The effects of CI tools and implementation practices on hospital performance Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/js956m375

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  • Continuous Improvement (CI) is an integral part of hospital administration. This study examined the relationship between five CI variables against six hospital criterion measures of, wait times to prepare a room, patient costs per day, waiting time for lab results, reportable errors, patient satisfaction, and employee satisfaction. The research was conducted using information gathered from 17 returned surveys out of a possible of 206 hospitals in three northwestern states. A survey was developed and administered to provide hospital level assessments of five CI variables and six hospital performance measures. Differences between efficiency and effectiveness CI tool usage were also investigated. Differences in tool usage between large, medium, and small hospital size groupings were also investigated. A statistically significant difference was observed between small, medium, and large hospitals in their responses to this survey. There were 12 significant correlations reported between specific CI tools and individual hospital performance measures. Nine of these significant correlations indicated poorer results for those hospitals that reported more frequently CI tool usage than those hospitals that did not. For hospitals, the findings of this study indicated that the majority of the hypotheses did not support the strongly held and prevailing notion that the more individuals trained in CI tools and implementation practices the more the employee will be actively involved in continuous improvement. The results of this study also did not support some of the prevailing ideas related to the use of CI tools and implementation practices and performance improvement. Support was found to indicate that for the participants in this study, effectiveness tools were used more than efficiency tools. The results of this study also supported some previous research indicating that organizational size may be an important factor in the level of application of CI tools.
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