ABSTRACT

Our objective was to identify the influencing factors associated with the implementation of the INTERACT (Interventions to Reduce Acute Care Transfers) Quality Improvement program within a national healthcare system. INTERACT focuses on early identification and management of changes in residents’ condition leading to a reduction in potentially preventable hospital transfers. The Consolidated Framework was used to evaluate implementation data from eight VA Community Living Centers. Qualitative implementation data suggest two influencing Consolidated Framework domains had a strong influence: 1) key attributes of the intervention (e.g., adaptability or complexity) and 2) internal organizational factors (e.g., culture or compatibility). Using the Consolidated Framework can assist future adaptations to this and other complex quality improvement initiatives.

摘要

我们的目标是确定与在国家医疗保健系统内实施 INTERACT（减少急性护理转移的干预措施）质量改进计划相关的影响因素。INTERACT 专注于早期识别和管理居民状况的变化，从而减少潜在的可预防的医院转移。综合框架用于评估八个 VA 社区生活中心的实施数据。定性实施数据表明，两个有影响力的综合框架领域具有很强的影响力：1）干预的关键属性（例如，适应性或复杂性）和 2）内部组织因素（例如，文化或兼容性）。