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Start Over Author "McCarthy, Siobhán" Topic quality management
2 results on '"McCarthy, Siobhán"'

1. The care and keeping of clinicians in quality improvement.

Author

Shaikh, Ulfat, Lachman, Peter, Padovani, Andrew J, and McCarthy, SiobhÁn E

Subjects
education, healthcare system, human resources, leadership, needs assessment, organization science, quality culture, quality improvement, quality management, teamwork, training, Medical and Health Sciences, Psychology and Cognitive Sciences, Health Policy & Services
Abstract

ObjectiveAlthough frontline clinicians are crucial in implementing and spreading innovations, their engagement in quality improvement remains suboptimal. Our goal was to identify facilitators and barriers to the development and engagement of clinicians in quality improvement.DesignA 25-item questionnaire informed by theoretical frameworks was developed, tested and disseminated by email.SettingsMembers and fellows of the International Society for Quality in Healthcare.Participants1010 eligible participants (380 fellows and 647 members).InterventionsNone.Main outcome measuresSelf-efficacy and effectiveness in conducting and leading quality improvement activities.ResultsWe received 212 responses from 50 countries, a response rate of 21%. Dedicated time for quality improvement, mentorship and coaching and a professional quality improvement network were significantly related to higher self-efficacy. Factors enhancing effectiveness were dedicated time for quality improvement, multidisciplinary improvement teams, professional development in quality improvement, ability to select areas for improvement and organizational values and culture. Inadequate time, mentorship, organizational support and access to professional development resources were key barriers. Personal strengths contributing to effectiveness were the ability to identify problems that need to be fixed, reflecting on and learning from experiences and facilitating sharing of ideas. Key quality improvement implementation challenges were adopting new payment models, demonstrating the business case for quality and safety and building a culture of accountability and transparency.ConclusionsOur findings highlight areas that organizations and professional development programs should focus on to promote clinician development and engagement in quality improvement. Barriers related to training, time, mentorship, organizational support and implementation must be concurrently addressed to augment the effectiveness of other approaches.

Published
2020

2. Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review

Author

McCarthy, Siobhán Eithne, Jabakhanji, Samira Barbara, Martin, Jennifer, Flynn, Maureen Alice, and Sørensen, Jan

Subjects
quality improvement methodologies, Medicine (General), medicine.medical_specialty, Quality management, Leadership and Management, Cost effectiveness, Psychological intervention, quality measurement, 03 medical and health sciences, R5-920, 0302 clinical medicine, Humans, Medicine, 030212 general & internal medicine, cost-effectiveness, Research & Reporting Methodology, Health economics, Descriptive statistics, business.industry, 030503 health policy & services, Health Policy, Public Health, Environmental and Occupational Health, Equity (finance), Stakeholder, Quality Improvement, Family medicine, Costs and Cost Analysis, 0305 other medical science, business, Delivery of Health Care, Ireland, Inclusion (education), evaluation methodology
Abstract

ObjectivesTo profile the aims and characteristics of quality improvement (QI) initiatives conducted in Ireland, to review the quality of their reporting and to assess outcomes and costs.DesignScoping review.Data sourcesSystematic searches were conducted in PubMed, Web of Science, Embase, Google Scholar, Lenus and rian.ie. Two researchers independently screened abstracts (n=379) and separately reviewed 43 studies identified for inclusion using a 70-item critique tool. The tool was based on the Quality Improvement Minimum Quality Criteria Set (QI-MQCS), an appraisal instrument for QI intervention publications, and health economics reporting criteria. After reaching consensus, the final dataset was analysed using descriptive statistics. To support interpretations, findings were presented at a national stakeholder workshop.Eligibility criteriaQI studies implemented and evaluated in Ireland and published between January 2015 and April 2020.ResultsThe 43 studies represented various QI interventions. Most studies were peer-reviewed publications (n=37), conducted in hospitals (n=38). Studies mainly aimed to improve the ‘effectiveness’ (65%), ‘efficiency’ (53%), ‘timeliness’ (47%) and ‘safety’ (44%) of care. Fewer aimed to improve ‘patient-centredness’ (30%), ‘value for money’ (23%) or ‘staff well-being’ (9%). No study aimed to increase ‘equity’. Seventy per cent of studies described 14 of 16 QI-MQCS dimensions. Least often studies reported the ‘penetration/reach’ of an initiative and only 35% reported health outcomes. While 53% of studies expressed awareness of costs, only eight provided at least one quantifiable figure for costs or savings. No studies assessed the cost-effectiveness of the QI.ConclusionIrish QI studies included in our review demonstrate varied aims and high reporting standards. Strategies are needed to support greater stimulation and dissemination of QI beyond the hospital sector and awareness of equity issues as QI work. Systematic measurement and reporting of costs and outcomes can be facilitated by integrating principles of health economics in QI education and guidelines.

Published
2021

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