36 Questions
What was not always clear in Cusin's work?
The definition of systems and the arbitrary boundaries being used
According to the analysis, which challenges were present across all case studies?
Challenges related to leadership, culture, and external demands
What was reported as being critical in how case organizations reacted to the initial CQC inspection and report?
The role of leaders
How did organizations tend to fare better when viewing the CQC inspection as an opportunity to drive change?
By accepting the findings of the inspection reports and making improvements
In how many case studies was the role of leaders explicit in their transformation and improvement efforts?
Five out of the eight case studies
What can be largely categorised as key system inputs from the QUASER study?
Seven out of the eight challenges
What did systems levels for improvements seem to range from, according to Cusin's work?
Individual services to whole hospital/sites
Which aspect was likely to impact how individuals and the organization respond to improving and transforming the system?
Emotional challenges
What was the catalyst to accepting the findings of the inspection reports and making improvements in most cases?
A change in leadership
What do the eight QUASER challenges largely represent, according to the text?
Key system inputs
What is the term used to describe the visibility of leaders in supporting improvement activity within the organization?
Gemba
Which component of culture might influence aspects of performance, posing a challenge for leaders to understand?
Organizational values and behaviors
What is recognized as being critical to improvement as it is seen by some organizations as having the answers to improving services?
Engagement of staff
Which case organization was selected to take part in the Virginia Mason Institute program focusing on using Lean methods to support a patient-centered culture?
Case 6
What was highlighted by multiple cases in terms of developing a set of organizational values and behaviors that resonate with all staff?
The importance of clinical leadership
What is crucial to the sustainability of Quality Improvement (QI) according to previous research?
Methodological and educational approaches
What was a key theme across the case organizations with regards to culture?
'In terms of culture'
Which approach is increasingly linked to quality but requires a better understanding of its dynamics?
'Organizational culture'
What factor has been found to contribute to a stronger QI culture in organizations?
Investing in staff and resources to support QI
What has been noted as a success factor in some cases, even though it was unclear what learning mechanisms were in place to support improvement activities?
Skilled faculty to support improvement teams
Which approach has been reported as a crucial component to building QI capacity and capability?
Having a structured, robust, and agreed approach to quality improvement
What was less evident from the case data and possibly the most problematic for case organizations according to the text?
Designing and providing physical systems and technological infrastructures that support improvement and quality of care
What did one case use as a way of 'crowdsourcing' staff feedback on working at the organization?
Technology
What did all cases mention focusing on, as per the QUASER study?
Leadership, culture, politics, structure, emotions, and the external environment
Which factor required some organizations to focus on rebuilding and managing their reputation?
External factors over which organizations have little control
'QUASER' is a research framework that specifically focuses on which of the following?
'Building QI capacity and capability within organizations'
What is considered important for several cases during the early stages of their engagement work?
Understanding the needs of diverse populations
What was less emphasized among all cases as per the QUASER study?
Physical and technological systems
What is the main purpose of the QUASER guide?
To encourage organisations to improve the quality of their services
What impacted the case review?
Organisations' QI maturity
What is mentioned as limited in the study?
The level of data provided by the published cases
What is the significance of using other frameworks like MUSIQ in conjunction with QUASER, as per the text?
It may have introduced other factors or challenges to be considered
What aspect requires further research, as mentioned in the text?
Difficulties experienced by case organisations
What does the text imply about the changes made at a local/hospital level?
They are interpreted as not being at a system level
What would provide further insight into achieving a sustainable systems approach to improving healthcare services?
In-depth case research with organisations rated as good and/or outstanding
What does the text indicate about the qualitative accounts provided by senior leaders, managers, and frontline workers?
They provide real insights into how improvements were made
Test your knowledge on creating a culture of continuous improvement in organizations and the factors that contribute to its success. Explore the impact of supporting QI infrastructure and the importance of ongoing learning processes for continuous improvement.
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