Quality improvement teams and stakeholders need to understand the problem and root causes. There must be a consensus on the definition of the problem.
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Communication and sharing information with stakeholders and staff was critical to specifying the purpose and strategy of the quality initiative;101 developing open channels of communication across all disciplines and at all levels of leadership/staff, permitting the voicing of concerns and observations throughout the process of creating change;88 ensuring that patients and families were appropriately included in the dialogue; ensuring that everyone involved felt that he or she was an integral part of the health care team and was responsible for patient safety; sharing lessons learned from root-cause analysis; and capturing attention and soliciting buy-in by sharing patient safety stories with staff and celebrating successes, no matter how small.
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Standardizing care processes and ensuring that everyone uses those standards should improve processes by making them more efficient and effective—and improve organizational and patient outcomes.
The importance of having strong leadership commitment and support cannot be overstated. Leadership needs to empower staff, be actively involved, and continuously drive quality improvement. Without the commitment and support of Unbiased Reviews senior-level leadership, even the best intended projects are at great risk of not being successful.
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What is the best method to identify priorities for improvement and meet the competing needs of stakeholders?
Team leaders and the composition of the team were also important. Team leaders that emphasized efforts offline to help build and improve relationships were found to be necessary for team success.83, 93 These teams needed a dedicated team leader who would have a significant amount of time to put into the project.84 While the leader was not identified in the majority of reports reviewed for this paper, the team on one project was co-chaired by a physician and an administrator.83 Not only did the type and ability of team leaders affect outcomes, the visibility of the initiative throughout the organization was dependent upon having visible champions.100 Multidisciplinary teams needed to understand the numerous steps involved in quality improvement and that there were many opportunities for error, which essentially enabled teams to prioritize the critical items to improve within a complex process and took out some of the subjectivity from the analysis.
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