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Barriers and facilitators of Canadian quality and safety teams: a mixed-methods study exploring the views of health care leaders

Overview of attention for article published in Journal of Healthcare Leadership, December 2016
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1 tweeter


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32 Mendeley
Barriers and facilitators of Canadian quality and safety teams: a mixed-methods study exploring the views of health care leaders
Published in
Journal of Healthcare Leadership, December 2016
DOI 10.2147/jhl.s116477
Pubmed ID

Deborah White, Jill Norris, Karen Jackson, Farah Khandwala


Health care organizations are utilizing quality and safety (QS) teams as a mechanism to optimize care. However, there is a lack of evidence-informed best practices for creating and sustaining successful QS teams. This study aimed to understand what health care leaders viewed as barriers and facilitators to establishing/implementing and measuring the impact of Canadian acute care QS teams. Organizational senior leaders (SLs) and QS team leaders (TLs) participated. A mixed-methods sequential explanatory design included surveys (n=249) and interviews (n=89). Chi-squared and Fisher's exact tests were used to compare categorical variables for region, organization size, and leader position. Interviews were digitally recorded and transcribed for constant comparison analysis. Five qualitative themes overlapped with quantitative data: (1) resources, time, and capacity; (2) data availability and information technology; (3) leadership; (4) organizational plan and culture; and (5) team composition and processes. Leaders from larger organizations more often reported that clear objectives and physician champions facilitated QS teams (p<0.01). Fewer Eastern respondents viewed board/senior leadership as a facilitator (p<0.001), and fewer Ontario respondents viewed geography as a barrier to measurement (p<0.001). TLs and SLs differed on several factors, including time to meet with the team, data availability, leadership, and culture. QS teams need strong, committed leaders who align initiatives to strategic directions of the organization, foster a quality culture, and provide tools teams require for their work. There are excellent opportunities to create synergy across the country to address each organization's quality agenda.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Malaysia 1 3%
Switzerland 1 3%
Unknown 30 94%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 22%
Researcher 5 16%
Student > Doctoral Student 3 9%
Professor > Associate Professor 3 9%
Student > Ph. D. Student 2 6%
Other 4 13%
Unknown 8 25%
Readers by discipline Count As %
Business, Management and Accounting 7 22%
Nursing and Health Professions 5 16%
Medicine and Dentistry 4 13%
Psychology 2 6%
Social Sciences 2 6%
Other 5 16%
Unknown 7 22%