From: A qualitative study of contextual factors’ impact on measures to reduce surgery cancellations
MUSIQ framework categories | Contextual factors identified from our case |
---|---|
External environment | • Input from patients about quality problems |
• External motivators | • Cancellation rate as a national quality indicator |
• Circulating ideas on patient-centered care | |
Organization | • An organizational improvement strategy that provided a foundation for the improvement work by emphasizing: |
• Quality improvement (QI) leadership | |
o Involvement of frontline clinicians | |
• Maturity of organizational QI | o Improvement by changing the clinical system |
• Culture supportive of QI | |
Quality improvement | • Guidance about improvement techniques and project support for the improvement teams |
support and capacity | |
• Data infrastructure | • Expedient use of information technology |
• Resource availability | |
Microsystem | • Communication with and involvement of clinicians outside the improvement teams |
• Quality improvement leadership | |
• Middle managers’ role in following up and securing context-sensitive implementation of interventions | |
• Motivation to change | |
• Middle managers as role models participating in daily work | |
• The shared belief that change was needed among hospital employees | |
Quality improvement team | • A meeting place for sharing information |
• Team diversity | • Participation from all of the relevant professional groups in improvement teams, including physicians |
• Physicians’ involvement |