician-Patient Relations; D010934:Planning Techniques; D017749:Total Quality Management / Q000458:organization & administration*; D014481:United States