This study evaluates whether training health care teams in continuous quality improvement methods results in improvements in the care of and outcomes for patients. Nine of the 25 teams who participated in the study were successful in improving the care/outcomes for patients. Successful teams were more effective at problem solving, engaged in more functional group interactions, and were more likely to have physician participation.
Diane M. Irvine Doran, Ph.D., R.N., is Associate Professor, Faculty of Nursing, University of Toronto, Ontario.
G. Ross Baker, Ph.D., is Associate Professor, Department of Health Administration, University of Toronto, Ontario.
Michael Murray, Ph.D., is Assistant Professor, Department of Health Administration, University of Toronto, Ontario.
John Bohnen, M.D., F.R.C.S.C., F.A.C.S., is Medical Director and Associate Professor, Health Information Research Unit, Saint Michael's Hospital, Toronto, Ontario.
Catherine Zahn, M.D., M.H.Sc., is Associate Professor of Medicine, Head Division of Neurology, Director of Neuroscience Program, University Health Network, Toronto, Ontario.
Souraya Sidani, Ph.D., R.N., is Associate Professor, Faculty of Nursing, University of Toronto, Ontario.
Jennifer Carryer, M.N., R.N., is Research Coordinator, Faculty of Nursing, University of Toronto, Ontario.
The study on which this article is based was funded by Health Canada through the National Health Research and Development Program (NHRDP). The opinions contained are those of the authors and no official endorsement by the NHRDP is intended or should be inferred. The researchers want to acknowledge the contribution of Dr. Paul Batalden, Professor, Department of Pediatrics, Community and Family Medicine, Dartmouth Medical School, and Director of Clinical Process Improvement and Leadership Development, Dartmouth Medical School, Hanover, New Hampshire for his generous contribution to this project. The researchers also acknowledge the contribution of Dr. L. Headrick, Professor of Medicine, Case Western Reserve University, Cleveland, Ohio, for her contribution to this research project. The researchers acknowledge the contribution and hard work of all of the hospital staff who participated in this study through their involvement in the project work and participation in responding to the study questionnaires. The researchers acknowledge the contribution of Barbara Bell, who participated as a project coordinator for this research study, and Kirsten Buchan, research assistant.