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Challenges in conducting a hospital-randomized trial of an educational quality improvement intervention in rural and small community hospitals.

Challenges in conducting a hospital-randomized trial of an educational quality improvement intervention in rural and small community hospitals.

Authors :
Filardo G
Nicewander D
Herrin J
Galimbertti P
Tietze M
McBride S
Gunderson J
Collinsworth A
Haydar Z
Williams J
Ballard DJ
Source :
American journal of medical quality : the official journal of the American College of Medical Quality [Am J Med Qual] 2008 Nov-Dec; Vol. 23 (6), pp. 440-7. Date of Electronic Publication: 2008 Nov 04.
Publication Year :
2008

Abstract

The study design for this hospital-randomized controlled trial of an educational quality improvement intervention in rural and small community hospitals, following the implementation of a Web-based quality benchmarking and case review tool, specified a control group and a rapid-cycle quality improvement education group of >or= 30 hospitals each. Of the 64 hospitals initially interested in participating, 7 could not produce the required quality data and 10 refused consent to randomization. Of the 23 hospitals randomized to the educational intervention, 16 completed the educational program, 1 attended the didactic sessions but did not complete the required quality improvement project, 3 enrolled in "make-up" sessions, and 3 were unable to attend. Of the 42 individuals who attended educational sessions, 5 (12%) have left their positions. Quality improvement interventions require several different approaches to engage participating organizations and should include plans to train new staff given the high turnover of health care quality improvement personnel.

Details

Language :
English
ISSN :
1062-8606
Volume :
23
Issue :
6
Database :
MEDLINE
Journal :
American journal of medical quality : the official journal of the American College of Medical Quality
Publication Type :
Academic Journal
Accession number :
18984908
Full Text :
https://doi.org/10.1177/1062860608324546