What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.

Baloh J, Zhu X, Ward MM. Med Care Res Rev. 2019 May 16; [Epub ahead of print].

Organizational factors often play a major role in determining whether the implementation and sustainment of safety improvement initiatives are successful. Researchers studied the implementation of TeamSTEPPS across 10 rural hospitals. They found that five of the hospitals sustained facilitation activities crucial for implementation and cite senior management support, middle management support, and team continuity as organizational factors necessary for sustainment.

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