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  1. Article ; Online: Maximizing the Benefit of Quality Improvement Activities: A Spread of Innovations Model.

    Wolak, Erica / Overman, Angela / Willis, Beth / Hedges, Christine / Spivak, Glen F

    Journal of nursing care quality

    2020  Volume 35, Issue 3, Page(s) 199–205

    Abstract: Background: Many organizations struggle to efficiently and effectively spread improvement activities. This article presents findings from a model developed to standardize the sharing of innovative ideas within nursing at an academic medical center.: ... ...

    Abstract Background: Many organizations struggle to efficiently and effectively spread improvement activities. This article presents findings from a model developed to standardize the sharing of innovative ideas within nursing at an academic medical center.
    Problem: Quality improvement activities were occurring in many nursing units but often did not spread beyond the originating unit. Challenges included variability in operationalizing initiatives, inconsistent understanding of project goals, and the lack of a dissemination process.
    Approach: The Spread of Innovations Model was developed to ensure structure and resources are in place to spread successful initiatives. The model uses Lean problem-solving and engages frontline nurses with senior leadership when spreading internally developed best practices.
    Outcomes: The model was piloted by spreading a catheter-associated urinary tract infection (CAUTI) prevention project throughout nursing. Using the model led to significantly decreased CAUTIs.
    Conclusions: Improvement efforts without a process for spreading can lead to inefficiencies and variable outcomes.
    MeSH term(s) Academic Medical Centers ; Catheter-Related Infections/prevention & control ; Cross Infection/prevention & control ; Diffusion of Innovation ; Humans ; Leadership ; Nurse Administrators ; Quality Improvement ; Urinary Tract Infections/prevention & control
    Language English
    Publishing date 2020-05-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1089089-0
    ISSN 1550-5065 ; 1057-3631
    ISSN (online) 1550-5065
    ISSN 1057-3631
    DOI 10.1097/NCQ.0000000000000438
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Strategies to maintain an N95 respirator supply during a pandemic supply-chain shortage.

    Buchanan, Mark O / Sickbert-Bennett, Emily E / Selimos, Amy / Dean, Stephen M / Willis, Beth / Boone, William P / Mitchell, Ashley M / DiBiase, Lauren M / Shaheen, Nicholas J / Weber, David J

    Infection control and hospital epidemiology

    2023  Volume 45, Issue 5, Page(s) 688–689

    MeSH term(s) Humans ; N95 Respirators ; Pandemics ; COVID-19 ; SARS-CoV-2 ; Respiratory Protective Devices
    Language English
    Publishing date 2023-12-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1017/ice.2023.252
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Creating a Culture of Rapid Change Adoption: Implementing an Innovations Unit.

    Tonges, Mary / Ray, Joel D / Overman, Angela S / Willis, Beth

    The Journal of nursing administration

    2015  Volume 45, Issue 7-8, Page(s) 384–390

    Abstract: This article provides an overview of 1 hospital's efforts to proactively identify and test new approaches to care delivery through the creation of an Innovations Unit, including the structure and processes of the initiative, the outcomes achieved, and ... ...

    Abstract This article provides an overview of 1 hospital's efforts to proactively identify and test new approaches to care delivery through the creation of an Innovations Unit, including the structure and processes of the initiative, the outcomes achieved, and the lessons learned.
    MeSH term(s) Delivery of Health Care/organization & administration ; Humans ; Models, Organizational ; Nursing Care/organization & administration ; Nursing Staff, Hospital/organization & administration ; Organizational Culture ; Organizational Innovation ; Patient Satisfaction ; Program Development ; Program Evaluation ; United States
    Language English
    Publishing date 2015-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 193141-6
    ISSN 1539-0721 ; 1539-073X ; 0002-0443
    ISSN (online) 1539-0721 ; 1539-073X
    ISSN 0002-0443
    DOI 10.1097/NNA.0000000000000219
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Implementing Lean in Academic Primary Care.

    Daaleman, Timothy P / Brock, Dawn / Gwynne, Mark / Weir, Sam / Dickinson, Iris / Willis, Beth / Reid, Alfred

    Quality management in health care

    2018  Volume 27, Issue 3, Page(s) 111–116

    Abstract: Background: Lean is emerging as a quality improvement (QI) strategy in health care, but there has been minimal adoption in primary care teaching practices. This study describes a strategy for implementing Lean in an academic family medicine center and ... ...

    Abstract Background: Lean is emerging as a quality improvement (QI) strategy in health care, but there has been minimal adoption in primary care teaching practices. This study describes a strategy for implementing Lean in an academic family medicine center and provides a formative assessment of this approach.
    Methods: A case study of the University of North Carolina Family Medicine Center that used the Consolidated Framework for Implementation Research to guide a formative evaluation. The implementation strategy included partnering with Lean content experts and creating a leadership team; planning and completing QI events and Lean training modules; and evaluating and reporting activities related to QI and training.
    Results: During the initial period of Lean implementation, there was (1) minimal to no change in the quality of care as determined by the Preventive Care Index (46-48); (2) a decrease patient appointment cycle time from 89 minutes to 65 minutes; (3) an increase in overall practice productivity from $8144 to $9160; (4) a decrease in patient satisfaction from 94% to 91%; and (5) an increase in monthly visit volume from 4112 to 5076.
    Conclusion: Lean had an uneven effect on QI in an academic primary care practice during the first year of implementation.
    MeSH term(s) Academic Medical Centers/organization & administration ; Academic Medical Centers/standards ; Humans ; North Carolina ; Organizational Case Studies ; Primary Health Care/organization & administration ; Primary Health Care/standards ; Program Development ; Quality Improvement/organization & administration ; Quality of Health Care/organization & administration ; Quality of Health Care/standards
    Language English
    Publishing date 2018-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162319-6
    ISSN 1550-5154 ; 1063-8628
    ISSN (online) 1550-5154
    ISSN 1063-8628
    DOI 10.1097/QMH.0000000000000173
    Database MEDical Literature Analysis and Retrieval System OnLINE

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